Assessment of gas compression and lung volume during air stacking maneuver

PURPOSE: We reasoned that the application of positive pressure through air stacking (AS) technique could cause gas compression and the absolute lung volumes could be estimated. The aim of this study was to estimate the amount of gas compression (ΔV comp) during AS in healthy subjects positioned at 45° trunk inclination and verify if the simultaneous measurements of chest wall volume changes (ΔV CW), by optoelectronic plethysmography, and changes in lung volume (ΔV ao), by pneumotachograph, combined with pressure variation at the airways opening (ΔP ao) during AS are able to provide reliable data on absolute lung volumes.

METHODS: Twenty healthy subjects (mean age 23.5 ± 3.8 years) were studied during a protocol that included slow vital capacity and AS maneuvers. V comp was calculated by subtracting ΔV ao and ΔV CW occurring during AS and total lung capacity (TLC) was estimated by applying Boyle-Mariote's law using V comp and ΔP ao.

RESULTS: During AS, 0.140 ± 0.050 L of gas was compressed with an average ΔP ao of 21.78 ± 6.18 cmH2O. No significant differences between the estimated TLC (-0.03 ± 3.0% difference, p = 0.6020), estimated FRC (-2.0 ± 12.4% difference, p = 0.5172), measured IC (1.2 ± 11.2% difference, p = 0.7627) and predicted values were found.

CONCLUSION: During AS, a significant gas compression occurs and absolute lung volumes can be estimated by simultaneous measurements of ΔV CW, ΔV ao and ΔP ao.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:117

Enthalten in:

European journal of applied physiology - 117(2017), 1 vom: 01. Jan., Seite 189-199

Sprache:

Englisch

Beteiligte Personen:

Sarmento, A [VerfasserIn]
Resqueti, V R [VerfasserIn]
Fregonezi, G A F [VerfasserIn]
Aliverti, A [VerfasserIn]

Links:

Volltext

Themen:

Absolute lung volumes
Air stacking
Boyle–Mariote’s law
Gas compression
Journal Article
Optoelectronic plethysmography

Anmerkungen:

Date Completed 20.02.2017

Date Revised 13.11.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00421-016-3511-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM267038313