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Aerosol effects on smooth muscle and airway visualization technique

Journal Article · · Arch. Intern. Med.; (United States)
Mechanical irritant receptors (cough) situated around carina and at bronchial bifurcations were studied. Mild stimulation (dust) causes reflex bronchoconstriction of smooth muscle, but heavier inhalations cause cough. Superficial subepithelial irritant receptors are structurally similar to above, but, located in smaller airways, they respond more to chemical irritation and smaller particles (e.g., cigarette smoke). Chemicals or chemical-particulates would have greater effect in small airways. Vagal efferents innervate upper airways but not the peripheral lung, so static lung properties are usually not affected by irritants. Sensitive or sensitized individuals respond at lower irritant thresholds. Reflex effects would affect lung testing with aerosols. Small bronchoactive particles constrict bronchioles. Total airway resistance is little affected, but static properties (especially compliance) are markedly affected. Radiopaque tantalum powder was used to study airway particle deposition and clearance. Semiquantitative radiopacity measurements were used to assess clearance. Reflex bronchoconstriction mediated via vagus involves airways from trachea to bronchioles 0.5 mm in diameter. Inhaled tantalum powder with a mean mass diameter of 2.5 ..mu..m and a density of 14 g/cm/sup 3/ was selectively deposited in orthopharynx, larynx, and at airway bifurcations.
OSTI ID:
6332365
Journal Information:
Arch. Intern. Med.; (United States), Journal Name: Arch. Intern. Med.; (United States) Vol. 131; ISSN AIMDA
Country of Publication:
United States
Language:
English