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1 Respiratory Research Laboratory, Sobh, Jamil F., Craig M. Lilly, Jeffrey M. Drazen, and
Andrew C. Jackson. Respiratory transfer impedance between 8 and
384 Hz in guinea pigs before and after bronchial challenge. J. Appl. Physiol. 82(1): 172-181, 1997.
noninvasive; forced oscillation technique; respiratory resistance; respiratory inertance; respiratory compliance
GUINEA PIGS ARE COMMONLY used for physiological and
toxicological studies and as models for human respiratory diseases (1, 25, 30). Assessment of pulmonary function in small animals is often
attempted by applying techniques originally devised for use in humans.
Application of these methods to study small animals is often difficult
because of their size and the difficulty in attaching any
instrumentation to their airway opening. Thus nearly all techniques for
measuring respiratory mechanics in animals require some form of
invasion, i.e., tracheotomy, intubation, or measurements of esophageal
or pleural pressure (5). A disadvantage in any invasive method is that
it necessitates anesthesia, which may seriously affect the respiratory
mechanical properties or influence the animal's response to a
pharmacological intervention. Anesthesia has been reported to induce
large changes in respiratory impedance in rats (22) and major changes
in pulmonary resistance and compliance in hamsters (28). Another
disadvantage of invasive techniques is that they do not allow for
repeated measurements in the same animal. Thus often large numbers of
animals are required to obtain statistical significance when the effect
of experimental intervention on pulmonary function is investigated.
Respiratory impedance measured by the forced oscillation technique
provides a convenient noninvasive approach for examining the mechanical
properties of the respiratory system in humans (26). It was first
described by DuBois et al. (6) and consists of introducing
small-amplitude pressure oscillations over a range of frequencies
across the respiratory system at a frequency higher than the normal
breathing frequency. The applied pressure at the airway opening (Pao)
or body surface (Pbs) and flow response at the airway opening
( The purpose of this study was to implement a two-chamber head-body
plethysmograph (H-BP) to make noninvasive measurements of Ztr over a
wide frequency range in spontaneously breathing guinea pigs in an
attempt to reliably characterize their respiratory system. The
resulting data were analyzed by fitting them with lumped-parameter
models of the respiratory system. Measurements were made in baseline,
anesthetized, and bronchoconstricted conditions.
We report a forced oscillatory technique for noninvasively
measuring respiratory transfer impedance (Ztr) between 8 and 384 Hz in
guinea pigs. This technique uses a device consisting of two chambers:
one surrounding the animal's head that is used as a plethysmograph to
measured flow through the airway opening and the other that surrounds
the animal's body and is used to apply pressure oscillations to the
body surface. Ztr was measured in spontaneously breathing awake guinea
pigs and while the animals were anesthetized in normal and
methacholine-challenged conditions. An eight-element model consisting
of an airway compartment separated from a tissue compartment by a shunt
gas compression compartment was fit to the data. Anesthesia increased
central and peripheral airway resistance and bronchial airway wall
compliance by 13, 31, and 44%, respectively, whereas it decreased
tissue compliance by 37%. Compared with the unanesthetized condition, the methacholine challenge (20 µg/kg) resulted in an increase in
central and peripheral airway resistance (69 and 319%, respectively) and a decrease in bronchial airway wall and tissue compliance (37 and
79%, respectively). This technique is capable of measuring Ztr in
anesthetized and awake guinea pigs. Analysis of these data with this
eight-element model provides reasonable estimates of airway and tissue
parameters.
ao) are then measured. These impedance data can then
be fit to lumped-parameter models of the respiratory system.
Respiratory system input impedance (Zin) has been used to study small
laboratory animals, but this measurement is invasive (i.e., via
tracheotomy) (7, 14, 20). Noninvasive measurements of respiratory
transfer impedance (Ztr; i.e., the ratio of the pressure at the chest
wall to the flow at the airway opening, with oscillations imposed
around the chest wall) have recently been made in conscious rats (23)
and mice (8).
Experimental system.
The data acquisition and measurement system for Ztr is shown in Fig.
