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Articles in PresS, published online ahead of print November 15, 2002
J Appl Physiol, 10.1152/jap.00619.2002
Submitted on July 9, 2002
Accepted on November 13, 2002
1 Department of Physiology and Pharmacology, University of Western Ontario, Lawson Health Research Institute, London, Ontario, Canada
2 Department of Obstetrics and Gynaecology, University of Western Ontario, Lawson Health Research Institute, London, Ontario, Canada
3 Department of Physiology and Pharmacology, University of Western Ontario, Lawson Health Research Institute, London, Ontario, Canada; Department of Medicine, University of Western Ontario, Lawson Health Research Institute, London, Ontario, Canada; Department of Medicine, University of Western Ontario, Lawson Health Research Institute, London, Ontario, Canada
* To whom correspondence should be addressed. E-mail: tbailey2{at}uwo.ca.
Mechanical ventilation (MV) is a necessary intervention for patients with acute lung injury (ALI). However, MV can propagate ALI and increase systemic inflammation. The exposure to greater than 21% oxygen is often associated with MV, yet has not been examined within the context of lung stretch. We hypothesized that mice exposed to >90% oxygen will be more susceptible to the deleterious effects of high stretch MV. C57B1/6 mice were randomized into 48hr exposure of 21% or >90% oxygen, mice were then sacrificed and isolated lungs were randomized into a non-stretch or an ex vivo high stretch MV group. Lungs were assessed for compliance and lavaged for surfactant analysis and cytokine measurements or lungs were homogenized for surfactant associated protein analysis. Mice exposed to >90% + stretch had significantly lower compliance, altered pulmonary surfactant and increased inflammatory cytokines compared to all other groups. Our conclusion is that 48hrs of >90% oxygen and high stretch MV deleteriously affect lung function to a greater degree than stretch alone.
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