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Departments of Anesthesiology, Physiology, and Pathology, and Shock Trauma Center, University of Maryland, and Research Services, Baltimore Veterans Affairs Medical Center, Baltimore, Maryland 21201
Received 1 October 1996; accepted in final form 12 March 1997.
Barnas, George M., Paul A. Delaney, Ileana Gheorghiu,
Srinivas Mandava, Robert G. Russell, Renée Kahn, and Colin F. Mackenzie. Respiratory impedances and acinar gas transfer in a
canine model for emphysema. J. Appl.
Physiol. 83(1): 179-188, 1997.
We examined how
the changes in the acini caused by emphysema affected gas transfer out
of the acinus (Taci) and lung
and chest wall mechanical properties. Measurements were taken from five
dogs before and 3 mo after induction of severe bilateral emphysema by
exposure to papain aerosol (170-350 mg/dose) for 4 consecutive wk.
With the dogs anesthetized, paralyzed, and mechanically ventilated at
0.2 Hz and 20 ml/kg, we measured
Taci by the rate of washout of
133Xe from an area of the lung
with occluded blood flow. Measurements were repeated at positive
end-expiratory pressures (PEEP) of 10, 5, 15, 0, and 20 cmH2O. We also measured dynamic
elastances and resistances of the lungs
(EL and
RL, respectively) and chest wall at the different PEEP and during sinusoidal forcing in the normal range
of breathing frequency and tidal volume. After final measurements, tissue sections from five randomly selected areas of the lung each
showed indications of emphysema.
Taci during emphysema was similar
to that in control dogs. EL
decreased by ~50% during emphysema (P < 0.05) but did not change its
dependence on frequency or tidal volume.
RL did not change
(P > 0.05) at the lowest frequency
studied (0.2 Hz), but in some dogs it increased compared with control at the higher frequencies. Chest wall properties were not changed by
emphysema (P > 0.05). We suggest
that although large changes in acinar structure and
EL occur during uncomplicated
bilateral emphysema, secondary complications must be present to cause
several of the characteristic dysfunctions seen in patients with
emphysema.
xenon-133 washout; alveoli; gas transport; resistance; elastance
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