title: Lung inflation does not increase maximal expiratory flow during induced obstruction in the dog.
abstract: A deep inflation (DI) reverses induced bronchoconstriction in normal human subjects whether assessed by airway resistance before and after a DI or by isovolumic maximal expiratory flows (Vmax) from partial expiratory flow-volume (PEFV) vs. maximum expiratory flow-volume (MEFV) maneuvers. These observations suggest that with induced constriction the hysteresis of airways exceeds that of the parenchyma. In contrast with humans, a previous study of ours on dogs indicated that induced increases in airway resistance were unaffected by DI, suggesting that hysteresis of airways and parenchyma were equal. We hypothesized therefore that in constricted dog lungs, any differences that might arise in isovolumic Vmax between PEFV and MEFV maneuvers would not be due to changes in airway caliber but rather would be wholly determined by isovolumic differences in deflational recoil pressures. Recoil pressures were dynamically measured using six separate alveolar capsules in each of six dogs. At base line there were no significant differences between isovolumic recoil pressures or maximal flows with volume history, suggesting equal degrees of airway and parenchymal hysteresis. After histamine-induced constriction there were also no isovolumic differences in flows, but due to striking nonhomogeneities in dynamic recoil pressure among alveolar capsules, it was not possible to express a single meaningful recoil pressure pertinent to the lungs as a whole. These findings are consistent with the idea that isovolumic comparisons of Vmax serve as a reasonable indicator of changes in the relative degree of airway and parenchymal hysteresis.
authors.affiliation: Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
authors.forename: M S
authors.initials: MS
authors.lastname: Ludwig
authors.forename: J J
authors.initials: JJ
authors.lastname: McNamara
authors.forename: R G
authors.initials: RG
authors.lastname: Castile
authors.forename: G M
authors.initials: GM
authors.lastname: Glass
authors.forename: J J
authors.initials: JJ
authors.lastname: Fredberg
authors.forename: R H
authors.initials: RH
authors.lastname: Ingram
mesh_terms: D000402:Airway Obstruction; D000403:Airway Resistance; D000818:Animals; D004285:Dogs; D005260:Female; D005540:Forced Expiratory Flow Rates; D008297:Male; D008448:Maximal Expiratory Flow Rate; D011650:Pulmonary Alveoli / Q000502:physiology; D014797:Vital Capacity