Work of breathing is increased during exercise with the self-contained breathing apparatus regulator

The self-contained breathing apparatus (SCBA) increases the expiratory pressure required to maintain high rates of ventilation, suggesting that the expiratory work of breathing (WOB) is increased; however, this has never been reported. The objective of this study, therefore, was to determine if the WOB is increased with the SCBA regulator (BA condition) compared with a low-resistance breathing valve (RV condition) during exercise. Twelve healthy male subjects underwent two randomized exercise trials, consisting of cycling at 150, 180, 210, and 240 W. Inspired and expired tidal volumes were measured using a body plethysmograph, whereas esophageal pressures were measured with an esophageal balloon. Modified Campbell diagrams were created to calculate the resistive and elastic components of WOB during inspiration and expiration. There were no differences in WOB between BA and RV conditions at 150 W. End-inspiratory and -expiratory lung volumes were elevated (p < 0.05) in the BA condition at higher ventilatio...