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Department of Respiratory Medicine, Westmead Hospital and University of Sydney, Westmead, New South Wales, 2145, Australia
Using posterior
rhinomanometry, we measured nasal airflow resistance (Rn) and
flow-resistive work of nasal breathing (WONB), with an external nasal
dilator strip (ENDS) and without (control), in 15 healthy adults (6 men, 9 women) during exclusive nasal breathing and graded
(50-230 W) exercise on a cycle ergometer. ENDS decreased resting
inspiratory and/or expiratory Rn (at 0.4 l/s) by >0.5 cmH2O · l
1 · s in 11 subjects
("responders"). Inspired ventilation (
I) increased with external work rate, but tended to be greater with ENDS.
Inspiratory and expiratory Rn (at 0.4 l/s) decreased as
I increased but, in responders, tended to remain
lower with ENDS. Inspiratory (but not expiratory) Rn at peak nasal
airflow (
n) increased as
I increased but,
again, was lower with ENDS. At a
I of ~35 l/min,
ENDS decreased flow limitation and hysteresis of the inspiratory
transnasal pressure-flow curve. In responders, ENDS reduced inspiratory
WONB per breath and inspiratory nasal power values during exercise. We
conclude that ENDS stiffens the lateral nasal vestibule walls and, in
responders, may reduce the energy required for nasal ventilation during exercise.
work of breathing
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