Maximal airway response in mature and immature rabbits during tidal
ventilation.
Tepper, R. S., X. Shen, E. Bakan, S. J. Gunst.
Departments of Pediatrics and Physiology, and Biophysics, Indiana
University School of Medicine, Indianapolis, Indiana 46223
APStracts 2:0231A, 1995.
Airway closure during maximal methacholine (Mch) challenge was
evaluated using alveolar capsules in 8 immature and 8 mature
anesthetized rabbits in vivo during imposed tidal ventilation. Airway
opening and alveolar pressures(DPao, DPalv) and pulmonary
resistance(Rpulm) were measured during Mch challenge at PEEP = 5 cm
H2O. In immature rabbits, DPalv remained > 3 cm H2O in all animals
indicating no detectable airway closure. This contrasts to our
previous study of isolated immature rabbit lungs under static
conditions in which DPalv was < 0.1 cm during maximal Mch
challenge; findings consistent with airway closure. Airway closure
also did not occur in mature animals during tidal ventilation in
vivo; however, the frequency of closure in isolated lungs under
static conditions was very low. With increasing Mch, end-expiratory
Palv increased in immature but not in mature rabbits. Rpulm did not
reach a plateau in immature rabbits during Mch whereas a plateau was
reached in mature rabbits. Immature rabbits also had greater
increases in Rpulm. These results suggest that tidal ventilation can
limit bronchoconstriction in immature rabbits and prevent airway
closure during maximal Mch challenge. Tidal ventilation may limit
bronchoconstriction by inhibitory effects of stretch on airway smooth
muscle contraction and also by causing hyper-inflation and thereby
increasing transpulmonary pressure.
Received 13 February 1995; accepted in final form 12 May 1995.
APS Manuscript Number A165-5.
Article publication pending Journal of Applied Physiology.
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 30 May 1995.