A Review of Recent Findings About Stress-Relaxation in the Respiratory System Tissues
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- 作者：Alessandro Rubini (1)
Emanuele Luigi Carniel (2) - 关键词：End ; inflation occlusion method ; Stress ; relaxation ; Visco ; elasticity ; Work of breathing
- 刊名：Lung
- 出版年：2014
- 出版时间：December 2014
- 年：2014
- 卷：192
- 期：6
- 页码：833-839
- 全文大小：231 KB
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Emanuele Luigi Carniel (2)
1. Section Physiology, Department of Biomedical Sciences, University of Padova, Via Marzolo, 3, 35100, Padua, Italy
2. Center of Mechanics of Biological Materials, University of Padova, Padua, Italy - ISSN：1432-1750
文摘
This article reviews the state of the art about an unclear physiological phenomenon interesting respiratory system tissues, i.e., stress-relaxation. Due to their visco-elastic properties, the tissues do not maintain constant stress under constant deformation. Rather, the stress slowly relaxes and falls to a lower value. The exact molecular basis of this complex visco-elastic behavior is not well defined, but it has been suggested that it may be generated because of the anisotropic mechanical properties of elastin and collagen fibers in the alveolar septa and their interaction phenomena, such as reciprocal sliding, also in relation to interstitial liquid movements. The effects on stress-relaxation of various biochemical and physical factors are reviewed, including the consequences of body temperature variations, respiratory system inflammations and hyperbaric oxygen exposure, endocrinal factors, circulating blood volume variations, changes in inflation volume and/or flow, changes in intra-abdominal pressure because of pneumoperitoneum or Trendelenburg position. The effects of these factors on stress-relaxation have practical consequences because, depending on visco-elastic pressure amount which is requested to inflate the respiratory system in different conditions, respiratory muscles have to produce different values of inspiratory pressure during spontaneous breathing. High inspiratory pressure values might increase the risk of respiratory failure development on mechanical basis.