Influence of rapid fluid loading on airway structure and function in healthy humans.

Abstract:

BACKGROUND:The present study examined the influence of rapid intravenous fluid loading (RFL) on airway structure and pulmonary vascular volumes using computed tomography imaging and the subsequent impact on pulmonary function in healthy adults (n = 16). METHODS AND RESULTS:Total lung capacity (DeltaTLC = -6%), forced vital capacity (DeltaFVC = -14%), and peak expiratory flow (DeltaPEF = -19%) decreased, and residual volume (DeltaRV = +38%) increased post-RFL (P < .05). Airway luminal cross-sectional area (CSA) decreased at the trachea, and at airway generation 3 (P < .05), wall thickness changed minimally with a tendency for increasing in generation five (P = .13). Baseline pulmonary function was positively associated with airway luminal CSA; however, this relationship deteriorated after RFL. Lung tissue volume and pulmonary vascular volumes increased 28% (P < .001) post-RFL, but did not fully account for the decline in TLC. CONCLUSIONS:These data suggest that RFL results in obstructive/restrictive PF changes that are most likely related to structural changes in smaller airways or changes in extrapulmonary vascular beds.

journal_name

J Card Fail

authors

Ceridon ML,Snyder EM,Strom NA,Tschirren J,Johnson BD

doi

10.1016/j.cardfail.2009.08.005

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

175-85

issue

2

eissn

1071-9164

issn

1532-8414

pii

S1071-9164(09)01039-2

journal_volume

16

pub_type

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