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

J Appl Physiol (1985). 2002 Nov;93(5):1709-15. doi: 10.1152/japplphysiol.00473.2002.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Elasticity
  • Female
  • Inhalation / physiology*
  • Lung / physiopathology
  • Lung Diseases / physiopathology*
  • Mice
  • Mice, Inbred BALB C
  • Positive-Pressure Respiration
  • Recovery of Function
  • Respiratory Mechanics*
  • Time Factors