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A microfluidic model to study fluid dynamics of mucus plug rupture in small lung airways

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TLDR
A microfluidic model to study mucus plug rupture in a collapsed airway of the 12th generation shows that a plug needs to overcome yield stress before deformation and rupture, and shows that it takes relatively long time to yield at the high Bingham number.
Abstract
Fluid dynamics of mucus plug rupture is important to understand mucus clearance in lung airways and potential effects of mucus plug rupture on epithelial cells at lung airway walls We established a microfluidic model to study mucus plug rupture in a collapsed airway of the 12th generation Mucus plugs were simulated using Carbopol 940 (C940) gels at concentrations of 015%, 02%, 025%, and 03%, which have non-Newtonian properties close to healthy and diseased lung mucus The airway was modeled with a polydimethylsiloxane microfluidic channel Plug motion was driven by pressurized air Global strain rates and shear stress were defined to quantitatively describe plug deformation and rupture Results show that a plug needs to overcome yield stress before deformation and rupture The plug takes relatively long time to yield at the high Bingham number Plug length shortening is the more significant deformation than shearing at gel concentration higher than 015% Although strain rates increase dramatically at rupture, the transient shear stress drops due to the shear-thinning effect of the C940 gels Dimensionless time-averaged shear stress, T xy , linearly increases from 37 to 56 times the Bingham number as the Bingham number varies from 0018 to 01 The dimensionless time-averaged shear rate simply equals to T xy /2 In dimension, shear stress magnitude is about one order lower than the pressure drop, and one order higher than yield stress Mucus with high yield stress leads to high shear stress, and therefore would be more likely to cause epithelial cell damage Crackling sounds produced with plug rupture might be more detectable for gels with higher concentration

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Dynamics of liquid plugs in prewetted capillary tubes: from acceleration and rupture to deceleration and airway obstruction

TL;DR: The dynamics of individual liquid plugs pushed at a constant pressure head inside prewetted cylindrical capillary tubes is investigated experimentally and theoretically in this article, where it is shown that, depending on the thickness of the prewetting film and the magnitude of the pressure head, the plugs can either experience a continuous acceleration leading to a dramatic decrease of their size and eventually their rupture or conversely, a progressive deceleration associated with their growth and an exacerbation of the airway obstruction.
References
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Higher versus Lower Positive End-Expiratory Pressures in Patients with the Acute Respiratory Distress Syndrome

TL;DR: In patients with acute lung injury and ARDS who receive mechanical ventilation with a tidal-volume goal of 6 ml per kilogram of predicted body weight and an end-inspiratory plateau-pressure limit of 30 cm of water, clinical outcomes are similar whether lower or higher PEEP levels are used.
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Micro- and macrorheology of mucus.

TL;DR: The biochemistry that governs mucus rheology, the macro- and microrheology of human and laboratory animal mucus, rheological techniques applied to mucus are reviewed, and the importance of an improved understanding of the physical properties of mucus to advancing the field of drug and gene delivery is reviewed.
Journal ArticleDOI

Acoustically detectable cellular-level lung injury induced by fluid mechanical stresses in microfluidic airway systems.

TL;DR: A microfabricated airway system integrated with computerized air–liquid two-phase microfluidics that enables on-chip engineering of human airway epithelia and precise reproduction of physiologic or pathologic liquid plug flows found in the respiratory system is described.
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Enhanced Viscoelasticity of Human Cystic Fibrotic Sputum Correlates with Increasing Microheterogeneity in Particle Transport

TL;DR: Treatment with recombinant human DNase (Pulmozyme®) reduces macroviscoelastic properties of CF sputum by up to 50% and dramatically narrows the distribution of individual particle diffusion rates but surprisingly does not significantly alter the ensemble-average particle diffusion rate.
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Fluid dynamics of mucus plug rupture is important to understand mucus clearance in lung airways and potential effects of mucus plug rupture on epithelial cells at lung airway walls.