Ventilatory adaptations to resistive loading during wakefulness and non-REM sleep.

Abstract

Ventilatory and timing responses to repetitive and sustained inspiratory resistive loading were assessed in six naive male subjects during wakefulness (AW) and non-REM sleep (NREM). In five of six subjects, tidal volume (VT) was maintained or increased with repetitive five-breath loading periods during wakefulness. In these five subjects, mouth occlusion pressure (P100) increased with loading during AW (1.8 +/- 0.5 control vs. 2.2 +/- 0.4 cmH2O loaded, P less than 0.05), but not during NREM (2.1 +/- 1.5 control vs. 2.1 + 1.5 cmH2O loaded). For each state, VT and frequency (f) responses to sustained loads were similar to responses to five-breath loads. During sustained loading; a) VT increased 35% during AW, decreased 28% during NREM, b) f decreased 35% during AW, increased 6% during NREM, c) minute ventilation (VE) decreased 12% during AW, decreased 23% during NREM. Ventilatory responses persisted until arousal (0.4--1.7 min) in NREM. With repetitive loading: a) inspiratory duration (TI) increased during AW but did not change during NREM, b) "duty cycle" (TI/TT) increased with loading in both states. These findings suggest that a) NREM abolishes between-breath augmentations in P100, b) within-breath load compensation is operant during both AW (preserved VT) and NREM (failure of predicted TI prolongation) by differing mechanisms, c) arousal may be a ventilatory compensation to inspiratory resistive loading in NREM.