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1 Dipartimento di Medicina Sperimentale, Ambientale e Biotecnologie Mediche, Università di Milano-Bicocca, I-20052 Monza, Italy; 2 Médecine Aerospatiale, Université de Bordeaux, F-33076 Bordeaux; 4 Centre Chirurgical Marie Lannelongue, Unité Propre de Recherche de l'Enseignement Supérieur Equipe Associee 2397, Université Paris XI, F-92350 Le Plessis Robinson; and 3 Hôpital Lariboisière, F-75010 Paris, France
Chest wall mechanics was studied in
four subjects on changing gravity in the craniocaudal direction
(Gz) during parabolic flights. The thorax appears
very compliant at 0 Gz: its recoil changes only from
2 to
2 cmH2O in the volume range of 30-70% vital capacity
(VC). Increasing Gz from 0 to 1 and 1.8 Gz
progressively shifted the volume-pressure curve of the chest wall to
the left and also caused a fivefold exponential decrease in compliance. For lung volume <30% VC, gravity has an inspiratory effect, but this
effect is much larger going from 0 to 1 Gz than from 1 to 1.8 Gz. For a volume from 30 to 70% VC, the effect is
inspiratory going from 0 to 1 Gz but expiratory from 1 to
1.8 Gz. For a volume greater than ~70% VC, gravity
always has an expiratory effect. The data suggest that the chest wall
does not behave as a linear system when exposed to changing gravity, as
the effect depends on both chest wall volume and magnitude of
Gz.
chest wall compliance; chest wall resting volume; esophageal pressure; supine posture
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