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1 Laboratory of Cardiorespiratory Physiology, Brussels School of Medicine, Brussels, Belgium
* To whom correspondence should be addressed. E-mail: a_detroyer{at}yahoo.fr.
The abdominal muscles expand the rib cage when they contract alone. This expansion opposes the deflation of the lung and may be viewed as a pressure dissipation. The hypothesis was raised, therefore, that alterations in rib cage elastance should affect the lung deflating action of these muscles. To test this hypothesis and evaluate the quantitative importance of this effect, we measured the changes in airway opening pressure (
Pao), abdominal pressure (
Pab), and rib cage transverse diameter during isolated stimulation of the transversus abdominis muscle in anesthetized dogs, first with the rib cage intact and then after rib cage elastance was increased by clamping the ribs and the sternum. Stimulation produced increases in Pao, Pab, and rib cage diameter in both conditions. With the ribs and sternum clamped, however,
Pab was unchanged but
Pao was increased by 77 % (P<0.001). In a second experiment, the transversus abdominis was stimulated before and after rib cage elastance was reduced by removing the bony ribs 3-8. Although
Pab after removal of the ribs was still unchanged,
Pao was reduced by 62 % (P<0.001). These observations, supported by a model analysis, indicate that rib cage elastance is a major determinant of the mechanical coupling between the abdominal muscles and the lung. In fact, in the dog, the effects of rib cage elastance and abdominal pressure on the lung deflating action of the abdominal muscles are of the same order of magnitude.
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