Document Detail


Comparison of effects of perflubron and surfactant lung lavage on pulmonary gas exchange in a piglet model of meconium aspiration.
MedLine Citation:
PMID:  11844883     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a piglet model of meconium aspiration we compared lavage with surfactant with that with perflubron (PFOB) and a control group. A human meconium suspension was instilled into piglets which were randomized in 3 (n = 6 each) groups. After lung injury, the control group was ventilated with high-frequency oscillatory ventilation (HFOV) without suctioning and lavage. A second group was lavaged with 10 ml/kg diluted surfactant, a third with 10 ml/kg pre-oxygenated PFOB. Thereafter, the animals of both groups were ventilated with HFOV. After lung injury by instillation of meconium, no further improvement in oxygenation was possible in animals of the control group and 3 piglets died during the ventilation. The subjects of the surfactant group improved promptly, and at the end of the study the arterial pO(2) was significantly better than immediately after injury as compared with the other groups. Lavage with PFOB had intermediate effects in gas exchange and oxygenation compared to surfactant lavage. No differences were observed in arterial blood pressure and heart rate as well as in histological lung injury score between all groups. Lavage with exogenous surfactant as well as with PFOB improve pulmonary gas exchange in a piglet model of meconium aspiration.
Authors:
Rolf L Schlösser; Alex Veldman; Doris Fischer; Benjamin Funk; Jörg Brand; Volker von Loewenich
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Biology of the neonate     Volume:  81     ISSN:  0006-3126     ISO Abbreviation:  Biol. Neonate     Publication Date:  2002  
Date Detail:
Created Date:  2002-02-14     Completed Date:  2002-06-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0247551     Medline TA:  Biol Neonate     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  126-31     Citation Subset:  IM    
Copyright Information:
Copyright 2002 S. Karger AG, Basel
Affiliation:
Department of Pediatrics, Johann-Wolfgang-Goethe University Hospital, Frankfurt/Main, Germany. rschloesser@zki.uni-frankfurt.de
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MeSH Terms
Descriptor/Qualifier:
Animals
Animals, Newborn
Bronchoalveolar Lavage*
Disease Models, Animal
Fluorocarbons / pharmacology*
High-Frequency Ventilation
Histocytochemistry
Humans
Infant, Newborn
Meconium Aspiration Syndrome / drug therapy,  pathology,  therapy*
Pulmonary Gas Exchange / drug effects*
Random Allocation
Statistics, Nonparametric
Surface-Active Agents / pharmacology*
Swine
Swine Diseases / pathology,  therapy*
Chemical
Reg. No./Substance:
0/Fluorocarbons; 0/Surface-Active Agents; 423-55-2/perflubron

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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