Regional and overall ventilation inhomogeneities in preterm and term-born infants

OBJECTIVES: We compared ventilation inhomogeneity assessed by electrical impedance tomography (EIT) and multiple breath washout (MBW) in preterm and term-born infants. We hypothesised that EIT measurements in spontaneously breathing infants are repeatable and that differences in regional ventilation distribution measured by EIT can distinguish between preterm and term-born infants. DESIGN: Cross-sectional group comparison study. SETTING: Lung function laboratory at a University Children's Hospital. PARTICIPANTS: Seventeen healthy term-born and 15 preterm infants at a matched postmenstrual age of 44 weeks. MEASUREMENTS AND RESULTS: We concurrently measured ventilation inhomogeneity by EIT, ventilation inhomogeneity (LCI) and functional residual capacity (FRC) by MBW and tidal breathing variables during unsedated quiet sleep. EIT measurements were highly repeatable (coefficient of variation 3.6%). Preterm infants showed significantly more ventilation of the independent parts of the lungs compared to healthy term-born infants assessed by EIT (mean difference 5.0, 95 CI 1.3-8%). Whereas the two groups showed no differences in lung volumes or ventilation inhomogeneities assessed by MBW, EIT discriminated better between term and preterm infants. (FRC/kg: mean difference 1.1 mL, 95% CI -1.4-3.8 mL; LCI: mean difference 0.03, 95% CI -0.32-0.25). CONCLUSIONS: EIT shows distinct differences in ventilation distribution between preterm and term-born infants, which cannot be detected by MBW. Although preterm infants are capable of dynamically maintaining overall functional residual volume and ventilation distribution, they show some spatial differences from fullterm infants.

Effect of different breathing AIDS on ventilation distribution in adults with cystic fibrosis.

BACKGROUND AND OBJECTIVES We investigated the effect of different breathing aids on ventilation distribution in healthy adults and subjects with cystic fibrosis (CF). METHODS In 11 healthy adults and 9 adults with CF electrical impedance tomography measurements were performed during spontaneous breathing, continuous positive airway pressure (CPAP) and positive expiratory pressure (PEP) therapy randomly applied in upright and lateral position. Spatial and temporal ventilation distribution was assessed. RESULTS The proportion of ventilation directed to the dependent lung significantly increased in lateral position compared to upright in healthy and CF. This effect was enhanced with CPAP but neutralised with PEP, whereas the effect of PEP was larger in the healthy group. Temporal ventilation distribution showed exactly the opposite with homogenisation during CPAP and increased inhomogeneity with PEP. CONCLUSIONS PEP shows distinct differences to CPAP with respect to its impact on ventilation distribution in healthy adults and CF subjects EIT might be used to individualise respiratory physiotherapy.

Influence of inspiration to expiration ratio on cyclic recruitment and derecruitment of atelectasis in a saline lavage model of acute respiratory distress syndrome*

OBJECTIVE Cyclic recruitment and derecruitment of atelectasis can occur during mechanical ventilation, especially in injured lungs. Experimentally, cyclic recruitment and derecruitment can be quantified by respiration-dependent changes in PaO2 (ΔPaO2), reflecting the varying intrapulmonary shunt fraction within the respiratory cycle. This study investigated the effect of inspiration to expiration ratio upon ΔPaO2 and Horowitz index. DESIGN Prospective randomized study. SETTING Laboratory investigation. SUBJECTS Piglets, average weight 30 ± 2 kg. INTERVENTIONS At respiratory rate 6 breaths/min, end-inspiratory pressure (Pendinsp) 40 cm H2O, positive end-expiratory pressure 5 cm H2O, and FIO2 1.0, measurements were performed at randomly set inspiration to expiration ratios during baseline healthy and mild surfactant depletion injury. Lung damage was titrated by repetitive surfactant washout to induce maximal cyclic recruitment and derecruitment as measured by multifrequency phase fluorimetry. Regional ventilation distribution was evaluated by electrical impedance tomography. Step changes in airway pressure from 5 to 40 cm H2O and vice versa were performed after lavage to calculate PO2-based recruitment and derecruitment time constants (TAU). MEASUREMENTS AND MAIN RESULTS In baseline healthy, cyclic recruitment and derecruitment could not be provoked, whereas in model acute respiratory distress syndrome, the highest ΔPaO2 were routinely detected at an inspiration to expiration ratio of 1:4 (range, 52-277 torr [6.9-36.9 kPa]). Shorter expiration time reduced cyclic recruitment and derecruitment significantly (158 ± 85 torr [21.1 ± 11.3 kPa] [inspiration to expiration ratio, 1:4]; 25 ± 12 torr [3.3 ± 1.6 kPa] [inspiration to expiration ratio, 4:1]; p < 0.0001), whereas the PaO2/FIO2 ratio increased (267 ± 50 [inspiration to expiration ratio, 1:4]; 424 ± 53 [inspiration to expiration ratio, 4:1]; p < 0.0001). Correspondingly, regional ventilation redistributed toward dependent lung regions (p < 0.0001). Recruitment was much faster (TAU: fast 1.6 s [78%]; slow 9.2 s) than derecruitment (TAU: fast 3.1 s [87%]; slow 17.7 s) (p = 0.0078). CONCLUSIONS Inverse ratio ventilation minimizes cyclic recruitment and derecruitment of atelectasis in an experimental model of surfactant-depleted pigs. Time constants for recruitment and derecruitment, and regional ventilation distribution, reflect these findings and highlight the time dependency of cyclic recruitment and derecruitment.

