Document Detail


Immediate response to resistive loading in anesthetized humans.
MedLine Citation:
PMID:  3949656     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In eight spontaneously breathing anesthetized subjects (halothane: approximately 1 minimal alveolar concn; 70% N2O-30% O2), we determined 1) the inspiratory driving pressure by analysis of the pressure developed at the airway opening (Poao) during inspiratory efforts against airways occluded at end expiration; 2) the active inspiratory impedance; and 3) the immediate (first loaded breath) response to added inspiratory resistive loads (delta R). Based on these data we made model predictions of the immediate tidal volume response to delta R. Such predictions closely fitted the experimental results. The present investigation indicates that 1) in halothane-anesthetized humans the shape of the Poao wave differs from that in anesthetized animals, 2) the immediate response to delta R is not associated with appreciable changes in intensity, shape, and timing of inspiratory neural drive but depends mainly on intrinsic (nonneural) mechanisms; 3) the flow-dependent resistance of endotracheal tubes must be taken into account in studies dealing with increased neuromuscular drive in intubated subjects; and 4) in anesthetized humans Poao reflects the driving pressure available to produce the breathing movements.
Authors:
W A Zin; P K Behrakis; S C Luijendijk; B D Higgs; A Baydur; A Böddener; J Milic-Emili
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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:  60     ISSN:  8750-7587     ISO Abbreviation:  J. Appl. Physiol.     Publication Date:  1986 Feb 
Date Detail:
Created Date:  1986-04-10     Completed Date:  1986-04-10     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:  506-12     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Airway Resistance*
Anesthesia*
Female
Halothane
Humans
Intubation, Intratracheal
Male
Middle Aged
Models, Biological
Pressure
Respiration
Tidal Volume
Grant Support
ID/Acronym/Agency:
HL-27617/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
151-67-7/Halothane

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


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