Influence of Hyperoxia and Mechanical Ventilation in Lung Inflammation and Diaphragm Function in Aged Versus Adult Rats

Although assist ventilation with FIO2 0.21 is the preferable mode of ventilation in the intensive care unit, sometimes controlled ventilation with hyperoxia is needed. But the impact of this setting has not been extensively studied in elderly subjects. We hypothesized that a high fraction of inspire...

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Veröffentlicht in:Inflammation 2014-04, Vol.37 (2), p.486-494
Hauptverfasser: Andrade, P. V., dos Santos, J. M., Silva, H. C. A., Wilbert, D. D., Cavassani, S. S., Oliveira-Júnior, I. S.
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container_end_page 494
container_issue 2
container_start_page 486
container_title Inflammation
container_volume 37
creator Andrade, P. V.
dos Santos, J. M.
Silva, H. C. A.
Wilbert, D. D.
Cavassani, S. S.
Oliveira-Júnior, I. S.
description Although assist ventilation with FIO2 0.21 is the preferable mode of ventilation in the intensive care unit, sometimes controlled ventilation with hyperoxia is needed. But the impact of this setting has not been extensively studied in elderly subjects. We hypothesized that a high fraction of inspired oxygen (FiO 2 ) and controlled mechanical ventilation (CMV) is associated with greater deleterious effects in old compared to adult subjects. Adult and old rats were submitted to CMV with low tidal volume (6 ml/kg) and FiO 2 1 during 3 or 6 h. Arterial blood gas samples were measured at 0, 60 and 180 min (four groups: old and adult rats, 3 or 6 h of CMV), and additionally at 360 min (two groups: old and adult rats, 6 h of CMV). Furthermore, total protein content (TPC) and tumor necrosis factor-alpha (TNF-α) in bronchoalveolar lavage were assessed; lung tissue was used for malondialdehyde and histological analyses, and the diaphragm for measurement of contractile function. Arterial blood gas analysis showed an initial (60 min) greater PaO 2 in elderly versus adult animals; after that time, elderly animals had lowers pH and PaO 2 , and greater PaCO 2 . After 3 h of CMV, TPC and TNF-α levels were higher in the old compared with the adult group ( P  
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V. ; dos Santos, J. M. ; Silva, H. C. A. ; Wilbert, D. D. ; Cavassani, S. S. ; Oliveira-Júnior, I. S.</creator><creatorcontrib>Andrade, P. V. ; dos Santos, J. M. ; Silva, H. C. A. ; Wilbert, D. D. ; Cavassani, S. S. ; Oliveira-Júnior, I. S.</creatorcontrib><description>Although assist ventilation with FIO2 0.21 is the preferable mode of ventilation in the intensive care unit, sometimes controlled ventilation with hyperoxia is needed. But the impact of this setting has not been extensively studied in elderly subjects. We hypothesized that a high fraction of inspired oxygen (FiO 2 ) and controlled mechanical ventilation (CMV) is associated with greater deleterious effects in old compared to adult subjects. Adult and old rats were submitted to CMV with low tidal volume (6 ml/kg) and FiO 2 1 during 3 or 6 h. Arterial blood gas samples were measured at 0, 60 and 180 min (four groups: old and adult rats, 3 or 6 h of CMV), and additionally at 360 min (two groups: old and adult rats, 6 h of CMV). Furthermore, total protein content (TPC) and tumor necrosis factor-alpha (TNF-α) in bronchoalveolar lavage were assessed; lung tissue was used for malondialdehyde and histological analyses, and the diaphragm for measurement of contractile function. Arterial blood gas analysis showed an initial (60 min) greater PaO 2 in elderly versus adult animals; after that time, elderly animals had lowers pH and PaO 2 , and greater PaCO 2 . After 3 h of CMV, TPC and TNF-α levels were higher in the old compared with the adult group ( P  &lt; 0.05). After 6 h of MV, malondialdehyde was significantly higher in elderly compared with the adult animals ( P  &lt; 0.05). Histological analysis showed leukocyte infiltration and edema, greater in old animals. 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V.</creatorcontrib><creatorcontrib>dos Santos, J. M.</creatorcontrib><creatorcontrib>Silva, H. C. A.</creatorcontrib><creatorcontrib>Wilbert, D. D.</creatorcontrib><creatorcontrib>Cavassani, S. S.</creatorcontrib><creatorcontrib>Oliveira-Júnior, I. S.</creatorcontrib><title>Influence of Hyperoxia and Mechanical Ventilation in Lung Inflammation and Diaphragm Function in Aged Versus Adult Rats</title><title>Inflammation</title><addtitle>Inflammation</addtitle><addtitle>Inflammation</addtitle><description>Although assist ventilation with FIO2 0.21 is the preferable mode of ventilation in the intensive care unit, sometimes controlled ventilation with hyperoxia is needed. But the impact of this setting has not been extensively studied in elderly subjects. We hypothesized that a high fraction of inspired oxygen (FiO 2 ) and controlled mechanical ventilation (CMV) is associated with greater deleterious effects in old compared to adult subjects. Adult and old rats were submitted to CMV with low tidal volume (6 ml/kg) and FiO 2 1 during 3 or 6 h. Arterial blood gas samples were measured at 0, 60 and 180 min (four groups: old and adult rats, 3 or 6 h of CMV), and additionally at 360 min (two groups: old and adult rats, 6 h of CMV). Furthermore, total protein content (TPC) and tumor necrosis factor-alpha (TNF-α) in bronchoalveolar lavage were assessed; lung tissue was used for malondialdehyde and histological analyses, and the diaphragm for measurement of contractile function. Arterial blood gas analysis showed an initial (60 min) greater PaO 2 in elderly versus adult animals; after that time, elderly animals had lowers pH and PaO 2 , and greater PaCO 2 . After 3 h of CMV, TPC and TNF-α levels were higher in the old compared with the adult group ( P  &lt; 0.05). After 6 h of MV, malondialdehyde was significantly higher in elderly compared with the adult animals ( P  &lt; 0.05). Histological analysis showed leukocyte infiltration and edema, greater in old animals. In diaphragm, twitch contraction with caffeine significantly declined after 6 h of CMV only for the elderly group. 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subjects Age Factors
Animals
Biomedical and Life Sciences
Biomedicine
Blood Gas Analysis
Bronchoalveolar Lavage Fluid - chemistry
Cytomegalovirus
Diaphragm - physiopathology
Disease Models, Animal
Hyperoxia - blood
Hyperoxia - complications
Hyperoxia - immunology
Hyperoxia - pathology
Hyperoxia - physiopathology
Immunology
Inflammation Mediators - metabolism
Internal Medicine
Lung - immunology
Lung - pathology
Lung - physiopathology
Male
Malondialdehyde - metabolism
Muscle Contraction
Pathology
Pharmacology/Toxicology
Pneumonia, Ventilator-Associated - blood
Pneumonia, Ventilator-Associated - etiology
Pneumonia, Ventilator-Associated - immunology
Pneumonia, Ventilator-Associated - pathology
Pneumonia, Ventilator-Associated - physiopathology
Rats
Rats, Wistar
Respiration, Artificial - adverse effects
Rheumatology
Risk Factors
Tidal Volume
Time Factors
Tumor Necrosis Factor-alpha - metabolism
title Influence of Hyperoxia and Mechanical Ventilation in Lung Inflammation and Diaphragm Function in Aged Versus Adult Rats
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