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Spontaneous one-lung ventilation increases the lung inflammatory response : an experimental pilot study

dc.contributor.authorMachado, Humberto S.
dc.contributor.authorSá, Paula
dc.contributor.authorNunes, Catarina S.
dc.contributor.authorCouceiro, António
dc.contributor.authorSilva, Álvaro Moreira da
dc.contributor.authorÁguas, Artur
dc.date.accessioned2015-03-03T11:35:47Z
dc.date.available2015-03-03T11:35:47Z
dc.date.issued2014-08-11
dc.description.abstractStudy objective: The purpose of this study was to investigate if spontaneous one-lung ventilation would induce any type of inflammatory lung response when compared to spontaneous two-lung ventilation and its intensity, by quantification of inflammatory cells in lung histology at the end of the procedure. Design: In vivo prospective randomised animal study Setting: University research laboratory Subjects: New Zealand rabbits Interventions: Rabbits (n=20) were randomly assigned to 4 groups (n=5 each group). Groups 1 and 2 were submitted to one-lung ventilation, during 20 and 75 minutes respectively; groups 3 and 4 were submitted to two-lung ventilation during 20 and 75 minutes and considered controls. Ketamine/xylazine was administered for induction and maintenance of anesthesia. One-lung ventilation was achieved by administration of air into the interpleural space, and left lung collapse was visually confirmed through the centre of the diaphragm. Measurements: Lung histology preparations were observed under light microscopy for quantification of the inflammatory response (light, moderate and severe). Main results: All subjects had at least light inflammatory response. However, rabbits submitted to one-lung ventilation had a statistically significant value for the occurrence of moderate inflammation (p<0.05). The inflammatory response found included mainly eosinophils, with an average proportion of 75/25 to other polymorphonuclear cells. No differences between groups were found regarding gas exchange, heart rate and respiratory rate. Conclusions: In this spontaneous one-lung ventilation model, lung collapse was positively associated with a greater inflammatory response when compared to normal two-lung ventilation.por
dc.identifier.citationMachado, Humberto S. [et al.] - Spontaneous one-lung ventilation increases the lung inflammatory response : an experimental pilot study. "Journal of Anesthesia & Clinical Research" [Em linha]. ISSN 2155-6148. Vol. 8, nº 5 (2014), p. 1-5por
dc.identifier.doi10.4172/2155-6148.1000428
dc.identifier.issn2155-6148
dc.identifier.urihttp://hdl.handle.net/10400.2/3741
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherOMICS Internationalpor
dc.relation.publisherversionhttp://omicsonline.org/open-access/spontaneous-onelung-ventilation-increases-the-lung-inflammatory-response-an-experimental-pilot-study-2155-6148.1000428.php?aid=30807por
dc.subjectInflammatory responsepor
dc.subjectOne-lung ventilationpor
dc.subjectAtelectasispor
dc.titleSpontaneous one-lung ventilation increases the lung inflammatory response : an experimental pilot studypor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUSApor
oaire.citation.endPage5por
oaire.citation.startPage1por
oaire.citation.titleJournal of Anesthesia & Clinical Researchpor
oaire.citation.volume8por
person.familyNameNunes
person.givenNameCatarina S.
person.identifier.ciencia-id691F-CDC2-E26A
person.identifier.orcid0000-0002-8357-0994
rcaap.rightsopenAccesspor
rcaap.typearticlepor
relation.isAuthorOfPublicationcc3069ec-f930-455f-9226-b77e5d2dc14b
relation.isAuthorOfPublication.latestForDiscoverycc3069ec-f930-455f-9226-b77e5d2dc14b

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