Document Detail


Continuous intravenous infusion of elastase in normal and agranulocytic minipigs--effects on the lungs and the blood coagulation system.
MedLine Citation:
PMID:  3024280     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In order to investigate the acute effects on lung morphology, lung function, hemodynamic and blood coagulation system, elastase (330 units (U) kg-1 h-1) was continuously infused into 16 anesthetized and mechanically ventilated minipigs. Elastase infusion induced a disturbance of blood coagulation leading to hypocoagulability, a pulmonary leukostasis, interstitial edema, a progressive respiratory failure with prompt increase in pulmonary vascular resistance, decrease in systemic vascular resistance, increased venous admixture, and increased dead space ventilation. Agranulocytosis prevented interstitial edema but not disturbances in pulmonary or hemodynamic function or hypocoagulability. The results clearly indicate that elastase may be involved in the pathophysiology of acute lung failure and defects in the blood coagulation system.
Authors:
T Stokke; H Burchardi; I Hensel; H Köstering; T Käthner; G Rahlf
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Resuscitation     Volume:  14     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  1986 Sep 
Date Detail:
Created Date:  1987-01-06     Completed Date:  1987-01-06     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  61-79     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Agranulocytosis / physiopathology*
Animals
Blood Coagulation / drug effects*
Hemodynamics
Lung / drug effects*,  physiopathology
Pancreatic Elastase / toxicity*
Pulmonary Gas Exchange
Respiratory Distress Syndrome, Adult / etiology,  physiopathology
Swine
Swine, Miniature
Chemical
Reg. No./Substance:
EC 3.4.21.36/Pancreatic Elastase

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