Lobar flow patterns in a hollow cast of canine central airways

To demonstrate that the regional partitioning of flow in central airways is direction dependent, we compared inspiratory and expiratory lobar flows in a hollow rigid cast of canine lungs. Lobar flows were measured by a hot-wire anemometer, simultaneous tracheal flows by a pneumotachograph, and data displayed as (lobar) flow-(tracheal) flow curves. For tracheal airflows between 50 and 370 ml/s, we found that inspiratory apical flows were smaller, and basal flows larger, than corresponding expiratory distributions. This effect was largely extinguished by substituting a gas mixture of 85% He-15% N2; resulting regional flows were comparable to expiratory distributions obtained on room air. Thus canine central airways structure induces a kinematically irreversible flow pattern, consistent with a model of “cascade flow” in which branching structure modifies the distribution only of inspiratory flow. These results support Fowler9s concept that lung regions fill and empty sequentially and may be pertinent to analyses of regional washout.