Respiratory load compensation in infants. 1976

R Knill, and W Andrews, and A C Bryan, and M H Bryan

We have studied the respiratory compensation for elastic loads in 15 term and preterm infants. Elastic loads, approximately equal to the infant's effective elastance, were applied to the airway for five breaths while tidal volume and mask pressure were monitored. Motion of the rib cage and abdomen were monitored simultaneously with magnetometers. The studies were done both in active or REM sleep and in quiet or non-REM sleep. During quiet sleep the load immediately reduced the tidal volume by about 50% but a progressive increase in tidal volume occurred over the next four loaded breaths. During active sleep load compensation was disorganized with respect to both tidal volume and frequency, and compensation was significantly less. Active sleep was also characterized by marked rib cage distortion. We suggest that during active sleep there is tonic inhibition of the intercostal muscles, allowing the diaphragm to distort the rib cage. This distortion impairs load compensation by a direct mechanical effect and indirectly by initiating an intercostal-phrenic reflex.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D008170 Lung Compliance The capability of the LUNGS to distend under pressure as measured by pulmonary volume change per unit pressure change. While not a complete description of the pressure-volume properties of the lung, it is nevertheless useful in practice as a measure of the comparative stiffness of the lung. (From Best & Taylor's Physiological Basis of Medical Practice, 12th ed, p562) Compliance, Lung,Compliances, Lung,Lung Compliances
D012119 Respiration The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration ( Breathing
D004594 Electrophysiology The study of the generation and behavior of electrical charges in living organisms particularly the nervous system and the effects of electricity on living organisms.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000005 Abdomen That portion of the body that lies between the THORAX and the PELVIS. Abdomens
D012272 Ribs A set of twelve curved bones which connect to the vertebral column posteriorly, and terminate anteriorly as costal cartilage. Together, they form a protective cage around the internal thoracic organs. Rib
D012890 Sleep A readily reversible suspension of sensorimotor interaction with the environment, usually associated with recumbency and immobility. Sleep Habits,Sleeping Habit,Sleeping Habits,Habit, Sleep,Habit, Sleeping,Habits, Sleep,Habits, Sleeping,Sleep Habit
D012895 Sleep, REM A stage of sleep characterized by rapid movements of the eye and low voltage fast pattern EEG. It is usually associated with dreaming. Fast-Wave Sleep,Paradoxical Sleep,Rapid Eye Movements,Rhombencephalic Sleep,Sleep, Fast-Wave,REM Sleep,Eye Movement, Rapid,Eye Movements, Rapid,Fast Wave Sleep,Movement, Rapid Eye,Movements, Rapid Eye,Rapid Eye Movement,Sleep, Fast Wave,Sleep, Paradoxical,Sleep, Rhombencephalic

Related Publications

R Knill, and W Andrews, and A C Bryan, and M H Bryan
January 1981, Respiration; international review of thoracic diseases,
R Knill, and W Andrews, and A C Bryan, and M H Bryan
June 1988, Journal of applied physiology (Bethesda, Md. : 1985),
R Knill, and W Andrews, and A C Bryan, and M H Bryan
September 1982, Kokyu to junkan. Respiration & circulation,
R Knill, and W Andrews, and A C Bryan, and M H Bryan
December 1985, Journal of applied physiology (Bethesda, Md. : 1985),
R Knill, and W Andrews, and A C Bryan, and M H Bryan
June 1976, Journal of applied physiology,
R Knill, and W Andrews, and A C Bryan, and M H Bryan
April 1981, The American review of respiratory disease,
R Knill, and W Andrews, and A C Bryan, and M H Bryan
September 1989, Journal of applied physiology (Bethesda, Md. : 1985),
R Knill, and W Andrews, and A C Bryan, and M H Bryan
January 1985, Respiration; international review of thoracic diseases,
R Knill, and W Andrews, and A C Bryan, and M H Bryan
February 1986, Journal of applied physiology (Bethesda, Md. : 1985),
R Knill, and W Andrews, and A C Bryan, and M H Bryan
April 1992, Journal of applied physiology (Bethesda, Md. : 1985),
Copied contents to your clipboard!