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1 Department of Biomedical Engineering, Boston University, Boston 02215; and 2 Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02115
We measured lung impedance in rats in closed
chest (CC), open chest (OC), and isolated lungs (IL) at four
transpulmonary pressures with a optimal ventilator waveform.
Data were analyzed with an homogeneous linear or an inhomogeneous
linear model. Both models include tissue damping and elastance and
airway inertance. The homogeneous linear model includes airway
resistance (Raw), whereas the inhomogeneous linear model has a
continuous distribution of Raw characterized by the mean Raw and the
standard deviation of Raw (SDR). Lung mechanics were compared with
tissue strip mechanics at frequencies and operating stresses comparable
to those during lung impedance measurements. The hysteresivity (
)
was calculated as tissue damping/elastance. We found that 1)
airway and tissue parameters were different in the IL than in the CC
and OC conditions; 2) SDR was lowest in the IL; and
3)
in IL at low transpulmonary pressure was similar to
in the tissue strip. We conclude that
is primarily determined
by lung connective tissue, and its elevated estimates from impedance
data in the CC and OC conditions are a consequence of compartment-like
heterogeneity being greater in CC and OC conditions than in the IL.
tissue resistance; tissue elastance; configuration; compartmental behavior
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