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Z Hantos

Publications and source records attributed to Z Hantos.

52 records · Page 3Linked to original sources
PubMed1990

Generation of optimum pseudorandom signals for respiratory impedance measurements.

Spontaneous breathing may impair the reliability of forced oscillatory impedance estimates at low frequencies, especially when the oscillatory power is distributed among many frequency values. Since the amplitude of the external forcing is limited to avoid non-linearities, it is suggested that the total energy of a composite electrical signal driving the loudspeaker be maximized at a given amplitude by finding the optimum phase relationships of the signal components, and that the low-frequency components increase in energy at the expense of the less disturbed high-frequency region. In healthy children and adults and in obstructed patients, the coherences and the coefficients of variation of the respiratory system impedance (Zrs) at 2 and 3 Hz were studied in the case of three test signals of 2-15 Hz bandwidth. Signals T1 and T2 had a flat power spectrum, whereas the components of T3 decreased sharply between 2 and 5 Hz; T1 was generated by simple random selection of phase angles, while optimization for maximum energy was done for T2 and T3. Optimization alone (T2) increased the reliability of the Zrs estimates at all frequencies, whereas enhancement of the low-frequency power (T3) resulted in a radical improvement of the estimates at 2 and 3 Hz, without loss in reliability at higher frequencies.

Adult↗
PubMed1990

Modeling of low-frequency pulmonary impedance in dogs.

The mechanical impedance of the lungs (ZL) was measured in open-chest dogs with small-amplitude pseudorandom volume oscillations between 0.125 and 5 Hz, at mean transpulmonary pressures (Ptp) of 0.2, 0.4, and 0.8 kPa. At the lowest frequencies, the pulmonary resistance showed a marked negative frequency dependence and mirrored the changes in the reactance with altered Ptp. The ZL data were evaluated on the basis of two models, each containing the same airway compartment with a resistance and an inertance. The tissue impedance (Zti) in model 1 was represented with two compliances and a resistance (L. E. Mount. J. Physiol. Lond. 127: 157-167, 1955), whereas in model 2 a two-parameter formulation implying rate-independent dissipated work and frequency-dependent elastance (J. Hildebrandt. J. Appl. Physiol. 28: 365-372, 1970) was employed. The estimation of model parameters showed that model 2 was superior to model 1 in both fitting performance and parameter insensitivity to weighting in the fitting criterion. The model 2 coefficients of damping and elastance, characterizing the real and imaginary parts of Zti, respectively, depended on the lung distension and were closely correlated. Although ZL exhibited a slight dependence on the peak-to-peak volume excursion, at a given oscillatory volume no inconsistency with linear tissue viscoelasticity was detected.

Animals↗
PubMed1987

Low-frequency respiratory mechanical impedance in the rat.

A modified forced oscillatory technique was used to determine the respiratory mechanical impedances in anesthetized, paralyzed rats between 0.25 and 10 Hz. From the total respiratory (Zrs) and pulmonary impedance (ZL), measured with pseudorandom oscillations applied at the airway opening before and after thoracotomy, respectively, the chest wall impedance (ZW) was calculated as ZW = Zrs - ZL. The pulmonary (RL) and chest wall resistances were both markedly frequency dependent: between 0.25 and 2 Hz they contributed equally to the total resistance falling from 81.4 +/- 18.3 (SD) at 0.25 Hz to 27.1 +/- 1.7 kPa.l-1 X s at 2 Hz. The pulmonary compliance (CL) decreased mildly, from 2.78 +/- 0.44 at 0.25 Hz to 2.36 +/- 0.39 ml/kPa at 2 Hz, and then increased at higher frequencies, whereas the chest wall compliance declined monotonously from 4.19 +/- 0.88 at 0.25 Hz to 1.93 +/- 0.14 ml/kPa at 10 Hz. Although the frequency dependence of ZW can be interpreted on the basis of parallel inhomogeneities alone, the sharp fall in RL together with the relatively constant CL suggests that at low frequencies significant losses are imposed by the non-Newtonian resistive properties of the lung tissue.

Animals↗
PubMed1987

Respiratory mechanical impedance in the rat.

