The resistance of collateral channels in excised human lungs

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Abstract

We measured the resistance of collateral channels, Rcol, in incomplete interlobar fissures in eight normal and eight emphysematous excised human lungs. Similar measurements were also made from the basal segments to the superior segment of the lower lobe in three normal and five emphysematous lungs. The lobe or segments were inflated through a bronchial cannula; air leaked through collateral channels and out of the other lobe or segment through a pneumotachograph which measured flow. Catheters inserted directly into the lung through the pleural surface on either side of the collateral channels measured the alveolar pressure difference producing collateral flow. Rcol is the ratio of this pressure difference to flow. By also measuring the inflating pressure and the airway pressure at the pneumotachograph, we calculated the lobar or segmental airway resistance, Raw. In the normal lungs Rcol varied inversely with lung volume and was higher on inflation than on deflation. Raw was very small compared to Rcol which ranged from 260 to 3300 cm H2O/liter per sec when the distending pressure was 20 cm H2O. In the emphysematous lungs on the other hand, Rcol was markedly decreased and ranged from 5 to 20 cm H2O/liters per sec at the same distending pressure and was less than Raw. We conclude that collateral channels are important ventilatory pathways in emphysema. When many units within a lung are ventilated by these pathways there may be disturbances of gas exchange and phase differences between normally and abnormally ventilated areas.

Authors

James C. Hogg, Peter T. Macklem, William M. Thurlbeck