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Am J Physiol Lung Cell Mol Physiol (June 18, 2004). doi:10.1152/ajplung.00263.2003
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Submitted on July 31, 2003
Accepted on June 12, 2004

Impact of microvascular circulation on peripheral lung stability

Ferenc Petak1*, Barna Babik2, Zoltan Hantos3, Denis R. Morel4, Jean-Claude Pache5, Catherine Biton5, Bela Suki6, and Walid Habre7

1 Division of Anesthesiological Investigations, University of Geneva, Geneva, Switzerland; Department of Medical Informatics and Engineering, University of Szeged, Szeged, Hungary
2 Department of Anesthesiology and Intensive Therapy, University of Szeged, Szeged, Hungary
3 Department of Medical Informatics and Engineering, University of Szeged, Szeged, Hungary
4 Division of Anesthesiological Investigations, University of Geneva, Geneva, Switzerland
5 Division of Clinical Pathology, University of Geneva, Geneva, Switzerland
6 Department of Biomedical Engineering, Boston University, Boston, MA, USA
7 Pediatric Anesthesia Unit, Geneva Children's Hospital, Geneva, Switzerland

* To whom correspondence should be addressed. E-mail: petak{at}dmi.szote.u-szeged.hu.

The involvement of the pulmonary circulation in the mechanical properties was studied in isolated rat lungs. Pulmonary input impedance (ZL) was measured at a mean transpulmonary pressure (Ptp) of 2 cmH2O before and after physiological perfusion with either blood or albumin. In these lungs and in a group of unperfused lungs, ZL was also measured at Ptp values between 1 and 8 cmH2O. Airway resistance (Raw) and parenchymal damping (G) and elastance (H) were estimated from ZL. End-expiratory lung volume (EELV) was measured by immersion before and after blood perfusion. The orientation of the elastin fibers relative to the basal membrane was assessed in additional unperfused and blood-perfused lungs. Pressurization of the pulmonary capillaries significantly decreased H, by 31.5±3.7% and 18.7±2.7% for blood and albumin, respectively. Perfusion had no effect on Raw, but markedly altered the Ptp dependences of G and H below 4 cmH2O, with significantly lower values than in the unperfused lungs. At a Ptp of 2 cmH2O, EELV increased by 31±11%, (p = 0.01) following pressurization of the capillaries, and the elastin fibers became more parallel to the basal membrane. Since the organization of elastin fibers results in smaller H values of the individual alveoli, the higher H in the unperfused lungs is probably due to a partial alveolar collapse leading to a loss in lung volume. We conclude that the physiological pressure in the pulmonary capillaries is an important mechanical factor in the maintenance of the stability of the alveolar architecture.




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