Role of pulmonary edema in the acute pulmonary response to sepsis. 1981

D R McCaffree, and B A Gray, and B E Pennock, and J Coalson, and C Bridges, and F B Taylor, and R M Rogers

There is evidence that both bronchoconstriction and accumulation of lung water may contribute to the early alterations in lung function following septicemia. Eigher of these may be mediated by blood components. To assess these proposed mechanisms the changes in hemodynamics, pulmonary mechanics, gas exchange, and gravimetric lung water were measured in the first 4 h after Escherichia coli infusion in the anesthetized dog and baboon. These species were selected because of previously demonstrated differences in the response to gram-negative sepsis. Both species developed systemic hypotension and early hypoxemia. The dogs had early transient increases in venous admixture (Qva/Qt) but not shunt or dead space, while the baboon had a more persistent increase in Qva/Qt and a late increase in dead space, Increases in nonelastic resistance and decreases in lung compliance were preceded or accompanied by decreases in the leukocyte count in both species, but the platelet count, fibrinogen, and total hemolytic complement had different changes in the two species. Postmortem lung analysis revealed increased lung weight in both species but the wet weight-to-dry weight ratio was not increased in either species. The fractional water content of the excess lung mass was less than that of whole blood. Histological examination revealed large numbers of extravasated leukocytes in the lungs, which may be sufficient to explain the increase in lung weight. We conclude that pulmonary edema does not play a role in the early pulmonary response to E. coli bacteremia in either species. The physiological changes observed are more consistent with bronchoconstriction.

UI MeSH Term Description Entries
D008168 Lung Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood. Lungs
D010215 Papio A genus of the subfamily CERCOPITHECINAE, family CERCOPITHECIDAE, consisting of five named species: PAPIO URSINUS (chacma baboon), PAPIO CYNOCEPHALUS (yellow baboon), PAPIO PAPIO (western baboon), PAPIO ANUBIS (or olive baboon), and PAPIO HAMADRYAS (hamadryas baboon). Members of the Papio genus inhabit open woodland, savannahs, grassland, and rocky hill country. Some authors consider MANDRILLUS a subgenus of Papio. Baboons,Baboons, Savanna,Savanna Baboons,Baboon,Baboon, Savanna,Papios,Savanna Baboon
D011654 Pulmonary Edema Excessive accumulation of extravascular fluid in the lung, an indication of a serious underlying disease or disorder. Pulmonary edema prevents efficient PULMONARY GAS EXCHANGE in the PULMONARY ALVEOLI, and can be life-threatening. Wet Lung,Edema, Pulmonary,Edemas, Pulmonary,Pulmonary Edemas,Lung, Wet,Lungs, Wet,Wet Lungs
D001834 Body Water Fluids composed mainly of water found within the body. Water, Body
D001986 Bronchial Spasm Spasmodic contraction of the smooth muscle of the bronchi. Bronchospasm,Bronchial Spasms,Bronchospasms,Spasm, Bronchial,Spasms, Bronchial
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D004927 Escherichia coli Infections Infections with bacteria of the species ESCHERICHIA COLI. E coli Infections,E. coli Infection,Infections, E coli,Infections, Escherichia coli,E coli Infection,E. coli Infections,Escherichia coli Infection,Infection, E coli,Infection, E. coli,Infection, Escherichia coli
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013045 Species Specificity The restriction of a characteristic behavior, anatomical structure or physical system, such as immune response; metabolic response, or gene or gene variant to the members of one species. It refers to that property which differentiates one species from another but it is also used for phylogenetic levels higher or lower than the species. Species Specificities,Specificities, Species,Specificity, Species

Related Publications

D R McCaffree, and B A Gray, and B E Pennock, and J Coalson, and C Bridges, and F B Taylor, and R M Rogers
January 1999, American journal of respiratory and critical care medicine,
D R McCaffree, and B A Gray, and B E Pennock, and J Coalson, and C Bridges, and F B Taylor, and R M Rogers
September 1985, Clinics in chest medicine,
D R McCaffree, and B A Gray, and B E Pennock, and J Coalson, and C Bridges, and F B Taylor, and R M Rogers
July 1999, Chest,
D R McCaffree, and B A Gray, and B E Pennock, and J Coalson, and C Bridges, and F B Taylor, and R M Rogers
March 1979, Minerva anestesiologica,
D R McCaffree, and B A Gray, and B E Pennock, and J Coalson, and C Bridges, and F B Taylor, and R M Rogers
April 1982, The Journal of trauma,
D R McCaffree, and B A Gray, and B E Pennock, and J Coalson, and C Bridges, and F B Taylor, and R M Rogers
June 1975, Surgery, gynecology & obstetrics,
D R McCaffree, and B A Gray, and B E Pennock, and J Coalson, and C Bridges, and F B Taylor, and R M Rogers
December 1986, Chest,
D R McCaffree, and B A Gray, and B E Pennock, and J Coalson, and C Bridges, and F B Taylor, and R M Rogers
July 1970, Surgery,
D R McCaffree, and B A Gray, and B E Pennock, and J Coalson, and C Bridges, and F B Taylor, and R M Rogers
January 1992, Chest,
D R McCaffree, and B A Gray, and B E Pennock, and J Coalson, and C Bridges, and F B Taylor, and R M Rogers
January 2010, Critical care (London, England),
Copied contents to your clipboard!