1. The two-compartment HB-P consisted of a
cylindrical Plexiglas chamber. The body chamber (1,000 ml) had a
sloping front, which permitted the guinea pig to sit with its front
feet extended, the only position in which unanesthetized guinea pigs
will sit quietly (1). A removable neck plate held the animal in place and provided a seal around the neck. The head chamber (150 ml), joined
to the body chamber by adjustable spring clamps, enclosed the head of
the animal. This method depends on an airtight seal between the body
and the head of the guinea pig, which was achieved by molding Play
Dough around the neck of the animal.
Fig. 1.
A schematic representation and block diagram of experimental setup of
transfer impedance head-body chamber plethysmograph (H-BP). D/A,
digital-to-analog; A/D, analog-to-digital; Pbs, body surface pressure;
Pao, airway opening pressure; Amp, amplifier.
[View Larger Version of this Image (25K GIF file)]
ao
|
(1) |
ao by the impedance of the front
chamber (Ze)
|
(2) |
ao and substituting this into
Eq .1
|
(3) |
1 · s).
The Pao-to-Pbs ratio was measured in the frequency range 8-384 Hz,
and the impedance Ze was calculated from
|
(4) |
ao, flow at airway opening; Rcaw,
central Raw; Rpaw, peripheral Raw; Icaw, central Iaw; Cbr, bronchial
airway wall complaince; Pcw, pressure at chest wall.
Parameter estimates were obtained using a gradient optimization technique (2), which adjusted model parameters such that the sum of squares of the difference between the data and the model impedance values was minimized (Eq. 5). The performance index (PI) is defined by
|
(5) |
|
(6) |
|
(7) |
The reproducibility of Ztr measurements was investigated by measuring Ztr, removing the animal from the chamber, and then returning the animal to the chamber for a second measurement (Fig. 4).
Anesthesia significantly changed the Ztr spectrum compared with the baseline Ztr. Compared with anesthesia, the low doses of methacholine (<1 µg/kg) had little or no effect on the Re(Ztr) or the Im(Ztr) (Fig. 3). Higher doses of methacholine induced significant changes in Ztr compared with anesthesia. Re(Ztr) increased at all frequencies in response to anesthesia and was further increased on challenge with the higher doses of methacholine. The higher the methacholine dose, the higher was the increase in Re(Ztr) at all frequencies. The frequency-dependent drop in Re(Ztr) at low frequencies in the baseline condition increased with anesthesia and with increasing doses of methacholine. The frequency (freal) at which the real part crossed the zero axis [Re(Ztr) = 0] was 250 ± 31 Hz in baseline conditions, and it increased significantly to 322 ± 26 Hz (P < 0.05) in response to anesthesia, but methacholine did not significantly alter freal (P > 0.05; Table 1).
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1 · s),
and comparing its measured Ztr with the theoretical prediction of its
Ztr. The measured and the predicted impedance of the second calibration
device were within 5% of the expected values over the entire frequency
range.
An airtight seal around the animal's neck is of crucial importance for
Ztr measurements, because any leak between the two chambers will act as
an impedance in parallel with Ztr, and thus Ztr would be
underestimated. Leaks were minimized, if not totally eliminated, by a
tight neck plate and by molding Play Dough around the animal's neck.
The reproducibility of our results (Fig. 4) is evidence that with care
leaks around the neck can be reduced to the point where they are
negligible.
Guinea pigs have a relatively high spontaneous breathing frequency
(2-3 Hz) that could contain higher-frequency harmonics and, thus,
interfere with the Ztr measurements. Measuring the box pressure signal
when the guinea pig was breathing spontaneously without forced
oscillations revealed that the amplitude of the 8-Hz (the minimum
frequency used) component of spontaneous breathing was <10% of the
amplitude of the corresponding frequency in the applied signal. Hence,
harmonics from spontaneous breathing were not thought to influence the
Ztr estimates.
Modeling analysis.
Baseline Ztr showed a rather sharp frequency-dependent drop in the
Re(Ztr) for frequency <40 Hz that increased and became more
significant in anesthetized and challenged animals. The six-element model was unable to fit this low-frequency-dependent drop. It has been
suggested that the frequency-dependent decrease in the Re(Ztr) can be
due to increased inhomogeneities in parallel airways (24) or to the
effects of airway wall compliance (21).
