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Vol. 84, Issue 3, 1011-1023, March 1998
1 Département d'Anesthésie-Réanimation 2 and 2 Unité Mixte de Recherche 5525 du Centre National de la Recherche Scientifique, Faculté de Médecine de Grenoble, Université Joseph Fourier, 38 700 La Tronche, France; and 3 Department of Physiology, University of South Alabama, Mobile, Alabama 36688
On the basis of
changes in capillary filtration coefficient
(Kfc) in 24 rabbit lungs, we determined whether elevations in pulmonary venous
pressure (Ppv) or blood flow (BF) produced differences in
filtration surface area in oleic acid-injured (OA) or control (Con)
lungs. Lungs were cyclically ventilated and perfused under zone 3 conditions by using blood and 5% albumin with no pharmacological modulation of vascular tone. Pulmonary arterial, venous, and capillary pressures were measured by using arterial, venous, and double occlusion. Before and during each
Kfc-measurement
maneuver, microvascular/total vascular compliance was measured by using
venous occlusion.
Kfc was measured
before and 30 min after injury, by using a Ppv elevation of 7 cmH2O or a BF elevation from 1 to
2 l · min
1 · 100 g
1 to obtain a similar
double occlusion pressure. Pulmonary arterial pressure increased more
with BF than with Ppv in both Con and OA lungs [29 ± 2 vs. 19 ± 0.7 (means ± SE) cmH2O;
P < 0.001]. In OA lungs
compared with Con lungs, values of
Kfc (200 ± 40 vs. 83 ± 14%, respectively; P < 0.01) and microvascular/total vascular compliance ratio (86 ± 4 vs. 68 ± 5%, respectively; P < 0.01) increased more with BF than with Ppv. In conclusion, for a given OA-induced increase in hydraulic conductivity, BF elevation increased filtration surface area more than did Ppv elevation. The steep pulmonary pressure profile induced by increased BF could result in the
recruitment of injured capillaries and could also shift downstream the
compression point of blind (zone 1) and open injured vessels (zone 2).
capillary permeability; pulmonary vascular compliance; filtration surface area; isolated rabbit lung; permeability pulmonary edema
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