|
|
||||||||
Vol. 84, Issue 3, 862-867, March 1998
Unité 14 de Physiopathologie Respiratoire, Institut National de la Santé et de la Recherche Médicale, Université H. Poincaré Nancy I, 54500 Vandoeuvre-les-Nancy, France
The purpose
of this study was to test a plethysmographic method of measuring
thoracic gas volume (TGV) that, contrary to the usual panting method,
would not require any active cooperation from the subject. It is based
on the assumption that the out-of-phase component of airway impedance
varies linearly with frequency. By using that assumption, TGV may be
computed by combining measurements of total respiratory impedance (Zrs)
and of the relationship between the plethysmographic signal (Vpl) and
airway flow (
) during forced
oscillations at several frequencies. Zrs and Vpl/
were measured at 10 noninteger multiple frequencies ranging from 4 to
29 Hz in 15 subjects breathing gas in nearly
BTPS conditions. Forced oscillation
measurements were immediately followed by determination of TGV by the
standard method. The data were analyzed on different frequency ranges,
and the best agreement was seen in the 6- to 29-Hz range. Within that
range, forced oscillation TGV and standard TGV differed little
(3.92 ± 0.66 vs. 3.83 ± 0.73 liters,
n = 77, P < 0.05) and were strongly
correlated (r = 0.875); the
differences were not correlated to the mean of the two estimates, and
their SD was 0.35 liter. In seven subjects the differences were
significantly different from zero, which may, in part, be due to
imperfect gas conditioning. We conclude that the method is not highly
accurate but could prove useful when, for lack of sufficient
cooperation, the panting method cannot be used. The results of computer
simulation, however, suggest that the method would be unreliable in the
presence of severe airway inhomogeneity or peripheral airway
obstruction.
respiratory mechanics methods; plethysmography; respiratory impedance
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Visit Other APS Journals Online |