The model of Otis et al. (24) includes two parallel pathways
representing mechanically inhomogeneous parallel lung units, each
consisting of a resistance and compliance in series (Fig. 5). If the time constants (
= R * C,
where R is resistance and C is compliance) of the two pathways are not
equal, the effective resistance and compliance will then decrease with
increasing frequency. We fitted the Otis model to our Ztr data of
baseline, anesthesia, and methacholine-challenged conditions in the
frequency range below the resonance frequency. As expected, the time
constant (
) of one compartment was larger than that of the other for
all cases (Table 2). However, with
increasing levels of methacholine, the apparent degree of parallel
inhomogeneity decreased (i.e., the ratio
1/
2
decreased), whereas we would have expected it to have increased. We
interpret these results as evidence that this model does not provide a
physiologically realistic interpretation of the data obtained during
methacholine challenge.
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1 · s)
was 74% of the total respiratory resistance (Rrs) and Rti (62 ± 25 cmH2O · l
1 · s)
was 26% of Rrs. Iaw (0.094 ± 0.016 cmH2O · l
1 · s
2)
and Iti (0.048 ± 0.021 cmH2O · l
1 · s
2)
were 66 and 34% of the total respiratory inertance (Irs),
respectively. Cti was 0.033 ± 0.005 ml/cmH2O.
).
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1 · s)
and Rpaw (224 ± 48 cmH2O · l
1 · s)
were 41 and 59% of Rrs, respectively. Iaw (0.128 ± 0.036 cmH2O · l
1 · s
2)
and Iti (0.039 ± 0.021 cmH2O · l
1 · s
2)
were 77 and 23% of Irs, respectively, and were significantly different
from the values obtained with the six-element model. The mean Cbr was
0.028 ± 0.011 ml/cmH2O,
whereas the mean Cti was 0.15 ± 0.05 ml/cmH2O.
).
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Sensitivity analysis. Sensitivity analysis was performed on the eight-element model for the control animals to evaluate how Ztr data are influenced by its separate parameters. The percent change in the impedance modules [|Z| = (Re2 + Im2)1/2] was computed when the value of each parameter in the eight-element model was increased by 20% (Fig. 9). The reference values of the parameters were calculated using their mean values. For the first one-half of the impedance spectrum, Ztr was very sensitive to Rcaw and slightly sensitive to Icaw. As frequency increased, the sensitivity to Rcaw decreased slightly and Ztr became increasingly sensitive to Icaw. Conversely, Ztr was insensitive to Rpaw and Cbr, except at frequencies <64 Hz. At low frequencies (<192 Hz), Ztr was slightly sensitive to Rti and relatively insensitive to Iti, but the sensitivity to Rti and Iti increased drastically at higher frequencies. This is consistent with the findings of Lutchen and Jackson (18) in humans, in that one needs to go to higher frequencies to reliably estimate the separate tissue and airway properties. Furthermore, Ztr is insensitive to Cti, except at frequencies <64 Hz. Conversely, Ztr was sensitive to Cg only at frequencies >256 Hz, which indicates the importance of Cg to the reliable estimation of the tissue properties.
Airway parameters (Raw and Iaw) largely influenced the data from 8 to 192 Hz, and tissue parameters (Rti and Iti) largely influenced Ztr at frequencies >192 Hz. To reliably separate airway from tissue properties, it is necessary to measure Ztr to high enough frequencies that include the zero crossing in the real part and a significant drop in the imaginary part. The increasing sensitivity of Ztr to Cg at high frequencies raised the issue of how the accuracy of the Cg value influenced the airway-tissue separation. Impact of Cg accuracy. To study the effect of errors in the assigned value for Cg on the estimates of the airway and tissue properties, Cg was varied over ±40%, Ztr was predicted, and the other parameters were estimated from the predicted Ztr. For the eight-element model, Rpaw, Iaw, and Cbr estimates were little affected by errors in Cg of this magnitude, and Cti was independent of Cg (<1%; Fig. 10). However, Rcaw, Rti, and Iti were greatly affected by errors in Cg. With a +40% error in Cg, Rcaw, Rti, and Iti were underestimated by <30%. With a
40%
error in Cg, there were larger errors in Rcaw, Rpaw, and Iti (
60,
150, and
70%, respectively). It is important to note that Cg
might decrease with anesthesia; thus if an error in estimating Cg is
made, it is most likely to be overestimated. Because of the asymmetry
of the influence of Cg on the other parameter estimates (Fig. 10), an
overestimation in Cg results in rather small errors in the mechanical
parameter of interest (i.e., Rcaw, Rpaw, and Cti). It is interesting to
note that
s2
was unchanged as Cg was varied. These results and those from the
previous sensitivity test (Fig. 9) indicate the importance of Cg for
the reliable estimate of Rti and Iti, since Ztr is most sensitive to Cg
for frequencies >224 Hz, which is also where the parameters Rti and
Iti have their greatest influence. Similarly, for the eight-element
model, errors in the estimated Cg had the greatest impact on Rti and
Iti and negligible impact on the other parameters. Thus inaccuracies in
the assigned Cg will distort the estimated tissue properties (Rti and
Iti) but will have little effect on the estimated airway properties
(Rcaw, Icaw, Rpaw, and Cb).
