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Vol. 83, Issue 6, 1849-1856, December 1997
Department of Anesthesiology and Intensive Care Medicine, School of Medicine, Kanazawa University, Kanazawa 920; and Department of Molecular Pathology, Chest Disease Research Institute, Kyoto University, Kyoto 606, Japan
Received 10 March 1997; accepted in final form 28 July 1997.
Kobayashi, Tsutomu, Katsumi Tashiro, Ken Yamamoto, Shunichi
Nitta, Shigeo Ohmura, and Yasuhiro Suzuki. Effects of surfactant proteins SP-B and SP-C on dynamic and static mechanics of immature lungs. J. Appl. Physiol. 83(6):
1849-1856, 1997.
To investigate the effects of surfactant
proteins B (SP-B) and C (SP-C) on lung mechanics, we compared tidal and
static lung volumes of immature rabbits anesthetized with pentobarbital
sodium and given reconstituted test surfactants (RTS).
With a series of RTS having various SP-B concentrations (0-0.7%)
but a fixed SP-C concentration (1.4%), both the tidal volume with
25-cmH2O insufflation pressure and the static volume deflated to
5-cmH2O airway pressure increased, significantly correlating with the SP-B concentration: the former increased from 6.5 to 26.0 ml/kg (mean), and the latter increased from
6.4 to 31.8 ml/kg. With another series of RTS having a
fixed SP-B concentration (0.7%) but various SP-C concentrations
(0-1.4%), the tidal volume increased from 5.1 to 24.8 ml/kg,
significantly correlating with the SP-C concentration, whereas the
static volume increased from 3.4 to 32.0 ml/kg, the ceiling value, in
the presence of a minimal concentration of SP-C (0.18%). In
conclusion, certain doses of SP-B and SP-C were indispensable for
optimizing dynamic lung mechanics; the static mechanics, however,
required significantly less SP-C.
lung volume; newborn rabbit; surface adsorption; tidal volume; ventilation
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