Document Type

Thesis

Date of Award

12-31-1988

Degree Name

Master of Science in Biomedical Engineering - (M.S.)

Department

Biomedical Engineering Committee

First Advisor

David S. Kristol

Second Advisor

Stephen D. Siegel

Third Advisor

Stanley S. Reisman

Abstract

The purpose of this investigation is to develop methodology for the standard measurement and physiological interpretation of lung resistance and compliance using non-invasive forced oscillations techniques and validating these results with standardized esophageal balloon techniques. Application of the forced oscillation technique with an esophageal balloon in place permits partitioning of the respiratory system into the pulmonary system which is of primary interest and the less clinically important chestwall system. Diseased lung states are induced in normal subjects by inhalation of a bronchoconstrictor. The total respiratory (pulmonary plus chest wall) and pulmonary impedances are interpreted using both a linear three element model and a nonlinear five element model of total respiratory system.

The forced oscillation technique yields parameters that are physiologically relevant and agree with those obtained from standard invasive tests. The five element model interpretation of the pulmonary system has indicated that the forced oscillation test is sensitive to changes in pulmonary mechanics as indicated by the standard invasive tests. Finally, the forced oscillation test applied without the esophageal balloon has been shown to be more sensitive than currently used pulmonary function tests, and sufficient to characterize changes in lung mechanics. It is anticipated that future refinement and application of these techniques will lead to further clinical application in the detection and treatment of pulmonary disease.

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