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1 · s
have been reported for conscious guinea pigs (1, 4, 9, 15, 29). Hiett
(9) reported mean RL including
the upper airways in conscious guinea pigs to be 400 cmH2O · l
1 · s,
and Skornik et al. (29) reported
RL to be 390 cmH2O · l
1 · s;
these values are in good agreement with the mean Rrs in guinea pigs
studied here (443 cmH2O · l
1 · s).
Our values for Rrs were less than the value reported by Amdur and Mead
(1) (880 cmH2O · l
1 · s).
Some previously reported values of
RL were measured using a variety
of techniques and were not always corrected for instrument impedance.
Reported values of the total dynamic compliance in awake spontaneously
breathing guinea pigs have ranged from 0.16 to 0.22 ml/cmH2O (4, 15), which is in
close agreement with Cti from the eight-element model.
Oostveen and Zwart (22) found a 150 and 70% increase in Raw and Iaw,
respectively, due to pentobarbital anesthesia compared with our results
of a 22 and 13% increase in Raw and Iaw, respectively. Oostveen and
Zwart also found that anesthesia caused a 122 and 40% decrease in Rti
and Cti, respectively, and a 73% increase in Iti in rats. In our
study, Rti and Cti decreased by 25 and 37%, respectively, and Iti
increased by 59% in response to anesthesia. The effect of anesthesia
on the respiratory parameters is time and dose dependent, and it
differs from one type of anesthesia to another, which could account for
the differences between our results and those of Oostveen and Zwart.
Hulbert et al. (10) reported histamine dose-response curves on
anesthetized tracheotomized guinea pigs and found that the Raw
increased fivefold and the dynamic compliance fell to 20% of its
initial value. In our study, with use of the maximum dose of
methacholine (20 µg/kg), the Raw increased only threefold and the Cti
decreased to 20% of its initial value.
Conclusion.
Analysis of Ztr provided a noninvasive method of assessing the
mechanical properties of the respiratory system. However, this method
is dependent on the frequency range over which Ztr is measured and the
modeling interpretation of the data in terms of the lumped elements
representing the respiratory system (17). We have described a method of
measuring total Ztr of guinea pigs in baseline (unanesthetized), anesthetized, and methacholine-challenged conditions. This study increased the frequency range over which Ztr can be measured compared with the previous respiratory impedance measurements in laboratory animals. Increasing the frequency range increased the reliability of
the tissue parameter estimates. This effect of frequency range was due
to the drastic increase in sensitivity of Ztr to Rti and Iti from 192 to 384 Hz.
Ztr provided sensible parameter estimates when fit with the
eight-element model, which reflects the lumped-element properties of
the respiratory system (i.e., airway and tissue properties). By model
analysis of the data, an increase of 30% in Raw was found in response
to anesthesia. After methacholine challenge, Raw and total compliance
were 250 and 41%, respectively, of the corresponding anesthesia
values.
Address for reprint requests: J. F. Sobh, Cardiology Dept., Farley 2, Children's Hospital, 300 Longwood Ave., Boston, MA 02115.
Received 21 February 1996; accepted in final form 17 September 1996.
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