Twitch transdiaphragmatic pressure depends critically on thoracoabdominal configuration.

Details

Serval ID
serval:BIB_72C56123DE21
Type
Article: article from journal or magazin.
Collection
Publications
Title
Twitch transdiaphragmatic pressure depends critically on thoracoabdominal configuration.
Journal
Journal of Applied Physiology
Author(s)
Chen R., Kayser B., Yan S., Macklem P.T.
ISSN
8750-7587 (Print)
ISSN-L
0161-7567
Publication state
Published
Issued date
2000
Volume
88
Number
1
Pages
54-60
Language
english
Abstract
We measured the effect of thoracoabdominal configuration on twitch transdiaphragmatic pressure (Pdi, t) in response to supramaximal, transcutaneous, bilateral phrenic nerve shocks in three thin normal men. Pdi, t was measured as a function of lung volume (VL) in the relaxation configuration, at functional residual capacity (FRC), and at the same end-tidal VL 1) during relaxation; 2) with the abdomen (Ab) expanded and the rib cage (RC) in its relaxed FRC configuration; 3) with RC expanded and Ab in its relaxed FRC configuration; and 4) in configuration 3 with an active transdiaphragmatic pressure similar to that required to produce configuration 2. In increasing VL from FRC to configuration 1, Pdi, t decreased by 3.6 cmH(2)O; to configuration 2 by 14.8 cmH(2)O; to configuration 3 by 3.7 cmH(2)O; and to configuration 4 by 2.7 cmH(2)O. We argue that changes in velocity of shortening and radius of curvature are unlikely to account for these effects and suggest that changes in diaphragmatic fiber length (L(di)) are primarily responsible. If so, equivolume displacements of Ab and RC change L(di) in a ratio of approximately 4:1. We conclude that Pdi, t is exquisitely sensitive to abdominal displacements that must be rigorously controlled if Pdi, t is to be used to assess diaphragmatic contractility.
Keywords
Abdomen/anatomy & histology, Abdomen/physiology, Adult, Diaphragm/cytology, Diaphragm/innervation, Elasticity, Electric Stimulation, Humans, Kinetics, Lung Volume Measurements, Male, Muscle Contraction, Muscle Fibers, Skeletal/physiology, Phrenic Nerve/physiology, Pressure, Ribs/anatomy & histology, Ribs/physiology, Tidal Volume
Pubmed
Web of science
Create date
19/09/2013 10:58
Last modification date
20/08/2019 15:30
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