American Journal of Respiratory and Critical Care Medicine

We previously studied low-frequency respiratory impedance (Zrs) data at an elevated lung volume to separate airway and tissue mechanical properties in normal infants (Am. J. Respir. Crit. Care Med. 1996; 154:161–166). The aim of the present study was to determine the volume dependence of the airway and tissue mechanics by extending Zrs measurements to lower lung volumes. Zrs spectra between 0.5 and 21 Hz were measured in supine sleeping infants (n = 8; 7 to 26 mo of age) at mean transrespiratory pressures (Ptrmean) of 20, 10, and 0 cm H2O, during periods of apnea induced by inflating the infants' lungs to a pressure of 20 cm H2O through a face mask. At each inflation pressure, a model containing airway resistance (Raw) and inertance (Iaw) and tissue damping (G) and elastance (H) was fitted to Zrs data. At FRC, the values of Raw, Iaw, G, and H were 20.6 ± 4.9 (SD) cm H2O · s/L, 0.037 ± 0.014 cm H2O · s2/L, 39.6 ± 10.3 cm H2O/L, and 147 ± 35 cm H2O/L, respectively. Increase of Ptrmean caused a monotonous decrease in Raw (42 ± 7% of the value at FRC), while Iaw remained constant. The tissue parameters were minimal at a Ptrmean of 10 cm H2O (68 ± 10% and 78 ± 6% in G and H, respectively) and significantly higher at both 0 and 20 cm H2O. Although Zrs measurements can be made in most infants at lung volumes as low as FRC, an inflation pressure of 20 cm H2O provides a higher success rate and is therefore a more suitable condition for general use.

Correspondence and requests for reprints should be addressed to Zoltán Hantos, Ph.D., Department of Medical Informatics and Engineering, Albert Szent-Györgyi Medical University, P.O. Box 2009, H-6701 Szeged, Hungary.

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American Journal of Respiratory and Critical Care Medicine
156
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