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J Appl Physiol 87: 605-610, 1999;
8750-7587/99 $5.00
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Vol. 87, Issue 2, 605-610, August 1999

Effects of continuous negative airway pressure on lung volume and respiratory resistance

Anne Marie Lorino, Kamel Hamoudi, Frédéric Lofaso, Estelle Dahan, Christian Mariette, Alain Harf, and Hubert Lorino

Institut National de la Santé et de la Recherche Médicale and Service de Physiologie-Explorations Fonctionnelles, Hôpital Henri Mondor, AP-HP, 94010 Créteil, France

This study was designed to determine the responses of lung volume and respiratory resistance (Rrs) to decreasing levels of continuous negative airway pressure (CNAP). Twenty normal subjects were studied in the basal state and under CNAP levels of -5, -10, and -15 hPa. Rrs was measured by the forced oscillation technique (4-32 Hz). End-expiratory lung volume (EELV) and tidal volume (VT) were measured by whole body plethysmography. Rrs was extrapolated to 0 Hz (R0) and estimated at 16 Hz (R16) by linear regression analysis of Rrs vs. frequency. Specific Rrs, SR0 and SR16, were then calculated as R0 (EELV + VT/2) and R16 (EELV + VT/2), respectively. EELV significantly decreased, whereas R0, R16, SR0, and SR16 significantly increased, as the CNAP level decreased (P < 0.0001 for all). At the lowest CNAP level, R0 and R16 reached 198 ± 13 and 175 ± 9% of their respective basal values. The CNAP-induced increase in R0 was significantly higher than that in R16 (P < 0.004). Our results demonstrate that the CNAP-induced increase in Rrs does not result from a direct lung volume effect only and strongly suggest the involvement of other factors affecting both intrathoracic and extrathoracic airway caliber.

forced oscillations; respiratory resistive impedance; upper airway resistance; lower airway resistance


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A.M. Lorino, F. Lofaso, E. Dahan, A. Harf, and H. Lorino
Respiratory impedance response to continuous negative airway pressure in awake controls and OSAS
Eur. Respir. J., January 1, 2001; 17(1): 71 - 78.
[Abstract] [Full Text] [PDF]




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