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Vol. 83, Issue 5, 1595-1601, 1997
Departments of 1 Medical Informatics and 2 Experimental Surgery, Albert Szent-Györgyi Medical University, H-6720 Szeged, Hungary; and 3 Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts 02115
Received 21 January 1997; accepted in final form 1 July 1997.
Hantos, Z., F. Peták, Á. Adamicza, T. Asztalos, J. Tolnai, and J. J. Fredberg. Mechanical impedance of
the lung periphery. J. Appl. Physiol.
83(5): 1595-1601, 1997.
The mechanics of the regional airways and
tissues was studied in isolated dog lobes by means of a modified
wave-tube technique. Small-amplitude pseudorandom forced oscillations
between 0.1 and 48 Hz were applied through catheters wedged in
2-mm-diameter bronchi in three regions of each lobe at translobar
pressures (PL) of 10, 7, 5, 3, 2, and 1 cmH2O. The measured
regional input impedances were fitted by a model containing the
resistance (R1) and inertance
(I) of the regular (segmental) airways, the resistance of the
collateral channels (R2), and
the damping (G) and elastance (H) of the local tissues. This model gave
far better fits to the data on impedance of the lung periphery than
when G and H were replaced by a single tissue compliance, which
explains why interruption of segmental flow did not lead to
monoexponential pressure decay in previous studies. The interlobar and
intralobar variances of the parameters were equally significant, and
poor correlations were found between the airway parameters
R1 and
R2 and between any airway and
tissue parameter (e.g., R1 and H).
R2 was on average ~10 times
higher than R1, although the
R2-to-R1
ratios and their dependencies on PL were regionally highly
variable. However, for the total of 33 regions studied, the
PL dependence was the same for
R1 and R2, which may reflect similar
morphological structures for the regular and collateral airways. The
dependencies of G and H on PL
showed high interregional variations; generally, however, they assumed
their minima at medium PL values
(~5 cmH2O).
collateral airways; collateral resistance; airway resistance; pulmonary elastance; lung tissue resistance
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