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Related Experiment Video

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Murine Model of Allergen Induced Asthma
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Physiologically variable ventilation in a rabbit model of asthma exacerbation.

André Dos Santos Rocha1, Roberta Südy1, Ferenc Peták2

  • 1Unit for Anaesthesiological Investigations, Department of Acute Medicine, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland.

British Journal of Anaesthesia
|October 19, 2020
PubMed
Summary

Physiologically variable ventilation (PVV) improved gas exchange and reduced lung injury in a severe asthma model compared to pressure-controlled ventilation (PCV). PVV offers a promising alternative for mechanical ventilation in status asthmaticus.

Keywords:
gas exchangelung injurymechanical ventilationrespiratory mechanicsstatus asthmaticus

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Area of Science:

  • Pulmonary Medicine
  • Critical Care Medicine
  • Respiratory Physiology

Background:

  • Mechanical ventilation in status asthmaticus poses significant challenges and risks.
  • Physiologically variable ventilation (PVV) has shown promise in healthy and injured lungs.

Purpose of the Study:

  • To investigate the benefits of PVV compared to pressure-controlled ventilation (PCV) in an experimental model of severe acute asthma.

Main Methods:

  • Allergen-sensitized rabbits underwent mechanical ventilation with either PCV or PVV for 6 hours.
  • Ventilation parameters, oxygenation, respiratory mechanics, and histological lung injury were assessed.

Main Results:

  • PVV demonstrated significantly lower driving pressures and improved oxygenation index (PaO2/FiO2) compared to PCV.
  • PVV maintained tissue elastance, reduced histological lung injury scores, and decreased inflammatory cell counts and protein concentration in bronchoalveolar lavage fluid.

Conclusions:

  • PVV application in a model of asthma exacerbation improved gas exchange, ventilatory pressures, and respiratory mechanics while reducing lung injury.
  • Reduced lung shear stress and improved recruitment effects likely contribute to PVV's benefits in status asthmaticus.