Petrophysical investigation on sediment core CRP-3 from the Ross Sea, Antarctica

A suite of petrophysical properties - velocity, resistivity, bulk density, porosity, and matrix density - was measured on 88 core plugs from the CRP-3 drillhole. Core-plug bulk densities were used to recalibrate both whole-core and downhole bulk density logs. Core-plug measurements of matrix density permit conversion of the whole-core and downhole bulk density logs to porosity. Both velocity and formation factor (a normalized measure of resistivity) are strongly correlated with porosity. The velocity/porosity pattern is similar to that for the lower part of CRP-2A and is consistent with the empirical relationship for sandstones. Core-plug and whole-core measurements of P-wave velocity at atmospheric pressure exhibit excellent agreement. Measurements of velocity as a function of pressure indicate a significantly higher velocity sensitivity to pressure than has been observed at CRP-1 and CRP-2A; rebound or presence of microcracks at CRP-3 may be responsible. The percentage difference between velocities at in situ pressures and atmospheric pressures increases downhole from 0% at the seafloor to 9% at the bottom. This pattern can be used to correct whole-core velocity data, measured at atmospheric pressure, to in situ velocities for depth-to-time conversion and associated comparison to the seismic profile across the drillsite

(Table 1) Physical properties of basalts from DSDP Holes 69-504B and 70-504B

A detailed study of physical properties was made on core samples from Deep Sea Drilling Project Hole 504B. The measured properties are density, porosity, sonic velocity, electrical resistivity, and fluid permeability. Basalts from this young oceanic crust have higher density and sonic velocity than the average DSDP basalts. Porosity (and temperature) dependences of physical properties are given by V = Vo - a-phi; roo = roo-0 exp(E*/RT)phi**-q; k = k0' phi**2q-1; where V is the sonic velocity (km/s), Vo = 6.45 (km/s), a = 0.111 (km/s %), phi is the porosity (%), roo is the electrical resistivity (ohm m), roo-0 = 0.002 (ohm m), E* = 2.7 (Kcal/mol) for fresh basalts, RT has its usual meaning, q = 1.67 ± 0.27, k is the permeability, k0' = (1 to about 10) x 10**-12 (cm**2). Porosity distribution in the crust in this area is estimated by combining the seismic velocity distribution and velocity-porosity relation. Because of the rapid decrease in porosity with depth, resistivity increases and permeability decreases rapidly with depth. The decreasing rate of permeability with increasing depth is approximately given by k(cm**2) = 2 x 10**-10 exp(-z (km)/0.3).

(Table 1) Anisotropy of magnetic susceptibility parameters of ODP Hole 134-833B

Ocean Drilling Program (ODP) Sites 832 and 833 were drilled in the intra-arc North Aoba Basin of the New Hebrides Island Arc (Vanuatu). High volcanic influxes in the intra-arc basin sediment resulting from erosion of volcanic rocks from nearby islands and from volcanic activity are associated with characteristic magnetic signals. The high magnetic susceptibility in the sediment (varying on average from 0.005 to more than 0.03 SI) is one of the most characteristic physical properties of this sedimentary depositional environment because of the high concentration of magnetites in redeposited ash flows and in coarse-grained turbidites. Susceptibility data correlate well with the high resolution electrical resistivity logs recorded by the formation microscanner (FMS) tool. Unlike the standard geophysical logs, which have low vertical resolution and therefore smooth the record of the sedimentary process, the FMS and whole-core susceptibility data provide a clearer picture of turbiditic sediment deposition. Measurements of Curie temperatures and low-temperature susceptibility behavior indicate that the principal magnetic minerals in ash beds, silt, and volcanic sandstone are Ti-poor titanomagnetite, whereas Ti-rich titanomagnetites are found in the intrusive sills at the bottom of Site 833. Apart from an increase in the concentration of magnetite in the sandstone layer, acquisition of isothermal and anhysteretic remanences does not show significant differences between sandstone and clayey silts. The determination of the anisotropy of magnetic susceptibility (AMS) in more than 400 samples show that clayey siltstone have a magnetic anisotropy up to 15%, whereas the AMS is much reduced in sandstone layers. The magnetic susceptibility fabric is dominated by the foliation plane, which is coplanar to the bedding plane. Reorientations of the samples using characteristic remanent magnetizations indicate that the bedding planes dip about 10° toward the east, in agreement with results from FMS images. Basaltic sills drilled at Site 833 have high magnetic susceptibilities (0.05 to 0.1 SI) and strong remanent magnetizations. Magnetic field anomalies up to 50 µT were measured in the sills by the general purpose inclinometer tool (GPIT). The direction of the in-situ magnetic anomaly vectors, calculated from the GPIT, is oriented toward the southeast with shallow inclinations which suggests that the sill intruded during a reversed polarity period.

