Comparison of volume changes in the upper airway and thorax.

Abstract

To describe the mechanical cycles of the upper and lower portions of the respiratory system, we measured volume change in and out of the isolated upper airway in 13 anesthetized dogs and compared volume changes in the upper airway with tidal volume change during spontaneous respiratory efforts. During inspiration the onset and peak increase in volume into the upper airway preceded the onset and peak of inspiratory tidal volume by 84 +/- 8 and 638 +/- 47 ms, respectively. The volume cycle of the upper airway was nearly complete by the end of inspiratory airflow into the thorax. With progressive hypercapnia there was an increase in the change in both upper airway volume and tidal volume but the temporal sequence was preserved. End-expiratory tracheal occlusion increased the volume change in the isolated upper airway at any level of CO2; however, the effect was disproportionately greater at low rather than at high levels of CO2. Following hyperventilation-induced apnea, a change in volume in the upper airway and thorax occurred on the first inspiratory effort. In most animals at lower levels of CO2, the percent change in upper airway volume with inspiration was relatively less than tidal volume, but the reverse was true at higher levels of CO2. These differences represent dissimilarities in the mechanical forces occurring as the result of upper airway and chest wall muscle contraction during inspiration.