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University of British Columbia Pulmonary Research Laboratory, St. Paul's Hospital, Vancouver, British Columbia, Canada V6Z 1Y6
Interdependence between airways and the
lung parenchyma is thought to be a major mechanism preventing excessive
airway narrowing during bronchoconstriction. Because the
elastance of the lung increases during bronchoconstriction, the lung's
tethering force could also increase, further attenuating
bronchoconstriction. We hypothesized that the bulk (
) and shear
moduli (µ) of the lung increase similarly during bronchoconstriction.
To test this hypothesis, we excised rabbit lungs and measured the lung
volume, pulmonary elastance,
, and µ at transpulmonary pressures
of 4, 6, 8, 12, and 16 cmH2O using
pressure-volume curves, slow oscillations of the lung, and an
indentation test. Bronchoconstriction was induced by nebulizing
carbachol by using small tidal-volume ventilation to prevent
hyperinflation. The measurement of
and µ was repeated after
carbachol treatment. After carbachol treatment, the increase in
was
significantly greater than that in µ. The estimated value for µ was
~0.5 × transpulmonary pressure
both before and after carbachol treatment. These data
suggest that the tethering effect of the lung parenchyma, which serves
to attenuate bronchoconstriction, is not significantly increased during
carbachol administration unless there is hyperinflation.
lung parenchymal interdependence; bulk modulus; shear modulus
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