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Department of Biomedical Engineering, Boston University, 02215 Boston, Massachusetts; and Department of Pediatrics, University of Bern, Inselspital, 3010 Berne, Switzerland
Received 5 November 1995; accepted in final form 28 November 1996.
Frey, Urs, Bela Suki, Richard Kraemer, and Andrew C. Jackson. Human respiratory input impedance between 32 and 800 Hz,
measured by interrupter technique and forced oscillations. J. Appl. Physiol. 82(3):
1018-1023, 1997.
Respiratory input impedance (Zin) over a wide
range of frequencies (f) has been
shown to be useful in determining airway resistance (Raw) and tissue
resistance in dogs or airway wall properties in human adults. Zin
measurements are noninvasive and, therefore, potentially useful in
investigation of airway mechanics in infants. However, accurate
measurements of Zin at these f values
with the use of forced oscillatory techniques (FOT) in infants are
difficult because of their relatively high Raw and large compliance of
the face mask. If pseudorandom noise pressure oscillations generated by
a loudspeaker are applied at the airway opening (FOT), the power of the
resulting flow decreases inversely with
f because of capacitive shunting into
the volume of the gas in the speaker chamber and in the face mask. We
studied whether high-frequency respiratory Zin can be measured by using rapid flow interruption [high-speed interrupter technique
(HIT)], in which we expect the flow amplitude in the respiratory
system to be higher than in the FOT. We compared Zin measured by HIT with Zin measured by FOT in a dried dog lung and in five healthy adult
subjects. The impedance was calculated from two pressure signals
measured between the mouth and the HIT valve. The impedance could be
assessed from 32 to 800 Hz. Its real part at low
f as well as the
f and amplitude of the first and
second acoustic resonance, measured by FOT and by HIT, were not
significantly different. The power spectrum of oscillatory flow when
the HIT was used showed amplitudes that were at least 100 times greater
than those when FOT was used, increasing at
f > 400 Hz. In conclusion,
the HIT enables the measurement of high-frequency Zin data ranging from 32 to 800 Hz with particularly high flow amplitudes and, therefore, possibly better signal-to-noise ratio. This is particularly important in systems with high Raw, e.g., in infants, when measurements have to
be performed through a face mask.
respiratory mechanics; tube technique; wave-tube technique; forced oscillation technique
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