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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Inflammatory lung injury in rabbits: effects of high-frequency oscillatory ventilation in the prone position

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Author(s):
Jose Roberto Fioretto [1] ; Rafaelle Batistella Pires [2] ; Susiane Oliveira Klefens [3] ; Cilmery Suemi Kurokawa [4] ; Mario Ferreira Carpi [5] ; Rossano César Bonatto [6] ; Marcos Aurélio Moraes [7] ; Carlos Fernando Ronchi
Total Authors: 8
Affiliation:
[1] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu - Brasil
[2] Universidade de São Paulo. Hospital de Reabilitação de Anomalias Craniofaciais - Brasil
[3] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu - Brasil
[4] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu - Brasil
[5] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu - Brasil
[6] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu - Brasil
[7] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu - Brasil
Total Affiliations: 8
Document type: Journal article
Source: Jornal Brasileiro de Pneumologia; v. 45, n. 5 2019-03-25.
Abstract

ABSTRACT Objective: To compare the effects that prone and supine positioning during high-frequency oscillatory ventilation (HFOV) have on oxygenation and lung inflammation, histological injury, and oxidative stress in a rabbit model of acute lung injury (ALI). Methods: Thirty male Norfolk white rabbits were induced to ALI by tracheal saline lavage (30 mL/kg, 38°C). The injury was induced during conventional mechanical ventilation, and ALI was considered confirmed when a PaO2/FiO2 ratio < 100 mmHg was reached. Rabbits were randomly divided into two groups: HFOV in the supine position (SP group, n = 15); and HFOV with prone positioning (PP group, n = 15). For HFOV, the mean airway pressure was initially set at 16 cmH2O. At 30, 60, and 90 min after the start of the HFOV protocol, the mean airway pressure was reduced to 14, 12, and 10 cmH2O, respectively. At 120 min, the animals were returned to or remained in the supine position for an extra 30 min. We evaluated oxygenation indices and histological lung injury scores, as well as TNF-α levels in BAL fluid and lung tissue. Results: After ALI induction, all of the animals showed significant hypoxemia, decreased respiratory system compliance, decreased oxygenation, and increased mean airway pressure in comparison with the baseline values. There were no statistically significant differences between the two groups, at any of the time points evaluated, in terms of the PaO2 or oxygenation index. However, TNF-α levels in BAL fluid were significantly lower in the PP group than in the SP group, as were histological lung injury scores. Conclusions: Prone positioning appears to attenuate inflammatory and histological lung injury during HFOV in rabbits with ALI. (AU)

FAPESP's process: 10/06242-8 - Prone position associated with high-frequency oscillatory ventilation and conventional protective mechanical ventilation in model of acute respiratory distress syndrome in rabbits
Grantee:José Roberto Fioretto
Support Opportunities: Regular Research Grants