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Articles in PresS, published online ahead of print May 10, 2002
J Appl Physiol, 10.1152/jap.00153.2002
Submitted on February 27, 2002
Accepted on May 10, 2002
1 Department of Physiology, Dartmouth Medical School, Lebanon, NH, USA
2 Department of Physiology, Dartmouth Medical School, Lebanon, NH, USA; Department of Medicine, Dartmouth Medical School, Lebanon, NH, USA
* To whom correspondence should be addressed. E-mail: stella{at}tcnj.edu.
Imperceptible levels of proportional assist ventilation applied throughout inspiration reduced inspiratory time (TI) in awake humans. More recently, the reduction in I was associated with flow assist, but flow assist also reaches a maximum value early during inspiration. To test the separate effects of flow assist and timing of assist, we applied a pseudorandom binary sequence of flow assisted breaths during early, late, or throughout inspiration in 8 normal subjects. We hypothesized that imperceptible flow assist would shorten I most effectively when applied during early inspiration. Tidal volume, integrated respiratory muscle pressure per breath, I, and expiratory time were recorded. All stimuli (early, late, or flow assist applied throughout inspiration) resulted in a significant increase in inspiratory flow; however, only when the flow assist was applied during early inspiration was there a significant reduction in I and in the integrated respiratory muscle pressure per breath. These results provide further evidence that vagal feedback modulates breathing on a breath-by-breath basis in conscious humans within a physiological range of breath sizes.
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