title: Mechanical limitation during CO2 rebreathing in young patients with cystic fibrosis.
abstract: The aim of the study was to determine whether a decrease in the ventilatory response to carbon dioxide (CO2) in children with cystic fibrosis (CF) is related to a mechanical limitation of the respiratory muscle capacity. The ventilatory response during CO2 rebreathing was performed in 15 patients (mean forced expiratory volume in 1 s (FEV1): 37 +/- 21% predicted, mean arterial CO2: 41+/- 5 mmHg). The slope of the minute ventilation normalised for weight per mmHg CO2 increment correlated negatively with respiratory muscle output, assessed by the oesophageal (p = 0.002), the diaphragmatic pressure time product (p = 0.01), and the tension time index (p = 0.005). In addition, this slope was correlated with dynamic lung compliance (p < 0.0001) and FEV1 (p = 0.03) but not with airway resistance and maximal transdiaphragmatic pressure. Therefore, an excessive load imposed on the respiratory muscles explains the blunting of the ventilatory response to CO2 in young patients with CF.
authors.affiliation: Pediatric Pulmonary Department, Armand Trousseau Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France. Brigitte.fauroux@trs.ap-hop-paris.fr
authors.forename: Brigitte
authors.initials: B
authors.lastname: Fauroux
authors.forename: Frédéric
authors.initials: F
authors.lastname: Nicot
authors.forename: Pierre-Yves
authors.initials: PY
authors.lastname: Boelle
authors.forename: Michèle
authors.initials: M
authors.lastname: Boulé
authors.forename: Annick
authors.initials: A
authors.lastname: Clément
authors.forename: Frédéric
authors.initials: F
authors.lastname: Lofaso
authors.forename: Monique
authors.initials: M
authors.lastname: Bonora
mesh_terms: D000293:Adolescent; D000328:Adult; D002245:Carbon Dioxide / Q000494:pharmacology*; D002648:Child; D003550:Cystic Fibrosis / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D012123:Pulmonary Ventilation / Q000187:drug effects*; D012119:Respiration / Q000187:drug effects*; D012132:Respiratory Muscles / Q000187:drug effects*
chemical_list: D002245:Carbon Dioxide