TY - JOUR
T1 - Massive brain injury enhances lung damage in an isolated lung model of ventilator-induced lung injury
AU - López-Aguilar, Josefina
AU - Villagrá, Ana
AU - Bernabé, Francesca
AU - Murias, Gastón
AU - Piacentini, Enrique
AU - Real, Jordi
AU - Fernández-Segoviano, Pilar
AU - Romero, Pablo V.
AU - Hotchkiss, John R.
AU - Blanch, Lluis
PY - 2005/5/1
Y1 - 2005/5/1
N2 - Objective: To assess the influence of massive brain injury on pulmonary susceptibility to injury attending subsequent mechanical or ischemia/reperfusion stress. Design: Prospective experimental study. Setting: Animal research laboratory. Subjects: Twenty-four anesthetized New Zealand White rabbits randomized to control (n = 12) or induced brain injury (n = 12) group. Interventions: After randomization, brain injury was induced by inflation of an intracranial balloon-tipped catheter, and animals were ventilated with a tidal volume of 10 mL/kg and zero end-expiratory pressure for 120 mins. following heart-lung block extraction, isolated and perfused lungs were subjected to injurious ventilation with peak airway pressure 30 cm H2O and positive end-expiratory pressure 5 cm H2O for 30 mins. Measurements and Main Results: No difference was observed between groups in gas exchange, lung mechanics, or hemodynamics during the 2-hr in vivo period following induction of brain injury. However, after 30 mins of ex vivo injurious mechanical ventilation, lungs from the brain injury group showed greater change in ultrafiltration coefficient, weight gain, and alveolar hemorrhage (all p < .05). Conclusions: Massive brain injury might increase lung vulnerability to subsequent injurious mechanical or ischemia-reperfusion insults, thereby increasing the risk of clinical posttransplant graft failure. Copyright © 2005 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins.
AB - Objective: To assess the influence of massive brain injury on pulmonary susceptibility to injury attending subsequent mechanical or ischemia/reperfusion stress. Design: Prospective experimental study. Setting: Animal research laboratory. Subjects: Twenty-four anesthetized New Zealand White rabbits randomized to control (n = 12) or induced brain injury (n = 12) group. Interventions: After randomization, brain injury was induced by inflation of an intracranial balloon-tipped catheter, and animals were ventilated with a tidal volume of 10 mL/kg and zero end-expiratory pressure for 120 mins. following heart-lung block extraction, isolated and perfused lungs were subjected to injurious ventilation with peak airway pressure 30 cm H2O and positive end-expiratory pressure 5 cm H2O for 30 mins. Measurements and Main Results: No difference was observed between groups in gas exchange, lung mechanics, or hemodynamics during the 2-hr in vivo period following induction of brain injury. However, after 30 mins of ex vivo injurious mechanical ventilation, lungs from the brain injury group showed greater change in ultrafiltration coefficient, weight gain, and alveolar hemorrhage (all p < .05). Conclusions: Massive brain injury might increase lung vulnerability to subsequent injurious mechanical or ischemia-reperfusion insults, thereby increasing the risk of clinical posttransplant graft failure. Copyright © 2005 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins.
KW - Acute lung injury
KW - Brain death
KW - Experimental animal models
KW - Mechanical ventilation
KW - Pulmonary edema
U2 - https://doi.org/10.1097/01.CCM.0000162913.72479.F7
DO - https://doi.org/10.1097/01.CCM.0000162913.72479.F7
M3 - Article
VL - 33
SP - 1077
EP - 1083
JO - Critical Care Medicine
JF - Critical Care Medicine
SN - 0090-3493
ER -