An analysis of pressure-volume characteristics of the lungs

1964 ◽  
Vol 19 (1) ◽  
pp. 97-104 ◽  
Author(s):  
Eduardo Salazar ◽  
John H. Knowles
Keyword(s):  
Transpulmonary Pressure ◽  
Normal Subjects ◽  
Mean Value ◽  
Inflation Pressure ◽  
Inspiratory Capacity ◽  
Volume Curve ◽  
Pressure Volume Curve ◽  
The Mean ◽  
Volume Characteristics ◽  
Pulmonary Volume

By analysis of the retractive forces of the lungs it was found that the pressure-volume characteristics of the lungs may be expressed by an exponential function. The curve described by such expression could be fitted to the experimental data obtained in 20 normal subjects. A half-inflation pressure (h) was defined which makes possible the evaluation of the retractive forces of the lungs by a measurement independent of lung size and accounting for known curvilinearity. H is a useful index of the stiffness of the organ and it is defined as the increase in transpulmonary pressure necessary to inflate the lungs halfway to the maximal pulmonary volume from any resting level. The mean value of h for the group was 7.58 ± 2.53 cm H2O. The half-inflation pressure is independent of the level of measurement within the inspiratory capacity and it does not vary with or depend on the size of the lungs. It may therefore be a more useful expression of the retractive forces of the lungs than compliance. pulmonary retractive forces; lung stiffness; compliance half-inflation pressure and lung size; VC and half-inflation pressure; FRC and half-inflation pressure; new expression for compliance; pressure-volume curve Submitted on March 4, 1963

Airway pressure-volume curve estimated by flow interruption during forced expiration

1989 ◽  
Vol 67 (6) ◽  
pp. 2631-2638 ◽  
Author(s):  
N. Ohya ◽  
J. Huang ◽  
T. Fukunaga ◽  
H. Toga
Keyword(s):  
Maximum Flow ◽  
Normal Subjects ◽  
Chronic Obstructive ◽  
Forced Expiration ◽  
Obstructive Pulmonary Disease ◽  
Volume Curve ◽  
Pressure Volume Curve ◽  
Mouth Pressure ◽  
Short Period ◽  
Volume Characteristics

We attempted to estimate the pressure-volume characteristics of airways downstream from the choke point when the airflow was abruptly interrupted during forced expiration. The change of gas volume of the downstream segment after interruption could be estimated by multiplying the maximum flow (Vmax) immediately before interruption by the interruption time because the Vmax is maintained for a short period after airflow interruption at the mouth, as described in our previous report (J. Appl. Physiol. 66: 509-517, 1989). For the pressure of the downstream segment, we used the mouth pressure itself. Airway compliance, a slope of the pressure-volume curve, was measured in an airway model in eight normal subjects, in six patients with chronic obstructive pulmonary disease (COPD), and in one patient with tracheobronchopathia osteochondroplastica. Airway compliance was 0.96 ml/cmH2O in normal subjects and 2.49 ml/cmH2O in COPD patients. This difference of airway compliance was believed to be caused by the longitudinal expansion of the downstream segment and changes in the properties of the airway wall.

Positive airway pressure and vertical transpulmonary pressure gradient in man

1975 ◽  
Vol 38 (5) ◽  
pp. 896-899 ◽  
Author(s):  
K. Rehder ◽  
N. Abboud ◽  
J. R. Rodarte ◽  
R. E. Hyatt
Keyword(s):  
Continuous Positive Airway Pressure ◽  
Pressure Gradient ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Transpulmonary Pressure ◽  
Vertical Gradient ◽  
Normal Subjects ◽  
Volume Curve ◽  
Pressure Volume Curve ◽  
Consistent Change

Static transpulmonary pressure (Pao-Pes) and the vertical gradient of transpulmonary pressure were determined in five sitting conscious normal subjects at mean airway pressures of 0 (ambient), 11, and 21 cmH2O. All subjects exhibited a nonuniform transpulmonary pressure gradient down the esophagus. The vertical pressure gradient was consistently larger in the lower (8–20cm below esophageal artifact) than in the middle region (0–8cm) of the esophagus. The gradient was not significantly altered by continuous positive airway pressure (11 and 21 cmH2O) or by changes in lung volume (60, 70, and 80% of total lung capacity (TLC)). Continuous positive airway pressure also did not result in a consistent change of the overall static pressure-volume curve of the lung. There was a small but statistically significant increase in TLC with each increase in airway pressure.

