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Proximal, Tracheal, and Alveolar Pressures during High‐Frequency Oscillatory Ventilation in a Normal Rabbit Model

 

作者: DALE,   GERSTMANN JANIE,   FOUKE DEAN,   WINTER A.,   TAYLOR ROBERT,  

 

期刊: Pediatric Research  (OVID Available online 1990)
卷期: Volume 28, issue 4  

页码: 367-373

 

ISSN:0031-3998

 

年代: 1990

 

出版商: OVID

 

数据来源: OVID

 

摘要:

To study the effect of different high-frequency oscillatory ventilation parameters on airway pressure we measured oscillatory pressure amplitude (| Paw|) and mean airway pressure (Paw)at three sites in open-chested normal rabbits: proximal, trachea, and alveolus. Five animals were studied to test a new pleural capsule design, which was then used in two groups of animals to measure right upper (n= 4)or middle (n= 5) lobe alveolar pressures. Animals were randomly sequenced through combinations of frequency (10, 15, and 20 Hz) and fractional inspiratory time (T) (0.3 and 0.5) while normoxic and encapnic. During capsule testing, we noted that alveolar pressures increased (p< 0.05) with increasing capsule mass. suggesting that compressive forces from the capsule may alter the capsule measurement. We thus used a lowmass (430 mg) transducer system in the rabbit high-frequency oscillatory ventilation experiments. Using multifactorial analysis of variance, we found significant main effects of TionPaw, and of measurement site on both | Paw| andPaw(p< 0.009). Frequency did not influence variations in either | Paw|Paw. For both Tisettings, alveolar upper lobePawwas lower compared with that of the middle lobe (pi(03 to 0.5) increased trachealPawin each capsule group (p< 0.0005). At Ti= 0.5, trachealPawexceededPawmeasured proximally (p< 0.05). Our data support in vivo alveolarPawinhomogeneity and demonstrate significant changes in pressures within the lung related to Ti during high-frequency oscillatory ventilation.(Pediatr Res 28: 367–373,1990)

 

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