Origins and regional distribution of blood flow to the respiratory muscles in conscious sheep.
The blood flow to the portions of the diaphragm (sternal, costal, and crural) and to the external and internal intercostal muscles was measured, using radio-labelled microspheres, in 12 young sheep breathing quietly. We calculated total blood flow and oxygen uptake of the diaphragm (VO2di). We also determined the proportion of diaphragmatic and intercostal muscle blood flow that arose from the descending aorta. Diaphragmatic blood flow (Qdi) was 0.62 +/- 0.04% of cardiac output (mean +/- SEM). VO2di was 1.53 +/- 0.15 ml X min-1 X 100 g-1, and was linearly related to Qdi. When standardized for weight Qdi was 28.3 +/- 1.5 ml X min-1 X 100 g-1, significantly greater than both external intercostal muscle blood flow (18.9 +/- 2.6 ml X min-1 X 100 g-1; P less than 0.05), and internal intercostal muscle blood flow (11.4 +/- 1.4 ml X min-1 X 100 g-1; P less than 0.01). Blood flow to the costal portion of the diaphragm was significantly less than blood flow to the crural portions. There was no difference between flow to these portions and to the sternal portion of the diaphragm. The blood supplying the dorsal-most regions of the diaphragm arose predominantly from the descending aorta. The results suggest that the crural portions work at a higher rate than the costal portions under resting conditions.