Effect of position, nitric oxide, and almitrine on lung perfusion in a porcine model of acute lung injury

Service de Réanimation Médicale et Assistance Respiratoire, Lyon 69004; Equipe d'Accueil Universitaire 1896, Université Claude Bernard Lyon I, 69008 Lyon; Centre d'Exploration et de Recherche Médicales par Emission de Positons, Hôpital Neuro-Cardiologique, 69003 Lyon, France In a porcine m...

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Veröffentlicht in:Journal of applied physiology (1985) 2002-12, Vol.93 (6), p.2181-2191
Hauptverfasser: Richard, J. C, Janier, M, Lavenne, F, Berthier, V, Lebars, D, Annat, G, Decailliot, F, Guerin, C
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container_end_page 2191
container_issue 6
container_start_page 2181
container_title Journal of applied physiology (1985)
container_volume 93
creator Richard, J. C
Janier, M
Lavenne, F
Berthier, V
Lebars, D
Annat, G
Decailliot, F
Guerin, C
description Service de Réanimation Médicale et Assistance Respiratoire, Lyon 69004; Equipe d'Accueil Universitaire 1896, Université Claude Bernard Lyon I, 69008 Lyon; Centre d'Exploration et de Recherche Médicales par Emission de Positons, Hôpital Neuro-Cardiologique, 69003 Lyon, France In a porcine model of oleic acid-induced lung injury, the effects of inhaled nitric oxide (iNO) and intravenous almitrine bismesylate (ivALM), which enhances the hypoxic pulmonary vasoconstriction on the distribution of regional pulmonary blood flow (PBF), were assessed. After injection of 0.12 ml/kg oleic acid, 20 anesthetized and mechanically ventilated piglets [weight of 25 ± 2.6 (SD) kg] were randomly divided into four groups: supine position, prone position, and 10 ppm iNO for 40 min followed by 4 µg · kg 1 · min 1 ivALM for 40 min in supine position and in prone position. PBF was measured with positron emission tomography and H 2 15 O. The redistribution of PBF was studied on a pixel-by-pixel basis. Positron emission tomography scans were performed before and then 120, 160, and 200 min after injury. With prone position alone, although PBF remained prevalent in the dorsal regions it was significantly redistributed toward the ventral regions ( P  
doi_str_mv 10.1152/japplphysiol.00313.2002
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C ; Janier, M ; Lavenne, F ; Berthier, V ; Lebars, D ; Annat, G ; Decailliot, F ; Guerin, C</creator><creatorcontrib>Richard, J. C ; Janier, M ; Lavenne, F ; Berthier, V ; Lebars, D ; Annat, G ; Decailliot, F ; Guerin, C</creatorcontrib><description>Service de Réanimation Médicale et Assistance Respiratoire, Lyon 69004; Equipe d'Accueil Universitaire 1896, Université Claude Bernard Lyon I, 69008 Lyon; Centre d'Exploration et de Recherche Médicales par Emission de Positons, Hôpital Neuro-Cardiologique, 69003 Lyon, France In a porcine model of oleic acid-induced lung injury, the effects of inhaled nitric oxide (iNO) and intravenous almitrine bismesylate (ivALM), which enhances the hypoxic pulmonary vasoconstriction on the distribution of regional pulmonary blood flow (PBF), were assessed. After injection of 0.12 ml/kg oleic acid, 20 anesthetized and mechanically ventilated piglets [weight of 25 ± 2.6 (SD) kg] were randomly divided into four groups: supine position, prone position, and 10 ppm iNO for 40 min followed by 4 µg · kg 1 · min 1 ivALM for 40 min in supine position and in prone position. PBF was measured with positron emission tomography and H 2 15 O. The redistribution of PBF was studied on a pixel-by-pixel basis. Positron emission tomography scans were performed before and then 120, 160, and 200 min after injury. With prone position alone, although PBF remained