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Received October 21, 2003
Revised November 17, 2003
Accepted after revision December 15, 2003
1 Erasme University Hospital, Brussels
2 Saint-Pierre University Hospital, Brussels
* To whom correspondence should be addressed. E-mail: a_detroyer{at}yahoo.fr.
The coupling between the ribs and the lung in dogs increases with increasing rib number in the cranial part of the rib cage and then decreases markedly in the caudal part. The hypothesis was raised that this non-uniformity is primarily related to differences between the areas of the lung subtended by the different ribs, and in the current study, we tested this idea by assessing the effects of passive lung inflation. Thus, by causing a descent of the diaphragm, inflation would expand the area of the lung subtended by the caudal ribs and improve the coupling between these ribs and the lung. The axial displacements of the ribs and the changes in airway opening pressure (
Pao) were measured in anesthetized, pancuronium-treated, supine dogs while loads were applied in the cranial direction to individual rib pairs at functional residual capacity (FRC) and after passive inflation to 10 and 20 cm H2O transrespiratory pressure. In agreement with the hypothesis, inflation caused an increase in
Pao for ribs 9 and 10. The most prominent alteration, however, was a marked decrease in
Pao for ribs 2-8; at 20 cm H2O,
Pao for these ribs was only 30 percent of the value at FRC. Additional measurements indicated that this decrease in
Pao results partly from the increase in diaphragmatic compliance but mostly from the reduction in outward rib displacement. This alteration in the pattern of rib motion should add to the decrease in muscle length to reduce the lung expanding action of the external intercostal muscles at high lung volumes.
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