Objective: To investigate the effects of vaporized perfluorocarbon therapy on pulmonary gas exchange and lung compliance in seawater respiratory distress syndrome rabbit models.
Methods: After induction of seawater respiratory distress syndrome by means of intratracheal injection of seawater, 24 female New Zealand rabbits were randomly divided into 3 groups: (1) CMV group (n = 8): Animals were ventilated with equal tidal volumes of 8 ml/kg during gas ventilation for 6 h. (2) PFC group (n = 8): For the first 2 h, animals received vaporized PFC with volumes of 6 - 7 mlxkg(-1)xh(-1), followed by gas ventilation for 4 h. (3) control group (n = 8): No ventilation was administered. Physiological and blood gas data were compared among the 3 groups by analysis of variance. The right lung of each animal was cut into 2 or 3 slides which were fixed with 10% buffered formalin for pathological evaluation.
Results: After lung injury, the measurements of lung compliance and oxygenation became significantly worse. After vaporized PFC for 30 min, lung compliance and oxygenation improved significantly as compared to the CMV group [(2 +/- 1) mm Hg/cm H2O vs (1 +/- 0) mm Hg/cm H2O (1 mm Hg = 0.133 kPa, 1 cm H2O = 0.098 kPa), F = 20, P < 0.05; (158 +/- 65) mm Hg vs (74 +/- 12) mm Hg, F = 26, P < 0.05]. After PFC inhalation, the improvement of oxygenation in PFC group lasted for 4 h [(253 +/- 96) mm Hg vs (78 +/- 19) mm Hg, F = 15, P < 0.05]. The lung injury score was also decreased in the PFC group compared to the CMV group (6.9 +/- 1.6 vs 9.8 +/- 1.3, chi(2) = 22, P < 0.05). All animals in the control group died in 15 min without ventilation.
Conclusion: Vaporized PFC improved oxygenation and lung compliance and attenuated lung injury in a rat model of seawater induced respiratory distress syndrome.
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