The forced oscillatory impedance of the total respiratory system (Zrs) was measured in seven anaesthetized, paralysed rats weighing 351 +/- 55 g. Tracheotomy was performed, and the animals were placed in the supine position in a body box. Pseudo-random pressure variations between 0.5 and 10 Hz were applied around the chest. Central airflow was measured with a heated screen pneumotachograph. Total respiratory resistance (Rrs) and elastance (Ers), corrected for the impedance of the tracheal cannula, were markedly frequency-dependent: Rrs fell from 37.3 +/- 19.1 kPa.l-1.s at 0.5 Hz to 17.6 +/- 4.4 at 2 Hz and 10.3 +/- 3.3 at 10 Hz; the corresponding Ers values were 453 +/- 14, 594 +/- 90 and 713 +/- 104 kPa.l-1, respectively. This indicates that in the frequency range encompassing spontaneous breathing rates the classical resistance-intertance-compliance model provides an inadequate description of the respiratory mechanics in the rat.

Airway Resistance↗
PubMed1986

Forced oscillatory impedance of the respiratory system at low frequencies.

Respiratory mechanical impedances were determined during voluntary apnea in five healthy subjects, by means of 0.25- to 5-Hz pseudo/random oscillations applied at the mouth. The total respiratory impedance was partitioned into pulmonary (ZL) and chest wall components with the esophageal balloon technique; corrections were made for the upper airway shunt impedance and the compressibility of alveolar gas. Neglect of these shunt effects did not qualitatively alter the frequency dependence of impedances but led to underestimations in impedance, especially in the chest wall resistance (Rw), which decreased by 20-30% at higher frequencies. The total resistance (Rrs) was markedly frequency dependent, falling from 0.47 +/- 0.06 (SD) at 0.25 Hz to 0.17 +/- 0.01 at 1 Hz and 0.15 +/- 0.01 kPa X l-1 X s at 5 Hz. The changes in Rrs were caused by the frequency dependence of Rw almost exclusively between 0.25 and 2 Hz and in most part between 2 and 5 Hz. The effective total respiratory (Crs,e) and pulmonary compliance were computed with corrections for pulmonary inertance derived from three- and five-parameter model fittings of ZL. Crs,e decreased from the static value (1.03 +/- 0.18 l X kPa-1) to a level of approximately 0.35 l X kPa-1 at 2-3 Hz; this change was primarily caused by the frequency-dependent behavior of chest wall compliance.

Abdominal Muscles↗
PubMed1983

Mechanism of functional residual capacity increase in haemorrhagic shock.

Shock was elicited in anaesthetized dogs by maintaining a haemorrhagic hypotension of 4 kPa until 30 per cent spontaneous refusion, followed by total reinfusion. Functional residual capacity (FRC) and minute ventilation increased considerably similarly to our previous experiments. Lactate content in both the external intercostal and the biceps femoris muscles increased significantly in advanced shock. The expiratory external abdominal oblique muscle showed electromyographic signs of fatigue. At the height of the FRC changes tonic contraction of the external intercostal muscle could be demonstrated electron microscopically. This tonic contraction is the main factor in the large FRC rise in late shock forming the basis of a hitherto unknown vicious circle.

Abdominal Muscles↗
PubMed1982

An improved forced oscillatory estimation of respiratory impedance.

A new scheme of estimation is proposed for the determination of the total respiratory impedance (Zr) by forced oscillations. Instead of estimating Zr from the airflow at the mouth and the pressure drop across the respiratory system, Zr can be estimated from cross-power spectra between the electrical signal of the driving apparatus and the measured pressure and flow signals. since the electrical signal is free from any disturbance originating from spontaneous breathing, unlike the conventional techniques the proposed 'indirect' estimation of Zr is not subject to systematic errors caused by the respiratory signal components. This is confirmed both by theoretical analysis and simulation of the forced oscillatory measurement.

Biomechanical Phenomena↗
PubMed1982

Parameter estimation of transpulmonary mechanics by a nonlinear inertive model.

