Effects of phrenic stimulation on upper airway resistance in anesthetized dogs

1983 ◽  
Vol 55 (2) ◽  
pp. 419-426 ◽  
Author(s):  
S. B. Gottfried ◽  
K. P. Strohl ◽  
W. Van de Graaff ◽  
J. M. Fouke ◽  
A. F. DiMarco
1989 ◽  
Vol 140 (5) ◽  
pp. 1279-1284 ◽  
Author(s):  
Hiroshi Miki ◽  
Wataru Hida ◽  
Chiyohiko Shindoh ◽  
Yoshihiro Kikuchi ◽  
Tatsuya Chonan ◽  
...  

1987 ◽  
Vol 153 (4) ◽  
pp. 397-398
Author(s):  
HIROSHI MIKI ◽  
WATARU HIDA ◽  
CHIYOHIKO SHINDOH ◽  
OSAMU TAGUCHI ◽  
HIROSHI INOUE ◽  
...  

1986 ◽  
Vol 63 (2) ◽  
pp. 161-175 ◽  
Author(s):  
Kingman P. Strohl ◽  
Stewart B. Gottfried ◽  
William Van De Graaff ◽  
Robert E. Wood ◽  
Janie M. Fouke

1985 ◽  
Vol 58 (5) ◽  
pp. 1489-1495 ◽  
Author(s):  
J. P. Farber

The suckling opossum exhibits an expiration-phased discharge in abdominal muscles during positive-pressure breathing (PPB); the response becomes apparent, however, only after the 3rd-5th wk of postnatal life. The purpose of this study was to determine whether the early lack of activation represented a deficiency of segmental outflow to abdominal muscles or whether comparable effects were observed in cranial outflows to muscles of the upper airways due to immaturity of afferent and/or supraspinal pathways. Anesthetized suckling opossums between 15 and 50 days of age were exposed to PPB; electromyogram (EMG) responses in diaphragm and abdominal muscles were measured, along with EMG of larynx dilator muscles and/or upper airway resistance. In animals older than approximately 30 days of age, the onset of PPB was associated with a prolonged expiration-phased EMG activation of larynx dilator muscles and/or decreased upper airway resistance, along with expiratory recruitment of the abdominal muscle EMG. These effects persisted as long as the load was maintained. Younger animals showed only those responses related to the upper airway; in fact, activation of upper airway muscles during PPB could be associated with suppression of the abdominal motor outflow. After unilateral vagotomy, abdominal and upper airway motor responses to PPB were reduced. The balance between PPB-induced excitatory and inhibitory or disfacilitory influences from the supraspinal level on abdominal motoneurons and/or spinal processing of information from higher centers may shift toward net excitation as the opossum matures.


2008 ◽  
Vol 139 (4) ◽  
pp. 535-540 ◽  
Author(s):  
Chunli Gao ◽  
Liang Zhou ◽  
Chunsheng Wei ◽  
Matthew R. Hoffman ◽  
Cai Li ◽  
...  

Objective To measure the upper-airway resistance in patients with tracheostomies and determine the value representing decannulation readiness. Subjects and Methods Fifty-six patients with tracheostomies resultant to laryngeal disease participated in this study. Forty patients met clinical criteria for decannulation; 16 did not. Subglottal pressure was measured with a tube connected to the tracheostomy tube, and airflow was monitored simultaneously using a facemask. Upper-airway resistance measurements were recorded during shallow and deep breathing. Results During both shallow and deep breathing, the inspiratory and expiratory resistances were significantly higher for the group unsuitable for decannulation ( P < .0001). The areas under the receiver operating characteristic curves were 0.938 or greater for the four curves, indicating a high sensitivity and specificity of resistance measures for diagnosis. Conclusions Objective measurement of upper-airway resistance during shallow and deep breathing may be a useful parameter in determining decannulation readiness of tracheostomized patients.


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