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J Appl Physiol 93: 1709-1715, 2002. First published July 12, 2002; doi:10.1152/japplphysiol.00473.2002
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Vol. 93, Issue 5, 1709-1715, November 2002

Transient mechanical benefits of a deep inflation in the injured mouse lung

Gilman Allen1, Lennart K. A. Lundblad1,2, Polly Parsons1, and Jason H. T. Bates1

1 Department of Medicine, Vermont Lung Center, University of Vermont, Burlington, Vermont 05405; and 2 Department of Clinical Physiology, Malmö University Hospital, Lund University, 20512 Malmö, Sweden

The lasting effects of a recruitment maneuver (RM) in the injured lung are not well characterized. We speculated that the reduction in respiratory elastance (H) after a deep inflation (DI) is transient in nature and should be sustained longer at higher positive end-expiratory pressure (PEEP). Thirteen ventilated mice were given 2 DIs at various levels of PEEP before and after saline lavage. Forced oscillations were used to measure H periodically over 7 min after the DIs. Time constants (tau ) were estimated for the post-DI recovery in H. Values for tau  before lavage (80-115 s) were reduced after lavage (13-30 s) at all levels of PEEP (P = 0.0001). PEEP did not significantly influence tau  before or after lavage. The plateau level and total recovery in H after a DI were significantly influenced by PEEP and lavage (P < 0.0001). Our results suggest that for a DI to be beneficial in the injured mouse lung, it may have to be applied several times a minute.

atelectasis; acute lung injury; recruitment; elastance; positive-pressure respiration


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