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Published ahead of print on June 1, 2004, doi:10.1164/rccm.200401-132OC

Am. J. Respir. Crit. Care Med., Volume 170, Number 5, September 2004, 505-507

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Submitted on January 30, 2004
Accepted on May 31, 2004

Elastic Properties of the Respiratory System in Infants with Cystic Fibrosis

Robert S Tepper1*, Andrea Weist1, Tamica Williams-Nkomo1, and Jeffrey Kisling1

1 Department of Pediatric Pulmonology and Critical Care, Indiana University School of Medicine, James Whitcomb Riley Hospital for Children, Indianapolis, IN, United States

* To whom correspondence should be addressed. E-mail: rtepper{at}iupui.edu.

Respiratory system compliance (CRS) in infants with cystic fibrosis (CF) has been reported as decreased or not different compared to healthy controls; however, the reported measurements of CRS were "quasi=static" or by the single occlusion technique with all measurements limited to tidal lung volume, as well as using inspiratory rather than expiratory pressures. We compared the passive elastic properties of the respiratory system of sleeping infants with CF (N = 10) and Healthy Controls (N = 34) by measuring static deflation pressure volume (PV) curves from a lung volume at 30 cmH2O (V30) to functional residual capacity. There was no significant difference between the groups for CRS, which was measured as the slope between airway relaxation pressures of 5 and 15 cmH2O, the linear portion of the deflation PV curve. In addition, when PV curves were normalized to V30, there were no differences between the CF and Healthy Controls in the fractional volumes at any airway pressure. The CF infants had significantly lower forced expiratory flows; however, lower flows did not correlate with fractional volumes measured from the PV curve. Our findings indicate CF infants have normal elastic properties of the respiratory system.


Key words: compliance, pressure-volume curves




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