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| Author(s): |
Diana Maria Martinez Muñoz
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | São Paulo. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Medicina (FM/SBD) |
| Defense date: | 2013-10-02 |
| Examining board members: |
Adriano Mesquita Alencar;
João Cesar Lyra;
Celso Moura Rebello
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| Advisor: | Adriano Mesquita Alencar |
| Abstract | |
Lung surfactant is a complex mixture of phospholipids and proteins, found at the airliquid interface of pulmonary alveoli. The main role is to reduce the surface tension to keep alveoli stable. Surfactant deficiency, or dysfunctional, leads to alveolar collapse, causes a lack of oxygen and it may be due to edema or inflammatory response in the lungs. In newborn babies, pulmonary immaturity, caused by surfactant deficiency, may cause Respiratory Distress Syndrome (RDS). In adults, the Acute Respiratory Distress Syndrome (ARDS) is the gravest manifestation of Acute Lung Injury (ALI), and the treatment includes Mechanical Ventilation (MV) and exogenous surfactants. To understand surfactant functionality, it is necessary to characterize them biophysically. The main characteristic observed in this work was the mobility and recovery of surfactant in the subphase to the air-liquid interface. The mobility and recover were quantified observing the work done in successive cycles of compression and expansion in a Wilhelmy plate tensiometer. The work decay was analyzed over cycles until its stabilization. The parameters obtained for the exponential fitting of decay were used for characterization of two exogenous surfactants, Curosurf® and Survanta®. The comparisons between them were done under concentration, subphases and barrier speeds. The exponential decay of the cycle work only happened for lower concentrations of surfactant. Saline solution subphase improved the surfactant recovery to the air-liquid interface over ultrapure water subphase. A suitable barrier speed founded to optimize surfactant recovery was 120 mm/min. In this study were observed that recovery properties of Curosurf® were better than Survanta®, the parameters agrees with clinical data from the literature, and the dynamic characterization of surfactant was done of different way than founded methods (AU) | |
| FAPESP's process: | 10/04676-0 - Comparative study of the mechanical properties of endogenous and exógenos surfactantes: in model of induced pulmonary injury for ventilation (VILI) Comparison and improvement of the quality. |
| Grantee: | Diana Maria Martinez Munoz |
| Support Opportunities: | Scholarships in Brazil - Master |