Mechanism of increased collateral airway resistance during inhomogenous inflation of excised dog lungs

Abstract

Collateral airway resistance was measured during inflation of an excised lung lobe or a segment within the lobe. Gas blown into the outer lumen of a double lumen cathether (V̇coll) inflated the segment and exited via collateral airways. Pressure at the cathether tip (Pct) was measured through the inner lumen of the catheter, and transpulmonary pressure (Pao) was measured at the lobar bronchus. A pleural capsule measured pressure in the segmental subpleural alveoli (Ps). The segment was inflated with helium (He), air, or sulfurhexafluoride; the lobe was ventilated with air. Collateral airway resistance [ Rcoll=( Pct-Pao)/ V ̇ coll ] , intrasegmental airway resistance [ Rs=( Pct-Ps)/ V ̇ coll ] , and resistance of airways passing through the segment-lobar interface [ Ri= (Ps-Pao)/ V ̇ coll ] were calculated. Rcoll, Rs and Ri were decreased by lobar inflation and increased by segment inflation. The latter increase was due to nonlaminar flow in intrasegmental airways. The major resistance was Ri when V̇coll was laminar or transitional. Moody plots suggested that lobar inflation caused intrasegmental airway dilation whereas segment inflation did not affect segment airway geometry.