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1 Meakins-Christie Laboratories, McGill University, Montréal, Québec, Canada H2X 2P2; 2 Texas Children's Hospital, Houston, Texas 77030; and 3 Vermont Lung Center, Department of Medicine, University of Vermont, Burlington, Vermont 05446
The purpose of the present study was to establish how
the dependence of respiratory mechanics on lung inflation changes
during development. We studied seven groups of rats from 10 days to 3 mo of age at five levels of positive end-expiratory pressure
(PEEP) from 0 to 7 hPa (1 hPa = 0.1 kPa
1 cmH2O). At each PEEP level, we measured respiratory system
resistance and elastance at both 0.9 and 4.8 Hz to partition the
mechanical properties into its airway and tissue components. Elastance
increased more rapidly with PEEP in the younger animals, which we
interpret as reflecting a more pronounced strain stiffening of the
younger parenchyma. However, the decrease in airway resistance with
PEEP was more pronounced in the older animals. Morphometric analysis
showed that mean tissue density decreased and total alveolar surface area increased with age. Our data suggest that the mechanical interdependence between airways and parenchyma is weaker in very young
animals compared with mature animals. This may play a role in the
hyperresponsiveness of immaturity.
maturation; respiratory system impedance; forced oscillations; lung structure; morphometry; hyperresponsiveness
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