Peták F, Habre W, Donati Y R, Hantos Z, Barazzone-Argiroffo C
Division of Anesthesiologic Investigations, University of Geneva, 1211 Geneva, Switzerland.
J Appl Physiol (1985). 2001 Jun;90(6):2221-30. doi: 10.1152/jappl.2001.90.6.2221.
Hyperoxia-induced lung damage was investigated via airway and respiratory tissue mechanics measurements with low-frequency forced oscillations (LFOT) and analysis of spontaneous breathing indexes by barometric whole body plethysmography (WBP). WBP was performed in the unrestrained awake mice kept in room air (n = 12) or in 100% oxygen for 24 (n = 9), 48 (n = 8), or 60 (n = 9) h, and the indexes, including enhanced pause (Penh) and peak inspiratory and expiratory flows, were determined. The mice were then anesthetized, paralyzed, and mechanically ventilated. Airway resistance, respiratory system resistance at breathing frequency, and tissue damping and elastance were identified from the LFOT impedance data by model fitting. The monotonous decrease in airway resistance during hyperoxia correlated best with the increasing peak expiratory flow. Respiratory system resistance and tissue damping and elastance were unchanged up to 48 h of exposure but were markedly elevated at 60 h, with associated decreases in peak inspiratory flow. Penh was increased at 24 h and sharply elevated at 60 h. These results indicate no adverse effect of hyperoxia on the airway mechanics in mice, whereas marked parenchymal damage develops by 60 h. The inconsistent relationships between LFOT parameters and WBP indexes suggest that the changes in the latter reflect alterations in the breathing pattern rather than in the mechanical properties. It is concluded that, in the presence of diffuse lung disease, Penh is inadequate for characterization of the mechanical status of the respiratory system.
通过低频强迫振荡(LFOT)进行气道和呼吸组织力学测量以及用气压全身体积描记法(WBP)分析自主呼吸指标,研究了高氧诱导的肺损伤。对处于室内空气(n = 12)或100%氧气环境中24小时(n = 9)、48小时(n = 8)或60小时(n = 9)的无束缚清醒小鼠进行WBP,并测定包括增强暂停(Penh)以及吸气和呼气峰值流量在内的指标。然后将小鼠麻醉、麻痹并进行机械通气。通过模型拟合从LFOT阻抗数据中确定气道阻力、呼吸频率下的呼吸系统阻力以及组织阻尼和弹性。高氧期间气道阻力的单调下降与呼气峰值流量的增加最相关。暴露48小时内呼吸系统阻力、组织阻尼和弹性保持不变,但在60小时时显著升高,同时吸气峰值流量下降。Penh在24小时时增加,在60小时时急剧升高。这些结果表明高氧对小鼠气道力学没有不良影响,而到60小时时会出现明显的实质损伤。LFOT参数与WBP指标之间不一致的关系表明,后者的变化反映的是呼吸模式的改变而非机械性能的改变。得出的结论是,在存在弥漫性肺部疾病的情况下,Penh不足以表征呼吸系统的机械状态。