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1 Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA
2 Biomedical Engineering, Marquette University, Milwaukee, WI, USA; Physiology, Medical College of Wisconsin, Milwaukee, WI, USA
3 Research Service, Zablocki Veterans Affairs Medical Center, Milwaukee, WI, USA
* To whom correspondence should be addressed. E-mail: grotberg{at}umich.edu.
Liquid can be instilled into the pulmonary airways during medical procedures such as surfactant replacement therapy, partial liquid ventilation and pulmonary drug delivery. For all cases, understanding the dynamics of liquid distribution in the lung will increase the efficacy of treatment. A recently developed imaging technique for the study of real-time liquid transport dynamics in the pulmonary airways was used to investigate the effect of respiratory rate on the distribution of an instilled liquid, surfactant, in a rat lung. Twelve excised rat lungs were suspended vertically and a single bolus (0.05 ml) of exogenous surfactant (Survanta, Ross Laboratories, Columbus, OH) mixed with radiopaque tracer was instilled as a plug into the trachea. The lungs were ventilated with a 4 ml tidal volume for 20 breaths at one of two respiratory rates: 20 or 60 breaths/min. The motion of radiodense surfactant was imaged at 30 frames/s using a microfocal X-ray source and an image intensifier. Dynamics of surfactant distribution were quantified for each image using distribution statistics and a homogeneity index. We found the liquid distribution depended on the time to liquid plug rupture which depends on ventilation rate. At 20 br/min, liquid was localized in the gravity dependent region of the lung. At 60 br/min, the liquid coated the airways providing a more vertically uniform liquid distribution.
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