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Ventilator-induced lung injury: in vivo and in vitro mechanisms
Michael A Matthay1, Sunita Bhattacharya, Donald Gaver
1Department of Medicine, Cardiovascular Research Institute, University of California, San Francisco 94143-0130, USA. mmatt@itsa.ucsf.edu
American Journal of Physiology. Lung Cellular and Molecular Physiology
|September 13, 2002
Abstract:
A lung-protective ventilator strategy significantly reduces mortality in patients with acute lung injury. Substantial progress has been made in understanding how mechanical stress can injure the lung, both in terms of alterations in barrier properties of the pulmonary endothelium and epithelium as well as in stimulating proinflammatory responses of macrophages and neutrophils.