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J Appl Physiol (November 16, 2001). doi:10.1152/japplphysiol.00655.2001
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Articles in PresS, published online ahead of print November 16, 2001
J Appl Physiol, 10.1152/jap.00655.2001
Submitted on June 26, 2001
Accepted on November 4, 2001

Mode Shift of an Inhaled Aerosol Bolus is Correlated with Flow Sequencing in the Human Lung

Christopher N Mills1, Chantal Darquenne1, and Gordon K Prisk1*

1 Medicine, University of California, San Diego, La Jolla, CA, USA

* To whom correspondence should be addressed. E-mail: kprisk{at}ucsd.edu.

We studied the effects on aerosol bolus inhalations of small changes in convective inhomogeneity induced by posture change from upright to supine in nine normal subjects. Vital capacity single-breath nitrogen washout tests were used to determine ventilatory inhomogeneity change between postures. Relative to upright, supine phase III slope was increased 33±11% (mean±SE) (p<0.05) and phase IV height increased 25±11% (p<0.05), consistent with an increase in convective inhomogeneity likely due to increases in flow sequencing. Subjects also performed 0.5µm-particle bolus inhalations to penetration volumes (Vp) between 150 and 1200ml during a standardized inhalation from residual volume to one liter above upright functional residual capacity. Mode shift (MS) in supine posture was more mouthward than upright at all Vp, changing by 11.6ml at Vp=150ml (p<0.05) and 38.4ml at Vp=1200ml (p<0.05). MS and phase III slope changes correlated positively at deeper Vp. Deposition did not change at any Vp, suggesting that deposition did not cause the MS change. We propose that the MS change results from increased sequencing in supine versus upright posture.




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