J. A. Wozniak

Respiratory mechanics of the horse during the first year of life

This study investigated the developmental changes in the mechanical properties of the respiratory system in growing horses. Pulmonary mechanics and lung volumes were serially measured in anesthetized foals during the first year of life. Quasi-static pressure-volume curves were generated, and functional residual capacity (FRC) was measured using a closed nitrogen equilibration technique. At birth, chest wall compliance normalized to body weight was substantially less than that reported in other less precocious newborn species, while lung compliance normalized to body weight was similar to values reported for other species. Characteristics of the transition from the neonatal to adult respiratory system in the foal included a decrease in the ratios of chest wall to lung compliance (Cw/CL) and the unstressed volume of the chest wall to TLC, and a constant FRC/TLC throughout most of the study period. The somatic growth of the foal and its respiratory system were uneven processes, with increases in lung volume lagging increases in overall body size.

Respiratory muscle activities after birth in asphyxiated preterm lambs

Laryngeal and pump muscle activities are important in the establishment and maintenance of functional residual capacity (FRC) after birth. The aim of this study was to determine the expiratory mechanisms by which laryngeal and diaphragmatic activities achieve the increments in FRC postnatally. Wire electrodes were placed in: the laryngeal abductor, a major laryngeal adductor, the inferior pharyngeal constrictor and the diaphragm of six fetal sheep. The lambs were delivered prematurely by cesarean section and a face mask with a pneumotachograph applied. A grunting respiratory pattern was characterized by severe expiratory airflow retardation, associated with laryngeal adductor activity. In grunting breaths, minimal volume loss at end‐expiration and incremental increases in FRC occurred when the onset of diaphragmatic activity preceded the onset of laryngeal muscle activities associated with laryngeal opening. Thus the timing order of laryngeal and diaphragmatic muscle activities near end‐expiration is a determinant of increments in FRC.

Multiresolution segmentation of respiratory electromyographic signals

Analysis of respiratory electromyographic (EMG) signals in the study of respiratory control requires the detection of burst activity from background (signal segmentation), and focuses upon the determination of onset and cessation points of the burst activity (boundary estimation). The authors describe a new automated multiresolution technique for signal segmentation and boundary estimation. During signal segmentation, a new transitional segment is defined which contains the boundary between background a burst activity. Boundary estimation is then performed within this transitional segment. Boundary candidates are selected and a probability is attributed to each candidate, using an artificial neural network. The final boundary for a given transitional segment is the boundary estimate with the maximum a posteriori probability. This new method has proved accurate when compared to boundaries chosen by two investigators.<<ETX>>

Laryngeal and diaphragmatic activities with a single expiratory load in newborn lambs

Expiratory resistive loads elicit compensatory reflexes in the neonate which regulate end-expiratory lung volume (EEV). This study investigated the coordination of laryngeal and diaphragmatic activities when awake neonatal lambs were exposed to a single breath expiratory resistive load. The lambs were chronically instrumented for recording trans-upper airway pressure and electromyographic signals from the posterior cricoarytenoid, thyroarytenoid, and diaphragm. The lambs breathed through a sealed face mask connected to a pneumotachograph and non-rebreathing valve with a loading manifold connected to the expiratory port. Single breath expiratory loads produced, decreased airflow; prolongations of PCA EMG activity and diaphragm EMG inhibition; decreased trans-upper airway resistance and increased EEV. In the post-load breath, inspiratory volume decreased, expired volume increased, and EEV returned towards control baseline. Thus, neonatal lambs compensate for a single breath expiratory load by dilating the larynx and prolonging expiratory time. In the post-load breath, integrated activities of laryngeal and diaphragmatic muscles, coupled with mechanical factors return EEV towards baseline.

Endotracheal Measurement of Thyroarytenoid Activity in Newborn Lambs

Laryngeal control of expiratory airflow is a principal means by which the newborn establishes and maintains absolute lung volume. Specifically, retardation of expiratory airflow is effected by the major adductors of the larynx, the thyroarytenoid (TA) muscles. The long-term aim of this research is to determine if monitoring TA activity can be used to optimize absolute lung volume during artificial ventilation of the human baby. This initial study, performed in unanesthetized chronically instrumented newborn lambs, tests the hypothesis that the timings of the onsets, peaks and durations of TA activity recorded by the endotracheal electrode are equivalent to those measured by a surgically placed intramuscular electrode. Endotracheal measurement of TA activity is accurate and specific and can monitor changes in airway pressure and lung volume.