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Articles in PresS, published online ahead of print June 14, 2002
J Appl Physiol, 10.1152/jap.00028.2002
Submitted on January 14, 2002
Accepted on June 6, 2002
1 Department of Medicine, McGill University, Montreal, Quebec, Canada
2 Institut de Recherche Clinique de Montreal, Montreal, Quebec, Canada
* To whom correspondence should be addressed. E-mail: macklem{at}meakins.lan.mcgill.ca.
We measured tracheal flow from tracheal sounds to estimate tidal volume(VT), minute ventilation(V'I), respiratory frequency(fB), mean inspiratory flow(VT/TI) and duty cycle(TI/TTOT). In 11 normals, 3 patients with unstable airways obstruction(UAO) and 3 stable asthmatics(SA) we measured tracheal sounds and flow twice, the first, to derive flow/sound and the second for flow/volume(Ve) relationships from the sound signal. Ve was compared to pneumotach-derived volume (Vm). When seated, facing forward and with neck rotation, flexion and standing, Ve was within 15% of Vm. The error increased with neck extension and supine. We then measured ventilation without mouthpiece or noseclip from tracheal sounds during quiet breathing for up to 30 minutes. Normal results±1SD revealed VT=0.37±0.065L, fB=19.3±3.5/min, V'I=6.9±1.2L/min, VT/TI=0.31±0.06L/sec, and TI/TTOT=0.37±0.04. UOA had large V'I due to increased VT/TI. With the exception of TI/TTOT, variations in ventilatory parameters were closer to log normal than normal distributions and tended to be greater in patients. We conclude that phonospirometry measures ventilation reasonably accurately without mouthpiece, noseclip or rigid postural constraints.
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