Static pressure-volume characteristics of lungs in normal males

1960 ◽  
Vol 15 (5) ◽  
pp. 819-825 ◽  
Author(s):  
Solbert Permutt ◽  
H. B. Martin
Keyword(s):  
Vital Capacity ◽  
Static Pressure ◽  
Muscle Power ◽  
Transpulmonary Pressure ◽  
Residual Volume ◽  
Volume Curve ◽  
Pressure Volume Curve ◽  
Older Subjects ◽  
Normal Males ◽  
Volume Characteristics

The static pressure-volume characteristics of the lungs were determined in 28 normal males between the ages of 21 and 76 years. Transpulmonary pressures were measured in relation to absolute lung volumes throughout the entire range of the vital capacity, both on inspiration and expiration. There was an increase in residual volume and a decrease in vital capacity, but no change in the slope or position of the pressure-volume curve with advancing age. It appeared that the older subjects were unable to change transpulmonary pressure between residual volume and total lung capacity to the same extent as the younger subjects. The results suggest that with advancing age there is little change in the intrinsic static pressure-volume characteristics of the lungs themselves, and that all of the significant changes with age are more likely due to changes in either the compliance or muscle power of the thorax. Submitted on December 24, 1959

Elastic constants of inflated lobes of dog lungs

1976 ◽  
Vol 40 (4) ◽  
pp. 508-513 ◽  
Author(s):  
S. J. Lai-Fook ◽  
T. A. Wilson ◽  
R. E. Hyatt ◽  
J. R. Rodarte
Keyword(s):  
Bulk Modulus ◽  
Young’S Modulus ◽  
Elastic Constants ◽  
Young's Modulus ◽  
Poisson Ratio ◽  
Inflation Pressure ◽  
Initial State ◽  
Volume Curve ◽  
Pressure Volume Curve ◽  
Indentation Tests

The elastic constants of dog lungs were determined at various degrees of inflation. In one set of experiments, the lobes were subjected to deformations that approximated the conditions of uniaxial loading. These data, together with the bulk modulus data obtained from the local slope of the pressure-volume curve, were used to determine the two elastic moduli that are needed to describe small nonuniform deformations about an initial state of uniform inflation. The bulk modulus was approximately 4 times the inflation pressure, and Young's modulus was approximately 1.5 times the inflation pressure. In a second set of experiments, lobes were subjected to indentation tests using cylindric punches 1–3 cm in diameter. The value for Young's modulus obtained from these data was slightly higher, approximately twice the inflation pressure. These experiments indicate that the lung is much more easily deformable in shear than in dilatation and that the Poisson ratio for the lung is high, approximately 0.43.

Improved measurements of shear modulus and pleural membrane tension of the lung

1979 ◽  
Vol 47 (1) ◽  
pp. 175-181 ◽  
Author(s):  
M. A. Hajji ◽  
T. A. Wilson ◽  
S. J. Lai-Fook
Keyword(s):  
Shear Modulus ◽  
Transpulmonary Pressure ◽  
Elastic Half Space ◽  
Concentrated Force ◽  
Membrane Area ◽  
Volume Curve ◽  
Pressure Volume Curve ◽  
Pressure Independent ◽  
Work Done ◽  
The Continuum

The continuum solution for the deformation of an elastic half space covered by a membrane is used to interpret measurements of the indentation of lung lobes under a column of fluid. The shear modulus mu of the underlying parenchyma is found to be approximately 0.7 times transpulmonary pressure, independent of species size. The tension in the pleural membrane T increases rapidly with increasing membrane area. For dog lungs, the value of T is 10(3) to 10(4) dyn/cm. For the larger species tested, pigs and horses, T is larger. The continuum solution shows that a concentrated force applied to the pleural surface is distributed over a distance T/mu as it is transmitted across the pleural membrane. The membrane is important in determining the displacement produced by forces that act within a region that is small compared to this distance, approximately 2 cm for dog lungs. By comparing the tension-area curve of the pleural membrane with the pressure-volume curve of the lobe, it is found that the pleural membrane contributes about 20% of the work done by the lung during deflation.

