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1 Washington University School of Medicine
2 Washington University School of Medecine
* To whom correspondence should be addressed. E-mail: Thach{at}KIDS.WUSTL.EDU.
Laryngeal closure following hypoxic gasps has been documented but its efficacy in improving autoresuscitation capacity is unknown. We studied SWR/J mice who normally cannot autoresuscitate and the C57/BLJ strain who can. We evaluated the effects of elevated end inspiratory lung volume immediately following a gasp. We compared upper airway intact mice with tracheostomized mice in which the vocal cords are bypassed. We used the techniques of repeated autoresuscitate trials to test autoresuscitation capability. Both SWR/J and C57/BLJ mice could maintain elevated lung volume immediately after a gasp (breath holding). Such breath holding increased autoresuscitation ability in C57/BLJ mice but did not in SWR/J mice. In SWR/J mice the duration of the breath holds was less than that in the C57/BLJ mice. These findings indicate that gasp associated breath holding improves autoresuscitation capability during repeated autoresuscitation trials. Also, they show that SWR/J mice have a deficiency in CNS mechanisms regulating glottic closure during hypoxic gasping.
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