Document Detail


Rapid but not slow spinal cord compression elicits neurogenic pulmonary edema in the rat.
MedLine Citation:
PMID:  18380532     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The development of neurogenic pulmonary edema (NPE) can be elicited by an immediate epidural balloon compression of the thoracic spinal cord. To evaluate whether a slower balloon inflation could prevent NPE development, we examined the extent of NPE in animals lesioned with a rapid (5 microl - 5 microl - 5 microl) or slow rate (3 microl - 2 microl - 2 microl - 2 microl - 2 microl - 2 microl - 2 microl) of balloon inflation. These groups were compared with the NPE model (immediate inflation to 15 microl) and with healthy controls. Slow balloon inflation prevented NPE development, whereas the pulmonary index and histology revealed a massive pulmonary edema in the group with a rapid rate of balloon inflation. Pulmonary edema was preceded by a considerable decrease in heart rate during the inflation procedure. Moreover, rapid inflation of balloon in spinal channel to either 5 microl or 10 microl did not cause NPE. Thus, a slow rate of balloon inflation in the thoracic epidural space prevents the development of neurogenic pulmonary edema, most likely due to the better adaptation of the organism to acute circulatory changes (rapid elevation of systemic blood pressure accompanied by profound heart rate reduction) during the longer balloon inflation period. It should be noted that spinal cord transection at the same level did not cause neurogenic pulmonary edema.
Authors:
J Sedý; J Zicha; J Kunes; P Jendelová; E Syková
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-04-01
Journal Detail:
Title:  Physiological research / Academia Scientiarum Bohemoslovaca     Volume:  58     ISSN:  0862-8408     ISO Abbreviation:  Physiol Res     Publication Date:  2009  
Date Detail:
Created Date:  2009-04-28     Completed Date:  2009-06-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9112413     Medline TA:  Physiol Res     Country:  Czech Republic    
Other Details:
Languages:  eng     Pagination:  269-77     Citation Subset:  IM    
Affiliation:
Academy of Sciences of the Czech Republic, Prague, Czech Republic. jirisedy@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Animals
Balloon Dilatation / adverse effects,  methods
Blood Pressure
Disease Models, Animal
Epidural Space
Heart Rate
Male
Pulmonary Alveoli / pathology,  physiopathology
Pulmonary Edema / etiology*,  pathology,  physiopathology*
Rats
Rats, Wistar
Spinal Cord Compression / complications*,  physiopathology*
Spinal Cord Injuries / complications,  physiopathology
Thoracic Vertebrae
Time Factors

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


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