Collagen and elastin fibers in human pulmonary alveolar walls

1988 ◽  
Vol 64 (4) ◽  
pp. 1659-1675 ◽  
Author(s):  
S. S. Sobin ◽  
Y. C. Fung ◽  
H. M. Tremer
Keyword(s):  
Transpulmonary Pressure ◽  
Collagen Fibers ◽  
Capillary Blood ◽  
Fiber Bundles ◽  
Cube Root ◽  
Inflation Pressure ◽  
Frequency Distributions ◽  
Normal Distributions ◽  
Statistical Frequency ◽  
The Mean

The morphology and morphometric data of collagen and elastin fibers in the pulmonary alveolar walls are presented. Specimens were obtained from postmortem lungs quick-frozen at specified transpulmonary pressures. Collagen was stained by silver, and elastin was stained by orcein. Photomicrographs were composed by computer. Young lungs typically show small collagen fibers that radiate from the "posts," whereas larger fiber bundles traverse the septum irrespective of capillary blood vessels. In older lungs, rings of collagen around the posts appear enlarged. Elastin bundles do not show obvious variation in pattern with age and inflation pressure. Statistical frequency distributions of the fiber width and curvature are both skewed, but the square root of the width and the cube root of the curvature have approximate normal distributions. Typically, for young lungs at transpulmonary pressure of 4 cmH2O, the mean of (width)1/2 (in micron1/2) for collagen fibers is 0.952 +/- 0.242 (SD), that of (curvature)1/3 (in micron-1/3) is 0.349 +/- 0.094. The corresponding values for elastin are 0.986 +/- 0.255 and 0.395 +/- 0.094.

Evidence for increased intrathoracic fluid volume in man at high altitude

1979 ◽  
Vol 47 (4) ◽  
pp. 670-676 ◽  
Author(s):  
J. J. Jaeger ◽  
J. T. Sylvester ◽  
A. Cymerman ◽  
J. J. Berberich ◽  
J. C. Denniston ◽  
...  
Keyword(s):  
Pulmonary Edema ◽  
High Altitude ◽  
Transpulmonary Pressure ◽  
Fluid Volume ◽  
Pulmonary Mechanics ◽  
Volume Curve ◽  
Extravascular Fluid ◽  
Pressure Volume Curve ◽  
Transthoracic Electrical Impedance ◽  
Extravascular Fluid Volume

To determine if subclinical pulmonary edema occurs commonly at high altitude, 25 soldiers participated in two consecutive 72-h field exercises, the first at low altitude (200–875 m) and the second at high altitude (3,000–4,300 m). Various aspects of ventilatory function and pulmonary mechanics were measured at 0, 36, and 72 h of each exercise. Based on physical examination and chest radiographs there was no evidence of pulmonary edema at high altitude. There was, however, an immediate and sustained decrease in vital capacity and transthoracic electrical impedance as well as a clockwise rotation of the transpulmonary pressure-volume curve. In contrast, closing capacity and residual volume did not change immediately upon arrival at high altitude but did increase later during the exposure. These observations are consistent with an abrupt increase in thoracic intravascular fluid volume upon arrival at high altitude followed by a more gradual increase in extravascular fluid volume in the peribronchial spaces of dependent lung regions.

Effect of 1,25-(OH)2D3 on jejunal absorption of magnesium in patients with chronic renal disease

1980 ◽  
Vol 238 (4) ◽  
pp. G349-G352 ◽  
Author(s):  
A. C. Schmulen ◽  
M. Lerman ◽  
C. Y. Pak ◽  
J. Zerwekh ◽  
S. Morawski ◽  
...  
Keyword(s):  
Vitamin D ◽  
Renal Disease ◽  
Chronic Renal Disease ◽  
Normal Subjects ◽  
Mean Value ◽  
Normal Serum ◽  
Perfusion Technique ◽  
Dihydroxyvitamin D3 ◽  
Jejunal Absorption ◽  
The Mean

