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Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada T2N 4N1
The static mechanical properties
of the passive pharynx were investigated in Vietnamese pot-bellied pigs
by using an isolated upper airway preparation. During general
anesthesia and neuromuscular blockade, cross-sectional area
(A) of the pharynx was measured while airway pressure (Paw)
was held at various pressures in the absence of airflow. The static
A-Paw relationship was measured during application of 0, 1, and 2 cm of caudal tracheal displacement. Relative to humans, closing
pressures (Pclose) of the pig pharynx were very low (
15 to
35
cmH2O). Tracheal displacement significantly decreased
compliance of the hypopharynx (from 0.074 ± 0.02 cm2/cmH2O with no displacement to 0.052 ± 0.01 cm2/cmH2O with 2 cm of displacement) and
decreased Pclose of the oropharynx (from
18.2 ± 9.9 cmH2O to
24.1 ± 10.5 and
28.7 ± 12.3 cmH2O with 1 and 2 cm of displacement, respectively).
Tracheal displacement did not affect A of the pharyngeal
segments. In conclusion, tracheal displacement decreased collapsibility
of the passive pharynx. The pharynx of the pot-bellied pig is
structurally more resistant to collapse than the human pharynx.
caudal tracheal displacement; sleep apnea; pharyngeal compliance; closing pressure
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