Consequences of vascular flow on lung injury induced by mechanical ventilation

Alain F. Broccard, John R. Hotchkiss, Naoto Kuwayama, Douglas A. Olson, Saba Jamal, Douglas O. Wangensteen, John J. Marini

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126 Scopus citations

Abstract

To investigate whether the magnitude of blood flow contributes to ventilator-induced lung injury, 14 sets of isolated rabbit lungs were randomized for perfusion at either 300 (Group A: n = 7) or 900 ml/min (Group B: n = 7) while ventilated with 30 cm H2O peak static pressure. Control lungs (Group C: n = 7) were ventilated with lower peak static pressure (15 cm H2O) and perfused at 500 ml/min. Weight gain, changes in the ultrafiltration coefficient (ΔKf) and lung static compliance (CL), and extent of hemorrhage (scored by histology) were compared. Group B had a larger decrease in CL (-13 ± 11%) than Groups A (2 ± 6%) and C (5 ± 5%) (p < 0.05). Group B had more hemorrhage and gained more weight (16.2 ± 9.5 g) than Groups A (8.7 ± 3.4 g) and C (1.6 ± 1.0 g) (p < 0.05 for each pairwise comparison between groups). Finally, Kf (g · min-1 · cm H2O-1 · 100 g-1) increased the most in Group B (ΔKf = 0.26 ± 0.20 versus 0.17 ± 0.10 in Group A and 0.05 ± 0.04 in Group C; p < 0.05 for B versus C). We conclude that the intensity of lung perfusion contributes to ventilator-induced lung injury in this model.

Original languageEnglish (US)
Pages (from-to)1935-1942
Number of pages8
JournalAmerican journal of respiratory and critical care medicine
Volume157
Issue number6 PART I
DOIs
StatePublished - 1998

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