These studies were performed to see if jejunal malabsorption of magnesium in patients with chronic renal disease was influenced by therapy with 1 alpha, 25-dihydroxyvitamin D3 [1,25-(OH)2D3; 2 microgram/day by mouth for 7 days]. This treatment restored normal serum concentrations of the vitamin D metabolite from 0.9 +/- 0.2 to 4.2 +/- 0.6 ng/dl. Jejunal absorption of magnesium, measured by a triple-lumen constant-perfusion technique, was enhanced in each of the seven patients by this therapy. The mean value rose from 0.04 +/- 0.02 to 0.13 +/- 0.02 mmol . 30 cm-1 . h-1. This last value is similar to the magnesium absorption rate in untreated normal subjects. These results demonstrate that magnesium absorption in the human jejunum is dependent on vitamin D, and they show that 1 alpha,25-dihydroxyvitamin D3 therapy in patients with chronic renal failure is associated with an enhanced jejunal absorption of magnesium.

Series distribution of airway collapsibility in dogs

1981 ◽  
Vol 50 (2) ◽  
pp. 325-333 ◽  
Author(s):  
M. Nakamura ◽  
H. Sasaki ◽  
K. Sekizawa ◽  
M. Ishii ◽  
T. Takishima ◽  
...  
Keyword(s):  
Transpulmonary Pressure ◽  
Forced Expiration ◽  
Peripheral Airways ◽  
Volume Curve ◽  
Pressure Volume Curve ◽  
Airway Collapsibility

We studied the series distribution of collapsibility in four different-sized airways in dogs. The trachea and the extrapulmonary main bronchi in situ were isolated from the rest of the lungs by glued beads of 6-12 mm OD. In excised dog lungs, the intrapulmonary large and small bronchi were isolated from the rest of the lung by glued beads of 1-9 mm OD. Pressure-volume relationships were measured directly in the trachea and in the extrapulmonary bronchi; those of the intrapulmonary bronchi were derived from orthogonal bronchograms. Airway collapsibility, defined as the slope of the pressure-volume curve, was found to increase in all airways as transpulmonary pressure (PL) decreased. At PL 30 cmH2O there was little difference of airway collapsibility among the different sized airways; but, as PL decreased, the peripheral airways became more collapsible than the central airways. It is concluded that the tissues surrounding the trachea provided as much or more stiffness than did the lung tissues that surrounded the intrapulmonary airways. The larger collapsibility in the peripheral airways. The larger collapsibility in the peripheral airways relative to that of the central airways at lower PL may account for the peripheral migration of the flow-limiting segment during forced expiration.

scholarly journals Pressure–Volume Curve during Capnoperitoneum in Cats

Animals ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. 1408
Author(s):  
Melissa Dorn ◽  
Anja Becher-Deichsel ◽  
Barbara Bockstahler ◽  
Christian Peham ◽  
Gilles Dupré
Keyword(s):  
Body Weight ◽  
Yield Point ◽  
Body Condition Score ◽  
Abdominal Pressure ◽  
Volume Data ◽  
Pressure Limit ◽  
Volume Curve ◽  
Pressure Volume Curve ◽  
Condition Score ◽  
The Mean

Laparoscopy is a growing field in veterinary medicine, although guidelines are lacking. The objective of this study was to evaluate the pressure–volume curve during capnoperitoneum in cats. A total of 59 female cats were scheduled for routine laparoscopy. Pressure and volume data were recorded and processed, and the yield point of the curve was calculated using a method based on a capacitor discharging function. For the remaining 40 cats, a linear-like pressure–volume curve was observed until a yield point with a mean cutoff pressure (COP) of 6.44 ± 1.7 mmHg (SD) (range, 2.72–13.00 mmHg) and a mean cutoff volume (COV) of 387 ± 144.35 mL (SD) (range, 178.84–968.43 mL) was reached. The mean mL/kg CO2 value in cats was 208 ± 34.69 mL/kg (range, 100.00–288.46 mL/kg). The COV correlated with COP and body weight but not with body condition score (BCS). COP correlated only with the COV. This study suggests that feline patients have a pressure–volume curve similar to that of canine patients, and the same pressure limit recommendations can be used for both species. After a yield point of 6.44 mmHg is reached, the increment in volume decreases exponentially as the intra-abdominal pressure (IAP) increases.

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