The Pulmonary Endothelial Glycocalyx Inhibits Nitric Oxide Production from High Tidal Volume Ventilation.

Author(s):  
EP Schmidt ◽  
LE Servinsky ◽  
DB Pearse
2012 ◽  
Vol 51 (1) ◽  
pp. 82-90 ◽  
Author(s):  
Juliana Monte Real ◽  
Graziela Machado Gruner Turco Spilborghs ◽  
Mariana Morato-Marques ◽  
Ricardo Pereira de Moura ◽  
Elnara Marcia Negri ◽  
...  

2003 ◽  
Vol 284 (5) ◽  
pp. L791-L798 ◽  
Author(s):  
James A. Frank ◽  
Jean-François Pittet ◽  
Hyon Lee ◽  
Micaela Godzich ◽  
Michael A. Matthay

Tidal volume reduction during mechanical ventilation reduces mortality in patients with acute lung injury and the acute respiratory distress syndrome. To determine the mechanisms underlying the protective effect of low tidal volume ventilation, we studied the time course and reversibility of ventilator-induced changes in permeability and distal air space edema fluid clearance in a rat model of ventilator-induced lung injury. Anesthetized rats were ventilated with a high tidal volume (30 ml/kg) or with a high tidal volume followed by ventilation with a low tidal volume of 6 ml/kg. Endothelial and epithelial protein permeability were significantly increased after high tidal volume ventilation but returned to baseline levels when tidal volume was reduced. The basal distal air space fluid clearance (AFC) rate decreased by 43% ( P < 0.05) after 1 h of high tidal volume but returned to the preventilation rate 2 h after tidal volume was reduced. Not all of the effects of high tidal volume ventilation were reversible. The cAMP-dependent AFC rate after 1 h of 30 ml/kg ventilation was significantly reduced and was not restored when tidal volume was reduced. High tidal volume ventilation also increased lung inducible nitric oxide synthase (NOS2) expression and air space total nitrite at 3 h. Inhibition of NOS2 activity preserved cAMP-dependent AFC. Because air space edema fluid inactivates surfactant and reduces ventilated lung volume, the reduction of cAMP-dependent AFC by reactive nitrogen species may be an important mechanism of clinical ventilator-associated lung injury.


2017 ◽  
Vol 113 (1) ◽  
pp. 101-108 ◽  
Author(s):  
Anne Marie W. Bartosch ◽  
Rick Mathews ◽  
John M. Tarbell

2008 ◽  
Vol 21 (1) ◽  
pp. 54-60 ◽  
Author(s):  
Andrea Lessa ◽  
Cleide Suguihara ◽  
Shuming Xianyu ◽  
Dorothy Hehre ◽  
Carlos Devia ◽  
...  

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