Document Detail


Separate thoracic and abdominal lymph flow in the dog.
MedLine Citation:
PMID:  3524088     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present results from an improved dog model, in which lymph flows from the thorax and abdomen are separated. The effect of increased alveolar pressure on lymph flows was studied by the application of positive end expiratory pressure (PEEP). Mean (+/- SD) thoracic lymph flow in 10 dogs was 4.1 ml/h (+/- 2.9) before, and 27.0 ml/h (+/- 17) after the induction of lung damage with oleic acid. Thoracic lymph flow was depressed by 50% with the application of a PEEP of 1.0 kPa (10 cm H2O), both before and after lung damage, thus impeding the drainage of the lung tissue. Abdominal lymph flow increased from 57 +/- 29 ml/h to 111 +/- 65 ml/h with the application of a PEEP of 1.0 kPa. These simulated events in a surgical area demonstrate the risk of causing excessive edema with PEEP. We conclude that if the application of PEEP in a clinical situation is necessary then the additional risk factors (increased extravascular lung water, increased edema in surgical areas) that have been presented should be taken into consideration.
Authors:
C Frostell; H Blomqvist; R Pieper; G Hedenstierna
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta chirurgica Scandinavica. Supplementum     Volume:  530     ISSN:  0301-1860     ISO Abbreviation:  Acta Chir Scand Suppl     Publication Date:  1986  
Date Detail:
Created Date:  1986-07-25     Completed Date:  1986-07-25     Revised Date:  2007-12-06    
Medline Journal Info:
Nlm Unique ID:  0370305     Medline TA:  Acta Chir Scand Suppl     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  5-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Abdomen*
Animals
Dogs
Female
Lymph / physiology*
Lymphatic System / physiology
Male
Positive-Pressure Respiration
Respiratory Distress Syndrome, Adult / physiopathology
Risk
Thoracic Duct*

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


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