title: Bilateral lavage with diluted surfactant improves lung function after unilateral lung contusion in pigs.
abstract: OBJECTIVE
  This study evaluates the effects of bronchoalveolar lavage with diluted surfactant on unilateral lung contusion-induced lung dysfunction.
  
  
  METHODS
  Randomized prospective animal study.
  
  
  METHODS
  An animal laboratory.
  
  
  METHODS
  Twenty adult pigs, weighing 25-35 kg.
  
  
  METHODS
  Animals were randomly assigned to controls and surfactant treatment. Bilateral lavage with surfactant treatment began 30 mins after unilateral lung contusion. Then 25 mg/kg of body weight diluted Curosurf (5 mg/mL) was applied in a volume of 5 mL/kg of body weight. Observation time was 8 hrs postinjury.
  
  
  RESULTS
  The Pao2/Fio2 ratio fell from 500 to 250 and then recovered gradually in controls and surfactant-treated pigs. After another 4 hrs, the Pao2/Fio2 ratio deteriorated again in controls, but not in surfactant-treated animals. Total compliance fell by 50% after injury but was completely restored by surfactant treatment. Lung contusion increased the median number of neutrophils in bronchoalveolar lavage fluid from 2% to 30% of total cells and peaked >60% at 480 mins in the contused lungs of control pigs. Surfactant-treated pigs had 40% neutrophils at 480 mins without reaching significant difference to controls. The leukocyte neutral proteinase inhibitor increased to 500 ng/mL at 30 mins postinjury in the contused lungs and increased to 2000 ng/mL after surfactant treatment.
  
  
  CONCLUSIONS
  Bilateral bronchoalveolar lavage with diluted surfactant can effectively improve lung function after experimental unilateral lung contusion in pigs.
authors.affiliation: Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, Donaueschingenstrasse13, 1200 Vienna, Austria.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Strohmaier
authors.forename: Arnold
authors.initials: A
authors.lastname: Trupka
authors.forename: Claudia
authors.initials: C
authors.lastname: Pfeiler
authors.forename: Martin
authors.initials: M
authors.lastname: Thurnher
authors.forename: Zafar
authors.initials: Z
authors.lastname: Khakpour
authors.forename: Cornelia
authors.initials: C
authors.lastname: Gippner-Steppert
authors.forename: Marianne
authors.initials: M
authors.lastname: Jochum
authors.forename: Heinz
authors.initials: H
authors.lastname: Redl
mesh_terms: D000818:Animals; D001688:Biological Products / Q000008:administration & dosage*; D001794:Blood Pressure / Q000502:physiology; D018893:Bronchoalveolar Lavage / Q000379:methods*; D002302:Cardiac Output / Q000502:physiology; D003288:Contusions / Q000503:physiopathology / Q000628:therapy*; D008168:Lung / Q000503:physiopathology; D055370:Lung Injury; D010743:Phospholipids / Q000008:administration & dosage*; D011663:Pulmonary Surfactants / Q000008:administration & dosage*; D012129:Respiratory Function Tests; D012965:Sodium Chloride / Q000008:administration & dosage*; D013552:Swine
chemical_list: D001688:Biological Products; D010743:Phospholipids; D011663:Pulmonary Surfactants; D012965:Sodium Chloride; C068291:poractant alfa