Lung-thorax compliance in the artificially ventilated premature rabbit neonate in relation to variations in inspiration:expiration ratio. 1981

B Lachmann, and G Grossmann, and J Freyse, and B Robertson

Surfactant-deficient premature newborn rabbits obtained by hysterotomy on day 27 of gestation were tracheostomized at birth, kept in a multichambered pressure-constant body plethysmograph, and subjected to intermittent positive pressure ventilation using a standardized insufflation pressure (30 cm H2O). A sequence of various frequencies (20, 40, and 60/min) and inspiration:expiration (I:E) ratios (1:4, 1:2, 1:1, 2:1, and 4:1) were applied, and the effect of these various respirator settings on tidal volume (VT) and flow was evaluated by means of a Fleisch tube connected to the body plethysmograph. Irrespective of respirator frequency, increasing I:E ratio from the basic setting of 1:1 resulted in increased VT; decreasing I:E ratio had the opposite effect. There was a nearly linear relation between variations in I:E ratio and VT, but the slope of the regression line was steeper at frequencies 40 and 60/min than at 20/min. At a frequency of 20/min, values (X +/- S.D.) for lung-thorax compliance at I:E ratios of 1:4 and 4:1 were 0.50 +/- 0.26 and 0.99 +/- 0.42 ml/cm H2O.kg, respectively. Corresponding figures for frequency of 60/min were 0.21 +/- 0.10 and 0.73 +/- 0.36 ml/cm H2O.kg. At the two higher frequencies and low I:E ratios (less than or equal to 1:1), the duration of the inspiration phase was not sufficient to provide the maximal degree of lung expansion attainable with this insufflation pressure under static conditions. At frequency of 60/min and I:E ratio of 4:1, the expiration was short enough to prevent zero flow before onset of inspiration.

UI MeSH Term Description Entries
D007385 Intermittent Positive-Pressure Ventilation Application of positive pressure to the inspiratory phase when the patient has an artificial airway in place and is connected to a ventilator. BIPAP Biphasic Intermittent Positive Airway Pressure,IPPV,Inspiratory Positive-Pressure Ventilation,Ventilation, Intermittent Positive-Pressure,Biphasic Intermittent Positive Airway Pressure,Inspiratory Positive Pressure Ventilation,Intermittent Positive Pressure Ventilation,Positive-Pressure Ventilation, Inspiratory,Positive-Pressure Ventilation, Intermittent,Ventilation, Inspiratory Positive-Pressure,Ventilation, Intermittent Positive Pressure
D008168 Lung Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood. Lungs
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
D011663 Pulmonary Surfactants Substances and drugs that lower the SURFACE TENSION of the mucoid layer lining the PULMONARY ALVEOLI. Surfactants, Pulmonary,Pulmonary Surfactant,Surfactant, Pulmonary
D011817 Rabbits A burrowing plant-eating mammal with hind limbs that are longer than its fore limbs. It belongs to the family Leporidae of the order Lagomorpha, and in contrast to hares, possesses 22 instead of 24 pairs of chromosomes. Belgian Hare,New Zealand Rabbit,New Zealand Rabbits,New Zealand White Rabbit,Rabbit,Rabbit, Domestic,Chinchilla Rabbits,NZW Rabbits,New Zealand White Rabbits,Oryctolagus cuniculus,Chinchilla Rabbit,Domestic Rabbit,Domestic Rabbits,Hare, Belgian,NZW Rabbit,Rabbit, Chinchilla,Rabbit, NZW,Rabbit, New Zealand,Rabbits, Chinchilla,Rabbits, Domestic,Rabbits, NZW,Rabbits, New Zealand,Zealand Rabbit, New,Zealand Rabbits, New,cuniculus, Oryctolagus
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013909 Thorax The upper part of the trunk between the NECK and the ABDOMEN. It contains the chief organs of the circulatory and respiratory systems. (From Stedman, 25th ed) Chest,Thoraces,Chests,Thorace

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