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Airborne particles, their use in the respiratory system to measure air flow, function, and clearance.

Nonhygroscopic monodisperse particles can be used to estimate airway dimensions within chosen regions of the respiratory tract. These dimensions correspond well with those measured in inflation-fixed lungs. The dispersion of a bolus of airborne particles on inhalation and exhalation is very sensitive to the dimensions of the airways through which the bolus passes, yielding indices of dispersion that provide sensitive indicators of changes in airway dimensions, eg, with smoking. The rates of clearance of particles from the lungs are determined using gamma-labelled particles whose lung retention is determined by external measurements. There are major differences between the deep lung and the ciliated airways. Changes in clearance rates are caused by disease or inhaled intoxicants such as cigarette smoke. At lower levels of irritant exposure, an acceleration of clearance rate is observed, while higher doses and longer periods of exposure produce decreased rates. It is suggested that aerosol techniques may have useful clinical applications; approaches are suggested for such applications.

Adult↗

Mathematical analysis and computer simulation of the respiratory system in the newborn infant.

A mathematical model of neonatal respiratory control is proposed which can be used to stimulate the system under different physiological conditions. The model consists of a continuous plant and a discrete controller. Included in the plant are lungs, body tissue, brain tissue, a cerebrospinal fluid compartment, and central and peripheral receptors. The effect of shunt in the lungs is included in the model and the lung volume and the dead space are time varying. The controller utilizes outputs from peripheral and central receptors to adjust the depth and rate of breathing and the effects of prematurity of peripheral receptors are included in the system. Hering-Breuer type reflexes are embodied in the controller to accomplish respiratory synchronization. The model is examined and its simulation results under test conditions in hypoxia and hypercapnia are presented.

Blood Gas Analysis↗