prevalent in the dorsal regions it was significantly redistributed toward the ventral regions ( P  &lt; 0.001). A ventral redistribution of PBF was also obtained with iNO regardless of the position ( P  = 0.043). Adjunction of ivALM had no further effect on PBF redistribution. PP and iNO have an additive effect on ventral redistribution of PBF. prone position; oleic acid; pulmonary blood flow; positron emission tomography; inhaled nitric oxide</description><identifier>ISSN: 8750-7587</identifier><identifier>EISSN: 1522-1601</identifier><identifier>DOI: 10.1152/japplphysiol.00313.2002</identifier><identifier>PMID: 12391113</identifier><identifier>CODEN: JAPHEV</identifier><language>eng</language><publisher>Bethesda, MD: Am Physiological Soc</publisher><subject>Acute Disease ; Administration, Inhalation ; Almitrine - pharmacology ; Animals ; Biological and medical sciences ; Disease Models, Animal ; Injuries ; Lung Diseases - diagnostic imaging ; Lung Diseases - physiopathology ; Male ; Medical sciences ; Nitric oxide ; Nitric Oxide - pharmacology ; Oleic Acid - pharmacology ; Pneumology ; Prone Position ; Pulmonary Circulation - drug effects ; Pulmonary Circulation - physiology ; Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. 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C</creatorcontrib><creatorcontrib>Janier, M</creatorcontrib><creatorcontrib>Lavenne, F</creatorcontrib><creatorcontrib>Berthier, V</creatorcontrib><creatorcontrib>Lebars, D</creatorcontrib><creatorcontrib>Annat, G</creatorcontrib><creatorcontrib>Decailliot, F</creatorcontrib><creatorcontrib>Guerin, C</creatorcontrib><title>Effect of position, nitric oxide, and almitrine on lung perfusion in a porcine model of acute lung injury</title><title>Journal of applied physiology (1985)</title><addtitle>J Appl Physiol (1985)</addtitle><description>Service de Réanimation Médicale et Assistance Respiratoire, Lyon 69004; Equipe d'Accueil Universitaire 1896, Université Claude Bernard Lyon I, 69008 Lyon; Centre d'Exploration et de Recherche Médicales par Emission de Positons, Hôpital Neuro-Cardiologique, 69003 Lyon, France In a porcine model of oleic acid-induced lung injury, the effects of inhaled nitric oxide (iNO) and intravenous almitrine bismesylate (ivALM), which enhances the hypoxic pulmonary vasoconstriction on the distribution of regional pulmonary blood flow (PBF), were assessed. After injection of 0.12 ml/kg oleic acid, 20 anesthetized and mechanically ventilated piglets [weight of 25 ± 2.6 (SD) kg] were randomly divided into four groups: supine position, prone position, and 10 ppm iNO for 40 min followed by 4 µg · kg 1 · min 1 ivALM for 40 min in supine position and in prone position. PBF was measured with positron emission tomography and H 2 15 O. The redistribution of PBF was studied on a pixel-by-pixel basis. Positron emission tomography scans were performed before and then 120, 160, and 200 min after injury. With prone position alone, although PBF remained prevalent in the dorsal regions it was significantly redistributed toward the ventral regions ( P  &lt; 0.001). A ventral redistribution of PBF was also obtained with iNO regardless of the position ( P  = 0.043). Adjunction of ivALM had no further effect on PBF redistribution. PP and iNO have an additive effect on ventral redistribution of PBF. prone position; oleic acid; pulmonary blood flow; positron emission tomography; inhaled nitric oxide</description><subject>Acute Disease</subject><subject>Administration, Inhalation</subject><subject>Almitrine - pharmacology</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Disease Models, Animal</subject><subject>Injuries</subject><subject>Lung Diseases - diagnostic imaging</subject><subject>Lung Diseases - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nitric oxide</subject><subject>Nitric Oxide - pharmacology</subject><subject>Oleic Acid - pharmacology</subject><subject>Pneumology</subject><subject>Prone Position</subject><subject>Pulmonary Circulation - drug effects</subject><subject>Pulmonary Circulation - physiology</subject><subject>Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases</subject><subject>Respiratory diseases</subject><subject>Respiratory Mechanics - drug effects</subject><subject>Respiratory Mechanics - physiology</subject><subject>Respiratory System Agents - pharmacology</subject><subject>Supine Position</subject><subject>Swine</subject><subject>Tomography, Emission-Computed</subject><issn>8750-7587</issn><issn>1522-1601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV1vFCEYhYnR2LX1Lygx0XjRWfmcj0vTtNqkiTftNWEY2GXDwAhD7P57GXdijUm5IeF9zjnAAeA9RluMOflykNPkpv0x2eC2CFFMtwQh8gJsypRUuEb4Jdi0DUdVw9vmDLxJ6YAQZozj1-AME9phjOkG2GtjtJphMHAKyc42-Evo7RytguHRDvoSSj9A6cblzGsYPHTZ7-Cko8kl3kProSziqJbxGAbtFjep8qxPqPWHHI8X4JWRLum3634OHm6u76--V3c_vt1efb2rFGNsriRre6JILWnfKSwl703NeK85pUZ1jWKD4rJnNelVxyQydacUR21NKNE9l4ieg08n3ymGn1mnWYw2Ke2c9DrkJBpSN5wjUsAP_4GHkKMvdxOkLMx50xSoOUEqhpSiNmKKdpTxKDASSxXi3yrEnyrEUkVRvlvtcz_q4Um3_n0BPq6ATEo6E6VXNj1xDNFS1_Kgzydub3f7XzZqsaaF3XFJFx0VtSC4xQVlz6M32bl7_Tgvmr8SMQ2G_gaYrbd6</recordid><startdate>20021201</startdate><enddate>20021201</enddate><creator>Richard, J. 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After injection of 0.12 ml/kg oleic acid, 20 anesthetized and mechanically ventilated piglets [weight of 25 ± 2.6 (SD) kg] were randomly divided into four groups: supine position, prone position, and 10 ppm iNO for 40 min followed by 4 µg · kg 1 · min 1 ivALM for 40 min in supine position and in prone position. PBF was measured with positron emission tomography and H 2 15 O. The redistribution of PBF was studied on a pixel-by-pixel basis. Positron emission tomography scans were performed before and then 120, 160, and 200 min after injury. With prone position alone, although PBF remained prevalent in the dorsal regions it was significantly redistributed toward the ventral regions ( P  &lt; 0.001). A ventral redistribution of PBF was also obtained with iNO regardless of the position ( P  = 0.043). Adjunction of ivALM had no further effect on PBF redistribution. PP and iNO have an additive effect on ventral redistribution of PBF. prone position; oleic acid; pulmonary blood flow; positron emission tomography; inhaled nitric oxide</abstract><cop>Bethesda, MD</cop><pub>Am Physiological Soc</pub><pmid>12391113</pmid><doi>10.1152/japplphysiol.00313.2002</doi><tpages>11</tpages></addata></record>
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source MEDLINE; American Physiological Society; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Acute Disease
Administration, Inhalation
Almitrine - pharmacology
Animals
Biological and medical sciences
Disease Models, Animal
Injuries
Lung Diseases - diagnostic imaging
Lung Diseases - physiopathology
Male
Medical sciences
Nitric oxide
Nitric Oxide - pharmacology
Oleic Acid - pharmacology
Pneumology
Prone Position
Pulmonary Circulation - drug effects
Pulmonary Circulation - physiology
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Respiratory diseases
Respiratory Mechanics - drug effects
Respiratory Mechanics - physiology
Respiratory System Agents - pharmacology
Supine Position
Swine
Tomography, Emission-Computed
title Effect of position, nitric oxide, and almitrine on lung perfusion in a porcine model of acute lung injury
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