The physical properties of basalt at DSDP Hole 45-395A

A detailed study has been made of the physical properties of core samples from Deep Sea Drilling Project Hole 395A. The properties include: density, porosity, compressional and shear wave velocity, thermal conductivity, thermal diffusivity, and electrical resistivity. Of particular importance are the relations among the parameters. Most of the variations in the basalt properties follow the porosity, with smaller inferred dependence on pore structure, original mineralogy differences, and alteration. The sample measurements give very similar results to (and extend previous data from) Mid-Atlantic Ridge drillholes, the sample data from this site and previous data are used to estimate relations between porosity and other large-scale physical properties of the upper oceanic crust applicable to this area. These relations are important for the analysis and interpretation of downhole logging measurements and marine geophysical data.

Volume of natural gas within gas-hydrate and free-gas occurrences in ODP Leg 164 sites

Leg 164 of the Ocean Drilling Program was designed to investigate the occurrence of gas hydrate in the sedimentary section beneath the Blake Ridge on the southeastern continental margin of North America. Sites 994, 995, and 997 were drilled on the Blake Ridge to refine our understanding of the in situ characteristics of natural gas hydrate. Because gas hydrate is unstable at surface pressure and temperature conditions, a major emphasis was placed on the downhole logging program to determine the in situ physical properties of the gas hydrate-bearing sediments. Downhole logging tool strings deployed on Leg 164 included the Schlumberger quad-combination tool (NGT, LSS/SDT, DIT, CNT-G, HLDT), the Formation MicroScanner (FMS), and the Geochemical Combination Tool (GST). Electrical resistivity (DIT) and acoustic transit-time (LSS/SDT) downhole logs from Sites 994, 995, and 997 indicate the presence of gas hydrate in the depth interval between 185 and 450 mbsf on the Blake Ridge. Electrical resistivity log calculations suggest that the gas hydrate-bearing sedimentary section on the Blake Ridge may contain between 2 and 11 percent bulk volume (vol%) gas hydrate. We have determined that the log-inferred gas hydrates and underlying free-gas accumulations on the Blake Ridge may contain as much as 57 trillion m**3 of gas.

Carbon/oxygen ratios, clay composition and gas-hydrate saturation of ODP Leg 164 sites

The analyses of downhole log data from Ocean Drilling Program (ODP) boreholes on the Blake Ridge at Sites 994, 995, and 997 indicate that the Schlumberger geochemical logging tool (GLT) may yield useful gas hydrate reservoir data. In neutron spectroscopy downhole logging, each element has a characteristic gamma ray that is emitted from a given neutron-element interaction. Specific elements can be identified by their characteristic gamma-ray signature, with the intensity of emission related to the atomic elemental concentration. By combining elemental yields from neutron spectroscopy logs, reservoir parameters including porosities, lithologies, formation fluid salinities, and hydrocarbon saturations (including gas hydrate) can be calculated. Carbon and oxygen elemental data from the GLT was used to determine gas hydrate saturations at all three sites (Sites 994, 995, and 997) drilled on the Blake Ridge during Leg 164. Detailed analyses of the carbon and oxygen content of various sediments and formation fluids were used to construct specialized carbon/oxygen ratio (COR) fan charts for a series of hypothetical gas hydrate accumulations. For more complex geologic systems, a modified version of the standard three-component COR hydrocarbon saturation equation was developed and used to calculate gas hydrate saturations on the Blake Ridge. The COR-calculated gas hydrate saturations (ranging from about 2% to 14% bulk volume gas hydrate) from the Blake Ridge compare favorably to the gas hydrate saturations derived from electrical resistivity log measurements.