T. Brack et al., EFFECT OF ELASTIC LOADING ON VARIATIONAL ACTIVITY OF BREATHING, American journal of respiratory and critical care medicine, 155(4), 1997, pp. 1341-1348
Citations number
34
Categorie Soggetti
Emergency Medicine & Critical Care","Respiratory System
To examine the effect of elastic loading on variational activity of br
eathing, we studied 11 healthy subjects breathing at rest and with ins
piratory elastic loads of 9 and 18 cm H2O/L, applied randomly for 1 h
each. Compared with rest, a load of 18 cm H2O/L decreased gross variab
ility, quantitated as standard deviation, of tidal volume (VT) and exp
iratory time (TE) (p < 0.01 in both instances) but increased that of i
nspiratory time (TI) (p < 0.03). The autocorrelation coefficients at a
lag of 1 breath for each breath component were not altered by elastic
loading, although the number of breath lags with significant serial c
orrelations for TE tended to increase with a load of 18 cm H2O/L (p =
0.08). A load of 18 cm H2O/L decreased only the fraction of variationa
l activity of VT and TE due to uncorrelated, random behavior (white no
ise), while it increased that fraction for TI (p < 0.05 in each instan
ce); the correlated and oscillatory fractions did not change. Uncorrel
ated random behavior constituted > 87% of the variance of each breath
component, correlated behavior represented 3 to 11%, and oscillatory b
ehavior represented < 1.5% during both rest and loaded breathing. Elas
tic loading changed the gross variability of each primary breath compo
nent by altering the random fraction of variational activity; it had n
o significant effect on the structured, correlated fraction. We specul
ate that the observed changes in variational activity may reflect an a
ttempt by the controller to compensate for the increased load while si
multaneously minimizing load-induced dyspnea.