Airway and tissue constrictions are greater in closed than in open-chest conditions

Respir Physiol. 1997 May;108(2):129-41. doi: 10.1016/s0034-5687(97)00019-4.

Abstract

We measured lung impedance (ZL) before and after four doses of methacholine (Mch) infusion in five intact chest (with esophageal balloon) and six open-chest dogs from 0.2 to 8 Hz with an optimal ventilator waveform. From ZL, we estimated airway resistance (R(aw)) and inertance (Iaw) and tissue viscance (GL) and elastance (HL). Two-way analysis of variance revealed that: (1) Mch had a strong influence on all parameters (p < 0.001), but small effect on hysteresivity, nL = GL/HL; (2) closed-chest GL and HL were significantly higher and Iaw lower than their open-chest values (p < 0.002, p < 0.05 and p < 0.0001); and (3) at the highest Mch dose, the relative increase in R(aw) was six times higher in the closed-chest condition. The reduced impact of Mch on open-chest mechanics may be due to constrictions superimposed on grossly different lung configurations and/or some humoral effects initiated by the thoracotomy. We conclude that Mch doses that elicit mild constriction in open-chest condition can cause a severe constriction in intact animals.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Airway Resistance / drug effects*
  • Airway Resistance / physiology*
  • Animals
  • Dogs
  • Electric Impedance
  • Lung / drug effects*
  • Methacholine Chloride / pharmacology*
  • Respiration / drug effects*

Substances

  • Methacholine Chloride