Alveolar Dynamics during Respiration
- 1 May 2008
- journal article
- Published by American Thoracic Society in American Journal of Respiratory Cell and Molecular Biology
- Vol. 38 (5) , 572-578
- https://doi.org/10.1165/rcmb.2007-0120oc
Abstract
The change in alveolar size and number during the full breathing cycle in mammals remains unanswered, yet these descriptors are fundamental for understanding alveolar-based diseases and for improving ventilator management. Genetic and environmental mouse models are used increasingly to evaluate the evolution of disease in the peripheral lung; however, little is known regarding alveolar structure and function in the fresh, intact lung. Therefore, we have developed an optical confocal process to evaluate alveolar dynamics in the fresh intact mouse lung and as an initial experiment, have evaluated mouse alveolar dynamics during a single respiratory cycle immediately after passive lung deflation. We observe that alveoli become smaller and more numerous at the end of inspiration, and propose that this is direct evidence for alveolar recruitment in the mouse lung. The findings reported support a new hypothesis that requires recruitable secondary (daughter) alveoli to inflate via primary (mother) alveoli rather than from a conducting airway.Keywords
This publication has 38 references indexed in Scilit:
- Effect of positive end-expiratory pressure and tidal volume on lung injury induced by alveolar instabilityCritical Care, 2007
- In vivomicro-CT lung imaging via a computer-controlled intermittent iso-pressure breath hold (IIBH) techniquePhysics in Medicine & Biology, 2006
- Imaging of the three-dimensional alveolar structure and the alveolar mechanics of a ventilated and perfused isolated rabbit lung with Fourier domain optical coherence tomographyJournal of Biomedical Optics, 2006
- Alveolar Instability Causes Early Ventilator-induced Lung Injury Independent of NeutrophilsAmerican Journal of Respiratory and Critical Care Medicine, 2004
- Positive End-Expiratory Pressure after a Recruitment Maneuver Prevents Both Alveolar Collapse and Recruitment/DerecruitmentAmerican Journal of Respiratory and Critical Care Medicine, 2003
- Alveolar inflation during generation of a quasi-static pressure/volume curve in the acutely injured lungCritical Care Medicine, 2003
- Tidal volume increases do not affect alveolar mechanics in normal lung but cause alveolar overdistension and exacerbate alveolar instability after surfactant deactivationCritical Care Medicine, 2002
- Perspective on Lung Injury and RecruitmentAmerican Journal of Respiratory and Critical Care Medicine, 2002
- Visual Validation of the Mechanical Stabilizing Effects of Positive End-Expiratory Pressure at the Alveolar LevelJournal of Surgical Research, 2001
- Dynamic alveolar mechanics as studied by videomicroscopyRespiration Physiology, 1975