Document Detail


Effect of hypercapnia on laryngeal airway resistance in normal adult humans.
MedLine Citation:
PMID:  7896624     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Laryngeal airway resistance (Rlar) was measured in eight normal adult humans during progressive hyperoxic hypercapnia. In most subjects, the translaryngeal pressure-flow relationship appeared linear under normocapnic conditions. During hypercapnia, the pressure-flow relationship on inspiration and expiration was curvilinear with increasing translaryngeal pressure associated with progressively smaller increments in flow. Translaryngeal pressure-flow relationships at different CO2 levels were compared over their common flow ranges by performing a least-squares linear regression on data throughout inspiration and expiration. During normocapnia, the mean slope, i.e., mean Rlar, was 0.50 +/- 0.21 (SD) cmH2O.l-1.s. A moderately significant decrease in Rlar was present at 9% end-tidal CO2 (P = 0.08). In a separate series of experiments, subjects breathed oxygen- and helium-based gas mixtures through a face mask attached to a pneumotachograph. Data analysis over the flow range present during normocapnia revealed no difference in Rlar between nose and mouth breathing and similar decreases in Rlar under hypercapnic conditions with the oxygen- and helium-based gas mixtures. The decrease in Rlar from normocapnic to hypercapnic conditions found over common, but relatively low, ranges of flow predicts that even greater increases in Rlar would occur at high flow rates in the absence of increasing glottic aperture.
Authors:
S T Kuna; C R Vanoye; J R Griffin; J D Updegrove
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of applied physiology (Bethesda, Md. : 1985)     Volume:  77     ISSN:  8750-7587     ISO Abbreviation:  J. Appl. Physiol.     Publication Date:  1994 Dec 
Date Detail:
Created Date:  1995-04-21     Completed Date:  1995-04-21     Revised Date:  2013-09-26    
Medline Journal Info:
Nlm Unique ID:  8502536     Medline TA:  J Appl Physiol (1985)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2797-803     Citation Subset:  IM; S    
Affiliation:
Department of Internal Medicine, University of Texas Medical Branch, Galveston 77550.
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MeSH Terms
Descriptor/Qualifier:
Adult
Airway Resistance*
Female
Humans
Hypercapnia / physiopathology*
Larynx / physiopathology*
Male
Mouth Breathing
Nose / physiology
Pressure
Pulmonary Ventilation
Reference Values
Respiration
Grant Support
ID/Acronym/Agency:
HL-02353/HL/NHLBI NIH HHS; HL-27520/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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