On the interaction between respiratory compartments during passive expiration in ARDS patients

Respir Physiol Neurobiol. 2005 Jan 15;145(1):53-63. doi: 10.1016/j.resp.2004.06.009.

Abstract

Relaxed expiratory volume-time profile has been frequently analysed by fitting exponential functions of time to one- or two-compartment models. In the latter case, the two exponential constants are assumed as representing the time constants of both compartments. Least-square fittings on the experimental data of five consecutive mechanically ventilated supine patients with acute respiratory distress syndrome (ARDS) were performed using rate-constants (flow/volume ratio) as parameters in order to obtain the model matching. Passive expiratory volume-time curves were recorded under PEEP = 0 and 13.6 +/- 3.3 S.D. cmH2O conditions. Model matching was optimal with significant, reliable parameter values. As a result, the use of a PEEP in ARDS patients: (a) delayed expiration; (b) decreased the percentage initial volume contribution of the slow-emptying compartment; and, (c) modified the interaction between compartments. The volume-time profile of the second compartment was found to increase at the beginning of expiration, and, then, progressively decayed towards zero, showing a maximum, although the overall curve decreased throughout expiration.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Exhalation / physiology*
  • Female
  • Humans
  • Lung Volume Measurements / methods
  • Male
  • Middle Aged
  • Models, Biological*
  • Plethysmography / methods
  • Pulmonary Gas Exchange
  • Pulmonary Ventilation / physiology*
  • Respiratory Distress Syndrome / physiopathology*
  • Time Factors