1. High amplitude bubble continuous positive airway pressure decreases lung injury in rats with ventilator-induced lung injury
- Author
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Yen-Kuang Lin, Chun Mao Lin, Liang-Ti Huang, Chung-Ming Chen, Chun-Shan Wu, and Hsiu-Chu Chou
- Subjects
Male ,medicine.medical_treatment ,Ventilator-Induced Lung Injury ,030204 cardiovascular system & hematology ,Lung injury ,Rats, Sprague-Dawley ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Animals ,Lung volumes ,Continuous positive airway pressure ,Lung ,Mechanical ventilation ,Respiratory distress ,High amplitude ,Continuous Positive Airway Pressure ,business.industry ,Interleukin-6 ,General Medicine ,Pneumonia ,respiratory system ,Carbon Dioxide ,Rats ,Oxygen ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Anesthesia ,Breathing ,business ,Bronchoalveolar Lavage Fluid - Abstract
Background Bubble continuous positive airway pressure (BCPAP) has been used in neonates with respiratory distress for decades; however, the optimal setting for BCPAP circuits remains unknown. This study compared the gas exchange efficiency and lung protection efficacy between conventional and high-amplitude BCPAP devices. Methods We compared gas exchange, lung volume, and pulmonary inflammation severity among rats with ventilator-induced lung injury (VILI) that were treated with conventional BCPAP (BCPAP with an expiratory limb at 0°), high-amplitude BCPAP (BCPAP with an expiratory limb at 135°), or spontaneous breathing (SB). After mechanical ventilation for 90 minutes, the rats were randomly divided into four groups: a control group (euthanized immediately; n = 3), an SB group (n = 8), and two BCPAP groups that received BCPAP with the expiratory limb at either 0° (n = 8) or 135° (n = 7) for 90 minutes. Results The high-amplitude BCPAP group exhibited significantly lower alveolar protein, lung volume, and Interleukin-6 (IL-6) levels than did the SB group. The high-amplitude BCPAP group exhibited significantly lower IL-6 levels than did the conventional BCPAP group. The two BCPAP groups demonstrated no difference in gas exchange efficiency. Conclusion High-amplitude BCPAP reduced lung inflammation and alveolar overdistension in rats with VILI after mechanical ventilation was ceased. Thus high-amplitude BCPAP may offer a superior lung protective effect than conventional BCPAP.
- Published
- 2019