Modelling pressure relationships of inspired air into the human lung bifurcations through simulations

被引:1
作者
Aghasafari, Parya [1 ]
Ibrahim, Israr B. M. [1 ]
Pidaparti, Ramana [1 ]
机构
[1] Univ Georgia, Coll Engn, Athens, GA 30602 USA
关键词
Human lung; Curve fitting; Normal breathing; Mechanical ventilation;
D O I
10.1080/15502287.2018.1430075
中图分类号
O3 [力学];
学科分类号
08 ; 0801 ;
摘要
Applied pressure on human lung wall has great importance on setting up protective ventilatory strategies, therefore, estimating pressure relationships in terms of specific parameters would provide invaluable information specifically during mechanical ventilation (MV). A three-dimensional model from a healthy human lung MRI is analyzed by computational fluid dynamic (CFD), and results for pressure are curve fitted to estimate relationships that associate pressure to breathing time, cross section and generation numbers of intended locations. Among all possible functions, it is observed that exponential and polynomial pressure functions present most accurate results for normal breathing (NB) and MV, respectively. For validation, pressure-location curves from CFD and results from this study are compared and good correlations are found. Also, estimated pressure values are used to calculate pressure drop and airway resistance to the induced air into the lung bifurcations. It is concluded that maximum pressure drop appeared in generation number 2 and medium sized airways show higher resistance to air flow and that resistance decreased as cross sectional area increased through the model. Results from this study are in good agreement with previous studies and provide potentials for further studies on influence of air pressure on human lung tissue and reducing lung injuries during MV.
引用
收藏
页码:69 / 81
页数:13
相关论文
共 34 条
[1]   Ventilatory management of severe acute respiratory failure for Y2K [J].
Bigatello, LM ;
Hurford, WE ;
Pesenti, A .
ANESTHESIOLOGY, 1999, 91 (06) :1567-1570
[2]  
Brochard L., 1998, PRINCIPLES PRACTICE, P597
[3]   Different modes of assisted ventilation in patients with acute respiratory failure [J].
Chiumello, D ;
Pelosi, P ;
Calvi, E ;
Bigatello, LM ;
Gattinoni, L .
EUROPEAN RESPIRATORY JOURNAL, 2002, 20 (04) :925-933
[4]  
Chovancova M., 2015, INT J MED HLTH BIOME, V9, P171
[5]   Image-based finite element modeling of alveolar epithelial cell injury during airway reopening [J].
Dailey, H. L. ;
Ricles, L. M. ;
Yalcin, H. C. ;
Ghadiali, S. N. .
JOURNAL OF APPLIED PHYSIOLOGY, 2009, 106 (01) :221-232
[6]   The kinetics of lung ventilation - An evaluation of the viscous and elastic resistance to lung ventilation with particular reference to the effects or turbulence and the therapeutic use of helium [J].
Dean, RB ;
Visscher, MB .
AMERICAN JOURNAL OF PHYSIOLOGY, 1941, 134 (03) :0450-0468
[7]   Ventilatory management of acute lung injury and acute respiratory distress syndrome [J].
Fan, E ;
Needham, DM ;
Stewart, TE .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 294 (22) :2889-2896
[8]   A sigmoidal fit for pressure-volume curves of idiopathic pulmonary fibrosis patients on mechanical ventilation: clinical implications [J].
Ferreira, Juliana C. ;
Bensenor, Fabio E. M. ;
Rocha, Marcelo J. J. ;
Salge, Joao M. ;
Harris, R. Scott ;
Malhotra, Atul ;
Kairalla, Ronaldo A. ;
Kacmarek, Robert M. ;
Carvalho, Carlos R. R. .
CLINICS, 2011, 66 (07) :1157-1163
[9]  
Harris R Scott, 2005, Respir Care, V50, P78
[10]   MODELS OF HUMAN BRONCHIAL TREE [J].
HORSFIEL.K ;
DART, G ;
OLSON, DE ;
FILLEY, GF ;
CUMMING, G .
JOURNAL OF APPLIED PHYSIOLOGY, 1971, 31 (02) :207-&