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standard error <strong>of</strong> the mean (SEM) and ranges given. A p-value <strong>of</strong> less than 0'05 was<br />

considered significant.<br />

6.6<br />

o<br />

a<br />

o<br />

Methodological exPeriment one<br />

Direct versus t-piece NO measurement<br />

Peak NO versus area under the NO curve<br />

Exhalation patterns <strong>of</strong> NO versus COz<br />

6.6.1 Hypotheses<br />

l. <strong>The</strong> levels <strong>of</strong> NO measured in exhaled air are dependent on the techniques <strong>of</strong><br />

measurement.<br />

Z. <strong>The</strong>re will be good correlation between the peak NO levels and the area under<br />

recording curve <strong>of</strong> the NO measurement.<br />

3. Curves for NO and COz in a single exhalation should be identical if they<br />

predominantly being produced in the same department within the lung.<br />

6.6.2 Aims<br />

1. To compare exhaled NO levels measured by two different techniques'<br />

Z. To compare results <strong>of</strong> NO measured as peak level with area under the curve.<br />

3. To compare the peak levels and curves <strong>of</strong> NO and COz in a single exhalation.<br />

6.6.3 Procedure<br />

Each subject abstained from food and drink for four hours prior to the experiment. <strong>The</strong><br />

experiments were made if the ambient level <strong>of</strong> No was less than 10ppb, and all the testing<br />

was done with inhalation from ambient room air. <strong>The</strong> procedures as described in the previous<br />

section for starting and calibrating the analysers were made before and after each subject. <strong>The</strong><br />

exact procedure followed is as described above in Section 6.5.2. Twelve subjects were<br />

enrolled and each subject continued until five sets <strong>of</strong> measurable exhalations were made for<br />

each set <strong>of</strong> conditions with the first set being determined randomly by tossing a coin (heads -<br />

direct, tails -<br />

t-piece). This was followed after a five minute break by measuring exhalation<br />

under the other set <strong>of</strong> conditions. Again, after a five minute break, the first conditions were<br />

measured again. Expiratory mouth pressure was requested to be voluntarily kept at 4mmHg<br />

by the subjects and was measured on the chart recorder. During the exhalations into the t-<br />

piece system, the subjects were also requested to maintain a set expiratory flow by watching<br />

139<br />

the

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