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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
This article has been cited by other articles:
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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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