Density dependence of respiratory input and transfer impedances in humans

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Abstract
Total respiratory input (Zin) and transfer (Ztr) impedances were obtained from 4 to 30 Hz in 10 healthy subjects breathing air and He-O2. Zin was measured by applying pressure oscillations around the head to minimize the upper airway shunt and Ztr by applying pressure oscillations around the chest. Ztr was analyzed with a six-coefficient model featuring airways resistance (Raw) and inertance (Iaw), alveolar gas compressibility, and tissue resistance, inertance, and complicance. Breathing He-O2 significantly decreased Raw (1.35 .+-. 0.32 vs. 1.74 .+-. 0.49 cmH2O .cntdot. l-1 .cntdot. s in air, P < 0.01) and Iaw (0.59 .+-. 0.33 vs. 1.90 .+-. 0.44 .times. 10-2 cmH2O .cntdot. l-1 .cntdot. s2), but, as expected, it did not change the tissue coefficients significantly. Airways impedance was also separately computed by combining Zin and Ztr data. This approach demonstrated similar variations in Raw and Iaw with the lighter gas mixture. With both analyses, however, the changes in Iaw were more than what was expected from the change in density. This indicates that factors other than gas inertance are included in Iaw and reveals the shortcomings of the six-coefficient model to interpret impedance data.

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