Reducing atelectasis attenuates bacterial growth and translocation in experimental pneumonia

AH Van Kaam, RA Lachmann, E Herting… - American Journal of …, 2004 - atsjournals.org
Besides being one of the mechanisms responsible for ventilator-induced lung injury,
atelectasis also seems to aggravate the course of experimental pneumonia. In this study, we …

Ventilator-associated pneumonia and atelectasis: evaluation through bronchoalveolar lavage fluid analysis

G Nakos, H Tsangaris, S Liokatis, E Kitsiouli… - Intensive care …, 2003 - Springer
Objective Surfactant offers protection against alveolar collapse and contributes to the local
defense mechanism, but it is unclear if surfactant alterations have a role in the development …

Pulmonary surfactant is altered during mechanical ventilation of isolated rat lung

RAW Veldhuizen, LN Tremblay… - Critical care …, 2000 - journals.lww.com
Objective To test the hypothesis that the lung injury induced by certain mechanical
ventilation strategies is associated with changes in the pulmonary surfactant system. Design …

Variable ventilation induces endogenous surfactant release in normal guinea pigs

SP Arold, B Suki, AM Alencar… - … of Physiology-Lung …, 2003 - journals.physiology.org
Variable or noisy ventilation, which includes random breath-to-breath variations in tidal
volume (Vt) and frequency, has been shown to consistently improve blood oxygenation …

Positive end-expiratory pressure after a recruitment maneuver prevents both alveolar collapse and recruitment/derecruitment

JM Halter, JM Steinberg, HJ Schiller… - American journal of …, 2003 - atsjournals.org
We tested the hypothesis that collapsed alveoli opened by a recruitment maneuver would be
unstable or recollapse without adequate positive end-expiratory pressure (PEEP) after …

Ventilation strategies affect surfactant aggregate conversion in acute lung injury.

Y Ito, RA Veldhuizen, LJ Yao, LA McCaig… - American journal of …, 1997 - atsjournals.org
This study evaluated the effects of varying tidal volumes (VT) and positive end-expiratory
pressure (PEEP) levels on surfactant aggregate conversion and lung function in an animal …

Surfactant dysfunction makes lungs vulnerable to repetitive collapse and reexpansion.

V Taskar, J John, E Evander, B Robertson… - American journal of …, 1997 - atsjournals.org
Reexpansion of collapsed lung creates intrapulmonary shear forces. In an earlier study we
showed that application of a negative end-expiratory airway pressure (NEEP) to normal …

Infectious and inflammatory dissemination are affected by ventilation strategy in rats with unilateral pneumonia

F Schortgen, L Bouadma, ML Joly-Guillou… - Intensive care …, 2004 - Springer
Objective To evaluate the effect of VT reduction and alveolar recruitment on systemic and
contralateral dissemination of bacteria and inflammation during right-side pneumonia …

The relationship of inoculum size to lung bacterial clearance and phagocytic cell response in mice

GB Toews, GN Gross, AK Pierce - American Review of Respiratory …, 1979 - atsjournals.org
We investigated the effect of inoculum size on early pulmonary bacterial clearance of
Staphylococcus aureus, Pseudomonas aeruginosa, and Klebsiella pneumoniae, and …

Lung volume recruitment after surfactant administration modifies spatial distribution of ventilation

I Frerichs, PA Dargaville… - American journal of …, 2006 - atsjournals.org
Rationale: Although surfactant replacement therapy is an established treatment in infant
respiratory distress syndrome, the optimum strategy for ventilatory management before …