Pulmonary haemodynamics in acute experimental lung vascular injury

Acute lung injury was induced by intravenous injection of 20 microl of a mixture of equivalent volumes of capronic acid, caprilic acid and olive oil in intact anaesthetized rats and in isolated perfused rat lung preparations. Lung injury in intact rats resulted in an increase in lung weight related to body weight and in a decrease in the lung dry/wet weight ratio. Lung compliance, measured in a body plethysmograph, was decreased. PaO2 decreased and PaCO2 increased in 10 and 20 min, respectively, after the beginning of the experiment. Mean blood pressure in pulmonary artery increased immediately after the injection. Isolated rat lungs were perfused at constant flow with physiological saline solution containing bovine albumin and meclofenamate. The injection of a mixture of capronic acid, caprilic acid and olive oil increased the baseline perfusion pressure and led to a release of endothelial cells into the perfusate. The perfusion flow-pressure relationship was shifted upwards. Both the extrapolated pressure axis, intercept and slope of the plot were significantly elevated. The described experimental lung injury is a suitable model for studies on the effects of vascular wall damage and transvascular fluid leak in pulmonary vasculature.