Altered diaphragm contractile properties with controlled mechanical ventilation

Catherine S.H. Sassoon, Vincent J. Caiozzo, Albana Manka, Gary C. Sieck

Research output: Contribution to journalArticlepeer-review

193 Scopus citations

Abstract

This study shows that, over time, diaphragm inactivity with controlled mechanical ventilation (CMV) decreases diaphragm force and produces myofibril damage contributing to the reduced force. We measured in vivo and in vitro diaphragm contractile and morphological properties in 30 sedated rabbits grouped (n = 6) as follows: 1 or 3 days of CMV, 1 or 3 days of 0 cmH2O continuous positive airway pressure, and control. The CMV rate was set sufficient to suppress diaphragm electrical activity. Compared with the control group, phrenic-stimulated maximum transdiaphragmatic pressure did not decrease with continuous positive airway pressure but decreased to 63% after 1 day of CMV and to 49% after 3 days of CMV. The in vitro tetanic force decreased to 86% after 1 day of CMV and to 44% after 3 days of CMV. After 3 days of CMV, significant myofibril damage occurred in the diaphragm but not in the soleus. The decrease in tetanic force correlated with the volume density of abnormal myofibrils. We conclude that CMV had a detrimental effect on diaphragm contractile properties.

Original languageEnglish (US)
Pages (from-to)2585-2595
Number of pages11
JournalJournal of applied physiology
Volume92
Issue number6
DOIs
StatePublished - 2002

Keywords

  • Diaphragm inactivity
  • Diaphragm muscle force
  • Force-frequency relationship
  • Myosin heavy chain isoform expression
  • Passive ventilation

ASJC Scopus subject areas

  • Physiology
  • Physiology (medical)

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