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Vol. 84, Issue 4, 1381-1387, April 1998
1 Department of Biomedical Engineering and 2 Center for Pulmonary Research, Vanderbilt University, Nashville, Tennessee 37235
In this study, lung filtration coefficient
(Kfc) was
measured in eight isolated canine lung preparations by using three
methods: standard gravimetric (Std), blood-corrected gravimetric (BC), and optical. The lungs were held in zone III conditions and were subjected to an average venous pressure increase of 8.79 ± 0.93 (mean ± SD) cmH2O. The
permeability of the lungs was increased with an infusion of alloxan (75 mg/kg). The resulting
Kfc values (in
milliliters · min
1 · cmH2O
1 · 100 g dry lung weight
1)
measured by using Std and BC gravimetric techniques before vs. after
alloxan infusion were statistically different: Std, 0.527 ± 0.290 vs. 1.966 ± 0.283; BC, 0.313 ± 0.290 vs. 1.384 ± 0.290. However, the optical technique did not show any statistical
difference between pre- and postinjury with alloxan, 0.280 ± 0.305 vs. 0.483 ± 0.297, respectively. The alloxan injury, quantified by
using multiple-indicator techniques, showed an increase in permeability and a corresponding decrease in reflection coefficient for albumin (
f). Because the optical
method measures the product of
Kfc and
f, this study shows that
albumin should not be used as an intravascular optical filtration
marker when permeability is elevated. However, the optical technique,
along with another means of measuring
Kfc (such as BC),
can be used to calculate the
f
of a tracer (in this study,
f
of 0.894 at baseline and 0.348 after injury). Another important finding
of this study was that the ratio of baseline-to-injury Kfc values was
not statistically different for Std and BC techniques, indicating that
the percent contribution of slow blood-volume increases does not change
because of injury.
Evans blue; permeability; gravimeteric techniques
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S. D. Caruthers, C. B. Paschal, N. A. Pou, R. J. Roselli, and T. R. Harris Regional measurements of pulmonary edema by using magnetic resonance imaging J Appl Physiol, June 1, 1998; 84(6): 2143 - 2153. [Abstract] [Full Text] [PDF] |
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