Lung volume recruitment maneuvers and respiratory system mechanics in mechanically ventilated mice.
The study aim was to establish how recruitment maneuvers (RMs) influence lung mechanics and to determine whether RMs produce lung injury. Healthy BALB/c mice were allocated to receive positive end-expiratory pressure (PEEP) at 2 or 6 cmH(2)O and volume- (20 or 40 mL/kg) or pressure-controlled (25 cmH(2)O) RMs every 5 or 75 min for 150 min. The low-frequency forced oscillation technique was used to measure respiratory input impedance. Large RMs resulting in peak airway opening pressures (P(ao))>30 cmH(2)O did not increase inflammatory response or affect transcutaneous oxygen saturation but significantly lowered airway resistance, tissue damping and tissue elastance; the latter changes are likely associated with the bimodal pressure-volume behavior observed in mice. PEEP increase alone and application of RMs producing peak P(ao) below 25 cmH(2)O did not prevent or reverse changes in lung mechanics; whereas frequent application of substantial RMs on top of elevated PEEP levels produced stable lung mechanics without signs of lung injury.
Division of Clinical Sciences, Telethon Institute for Child Health Research, Centre for Child Health Research, The University of Western Australia, Australia.
Vincenzo
V
Cannizzaro
Luke J
LJ
Berry
Philip K
PK
Nicholls
Graeme R
GR
Zosky
Debra J
DJ
Turner
Zoltán
Z
Hantos
Peter D
PD
Sly
D055371:Acute Lung Injury / Q000209:etiology / Q000503:physiopathology; D000403:Airway Resistance / Q000502:physiology*; D000704:Analysis of Variance; D000818:Animals; D001992:Bronchoalveolar Lavage Fluid; D002452:Cell Count / Q000379:methods; D016207:Cytokines / Q000378:metabolism; D004195:Disease Models, Animal; D005260:Female; D006339:Heart Rate / Q000502:physiology; D008168:Lung / Q000166:cytology / Q000502:physiology*; D008264:Macrophages / Q000378:metabolism / Q000473:pathology; D051379:Mice; D008807:Mice, Inbred BALB C; D010100:Oxygen / Q000378:metabolism; D011175:Positive-Pressure Respiration / Q000379:methods; D012121:Respiration, Artificial; D015656:Respiratory Mechanics / Q000502:physiology*; D012137:Respiratory System; D013990:Tidal Volume / Q000502:physiology; D014139:Tracheostomy / Q000379:methods
D016207:Cytokines; D010100:Oxygen