Gas transport during different modes of high-frequency ventilation. 1986

D P Schuster, and R Karsch, and K P Cronin

Gas transport during high-frequency oscillation (HFO) and high-frequency jet ventilation (HFJV) was compared in a simple lung model of human conducting airways. The delivery of gas to distal airways was assessed by measuring the dilution of 5% CO2, introduced separately into the model. Increasing frequency from 1.0 to only 1.7 Hz redistributed gas into straighter airway paths during HFO. Gas flow rates during HFO were sinusoidal, and CO2 dilution at the most distal airway sampling site was a function of both mean and peak flow rates. CO2 dilution increased as frequency increased, even though tidal volume (VT) was constant. Peak flow increased as either VT or frequency was increased (range 132 to 2167 ml/sec). During HFJV, flow approximated a square-wave function. Peak flows during HFJV were lower than during HFO, except at mean flows less than 167 ml/sec. Although CO2 dilution at the most distal airway sampling site increased as VT increased during HFJV, CO2 dilution actually decreased as frequency was increased at any given VT. Thus, in this model, gas transport in large airways differed during HFO or HFJV, and was related to peak as well as mean flows. Also, the distribution of gas within the airways changed as frequency increased.

UI MeSH Term Description Entries
D008168 Lung Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood. Lungs
D008961 Models, Structural A representation, generally small in scale, to show the structure, construction, or appearance of something. (From Random House Unabridged Dictionary, 2d ed) Model, Structural,Structural Model,Structural Models
D011659 Pulmonary Gas Exchange The exchange of OXYGEN and CARBON DIOXIDE between alveolar air and pulmonary capillary blood that occurs across the BLOOD-AIR BARRIER. Exchange, Pulmonary Gas,Gas Exchange, Pulmonary
D012121 Respiration, Artificial Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2). Ventilation, Mechanical,Mechanical Ventilation,Artificial Respiration,Artificial Respirations,Mechanical Ventilations,Respirations, Artificial,Ventilations, Mechanical
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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