Document Detail


Etiology of the pulmonary pathophysiology associated with inhalation injury.
MedLine Citation:
PMID:  3024279     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study describes an experimental model of smoke inhalation injury in sheep in which the same pathophysiologic alterations occur as with clinical inhalation injury in man. Diffuse pulmonary mucosal sloughing with atelectasis and emphysema with concomitant development of pulmonary edema results in a decrease in arterial oxygen and progressive pulmonary deterioration which results in a substantial mortality. Increased pulmonary edema fluid is shown to be caused by an increased microvascular permeability to protein with pulmonary lymph and tracheobronchial fluid, a filtrate of plasma. Concomitant with this increase in microvascular permeability is an influx of neutrophils, release of proteolytic enzymes and an identified presence of the metabolite of the prostanoid thromboxane A2 which are postulated as contributors to the progressive pulmonary dysfunction post inhalation injury.
Authors:
D N Herndon; L D Traber; H Linares; J D Flynn; G Niehaus; G Kramer; D L Traber
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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:  43-59     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Animals
Burns, Inhalation / complications,  physiopathology*
Capillary Permeability
Extracellular Space / metabolism
Female
Lung / physiopathology*
Lymph / secretion
Neutrophils / metabolism
Peptide Hydrolases / metabolism
Pulmonary Atelectasis / etiology
Pulmonary Edema / etiology
Sheep
Thromboxane A2 / metabolism
Chemical
Reg. No./Substance:
57576-52-0/Thromboxane A2; EC 3.4.-/Peptide Hydrolases

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


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