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Articles in PresS, published online ahead of print February 8, 2002
J Appl Physiol, 10.1152/jap.00126.2001
Submitted on February 7, 2001
Accepted on December 27, 2001
1 Department of Anesthesia, Brigham and Women's Hospital, Boston, MA, USA; Physiology Program, Harvard School of Public Health, Boston, MA, USA
2 Department of Anesthesia, Brigham and Women's Hospital, Boston, MA, USA
3 Department of Biomedical Engineering, Boston University, Boston, MA, USA
4 Harvard College, Cambridge, MA, USA
* To whom correspondence should be addressed. E-mail: topulos{at}zeus.bwh.harvard.edu.
At fixed lung volume (VL), alterations in surface tension change alveolar surface area (S) and lung recoil (PL). Wilson (1982), using data from fixed lungs (Bachofen et al. (1979) and Gil et al. (1979)), quantified the isovolume change in S with PL. We reexamined this question in fresh excised rabbit lungs with two important differences. First, we measured fractional changes in S using diffuse light scattering, avoiding the potential upset of the balance of tissue and surface forces during fixation. Second, we altered surface tension by ventilating the lungs with nebulized polydimethylsiloxane, with much less residual fluid compared with lavage. We found that S decreased at low and mid VL (treatment surface tension > control) by about half Wilson's estimates, and was nearly unaffected by treatment at high VL. This suggests that with increased surface tension there is (1) greater septal retraction in lungs fixed by vascular perfusion compared with unfixed lungs, and (2) a greater increase in PL and less loss of S than would have been predicted.
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