Transpulmonary mechanics of anesthetized intubated dogs were studied during control breathing and hemorrhage-induced hyperventilation by least-mean-squares parameter estimation using several model versions. The classical elastance-resistance model was modified to include nonlinear elastic and viscous pressure terms with and without a linear inertive pressure component. Inclusion of the nonlinear terms decreased the root-mean-square error of fitting (q) of the classical model on the average to 67% in the control period and to 58% during hyperventilation. An additional decrease due to inertance was 4% (control) and 22% (hyperventilation) and was associated with acceptable estimates of inertance [0.056 +/- 0.02 (SD) and 0.063 +/- 0.008 cmH2O . l-1 . s2, respectively]. When inertance alone was added to the classical model, negligible improvement in q and unrealistic values of inertance were obtained. Conventional measures (Edyn and midvolume resistance) were close to the corresponding least-mean-squares estimates (E and R) of all model versions, except that in hyperventilation neglecting the inertance caused Edyn to markedly overestimate E of nonlinear inertive model.

Animals↗
PubMed1982

Increase of functional residual capacity in hemorrhagic shock.

Functional residual capacity (FRC) was measured by body plethysmography in anesthetized dogs subjected to hemorrhagic shock. This was elicited by bleeding the animals to a mean arterial blood pressure of 4 kPa. Reinfusion was done at 30% spontaneous uptake of the maximal bleeding volume. During the initial rapid bleed-out and early hypovolemia, the FRC increased proportionally to the bleeding volume by an average factor of 0.19. Subsequently FRC increased further to about 50% above the control level, and it remained elevated even after reinfusion. Minute ventilation reached a peak value of about 2.5 times of that of the control state, and then declined to almost control values in late hypovolemia when FRC was still very high. The mechanism of the significant increase in FRC is not clear, but it is suggested that the balance of its effects is unfavorable to the maintenance of adequate ventilation in late shock.

Animals↗
PubMed1978

Computation of the equivalent airway resistance: a comparison with routine evaluations of plethysmographic measurements.

Equivalent (effective) values of airway resistance were determined for total breaths, inspiration and expiration in spontaneously breathing patients by means of an off-line processing system. An improvement in the alveolar pressure determination was achieved by subtracting thermal pressure drifts of the pressure plethysmograph and by taking into account instantaneous values of the intrathoracic gas volume. Equivalent resistance values were compared with the results of several simulated routine evaluations. It was found that the equivalent resistance is best approximated by the graphical procedure using average pressure points at +/- 0.5 liter/sec flow levels.

Airway Resistance↗
PubMed1976

Computer-aided investigations of respiratory data.

In the first part of this paper a computerised evaluation of plethysmographic signals is presented. The off-line processing described eliminates some erroneous simplifications that routine plethysmography is bound to involve. (1) A subtraction of the box pressure baseline permits measurements with perfectly sealed constant volume plethysmographs even in the case of thermal disequilibrium. (2) Alveolar pressure is computed from the box pressure signal, using instantaneous values of the intrathoracic gas volume. (3) This technique enables one to utilise all the measured data for determinations of airway resistance and viscous work, thus yielding more exact values as compared to the graphic evaluations. In Part 2 a three-parameter model of transpulmonary mechanics, applied to fit data of cat experiments, is described. The aim of this study is to demonstrate how transpulmonary parameters (static pleural pressure, compliance and resistance) are modified by the actual state of the pulmonary vascular bed.

Airway Resistance↗
PubMedDate not supplied

Total respiratory impedance in healthy children.

Impedance of the total respiratory system was measured in 121 healthy children aged 4-16 years during spontaneous breathing by pseudo-random forced oscillations between 3 and 10 Hz. Total respiratory resistance (Rrs), inertance (Irs) and compliance (Crs) were determined by least-mean-squares fitting. Estimates for inertance were reliable only for the larger children, where the values of Irs (0.0127 +/- 0.0034 SD) were similar to those reported for normal adults. Rrs correlated significantly (P less than 0.001) with height (r = -0.868), age (r = -0.865), and, in a subpopulation of the 6- to 16-year-old children, with forced vital capacity (r = -0.803). The corresponding correlation coefficients for Crs were 0.873, 0.844, and 0.853, respectively. Crs amounted to about a third of the static total compliance values of Sharp et al. (J Appl Physiol 1970; 29: 775-779) over the same interval of heights. In these relationships no significant difference was found between boys and girls.

Adolescent↗