Pleural liquid during hemorrhagic hypotension

Respir Physiol Neurobiol. 2007 Feb 15;155(2):184-92. doi: 10.1016/j.resp.2006.04.017. Epub 2006 May 9.

Abstract

The effect of approximately 25% or 35% blood loss (b.l.) on volume, pressure, and protein concentration of pleural liquid has been determined in anesthetized rabbits in lateral or supine posture. Volume and pressure of pleural liquid did not change with 25% b.l. 30 and 60 min after beginning of hemorrhage, and with 35% b.l. at 30 min (bleeding time approximately 10 and 12 min, respectively). With 35% b.l. protein concentration of pleural liquid was 85% greater (P<0.01) than control; moreover, percent albumin was smaller (P<0.05), and percent globulin greater (P<0.05) than control. Decrease in arterial plasma protein concentration, hematocrit, and pH after hemorrhage fit literature data. Ventilation at 15 and 30 min increased (P<0.01) by 16% and 23%, respectively, with 25% b.l., but it did not change with 35% b.l., a condition borderline to survival in anesthetized rabbits without ad hoc treatment. Pleural liquid seems protected against derangements from hemorrhage up to 25% b.l. for periods shorter than 1 h.

MeSH terms

  • Animals
  • Blood Pressure / physiology
  • Disease Models, Animal
  • Female
  • Hemorrhage / complications*
  • Hemorrhage / pathology*
  • Hypotension / etiology*
  • Hypotension / pathology*
  • Male
  • Pleura / metabolism
  • Pleura / physiopathology*
  • Pleural Cavity / metabolism*
  • Pleural Cavity / physiopathology
  • Rabbits
  • Respiration
  • Serum Albumin / metabolism
  • Serum Globulins / metabolism
  • Time Factors

Substances

  • Serum Albumin
  • Serum Globulins