Intravenous ibuprofen blocks the hypoxemia of pulmonary glass bead embolism in the dog.

Abstract:

:To determine the influence of arachidonic acid metabolites on acute lung injury induced by glass bead embolism, two groups of animals were studied before and after the pulmonary artery pressure was doubled by glass bead embolism. One group represented an untreated time control (n = 6) while the second group (n = 6) was pretreated with 25 mg/kg of iv ibuprofen. Repeat measurements were taken at 30, 60 and 90 min after glass bead embolism. Compared to the untreated group, the pretreated group had only a slightly decreased PaO2 (pretreated, 82% of baseline vs. untreated, 35% of baseline, p less than .05). The initial elevation in pulmonary vascular resistance (PVR) was similar in both groups but in the pretreated group it had returned nearly to baseline values by the end of the study in contrast to the persistent elevation of the PVR observed in the untreated group. We conclude that pretreatment with ibuprofen resulted in improved arterial oxygenation and a reduction in PVR over the time period studied. This implicates a role for arachidonic acid metabolites in the pathophysiology of this injury.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Calvin JE,Dervin G

doi

10.1097/00003246-198809000-00007

subject

Has Abstract

pub_date

1988-09-01 00:00:00

pages

852-6

issue

9

eissn

0090-3493

issn

1530-0293

journal_volume

16

pub_type

杂志文章
  • Effect of corticosteroid prophylaxis on lipopolysaccharide levels associated with intestinal ischemia in cats.

    abstract::Ischemia of the intestines damages the permeability of the intestinal wall, allowing lipopolysaccharide (LPS) (endotoxin) to leak from the gut lumen into the blood circulation, causing shock and death. We measured LPS levels associated with corticosteroid treatment vs. no treatment in cats whose superior mesenteric ar...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198610000-00012

    authors: Gaffin SL,Gathiram P,Wells MT,Brock-Utne JG

    更新日期:1986-10-01 00:00:00

  • Tissue oxygenation during management of cerebral perfusion pressure with phenylephrine or vasopressin.

    abstract:OBJECTIVE:Phenylephrine is often used for management of cerebral perfusion pressure after traumatic brain injury, but can have undesirable actions. Few studies have evaluated alternatives. The hypothesis was that arginine vasopressin was as effective as phenylephrine for maintaining tissue oxygenation during cerebral p...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3181847af3

    authors: Dudkiewicz M,Proctor KG

    更新日期:2008-09-01 00:00:00

  • Variability of cardiac output over time in medical intensive care unit patients.

    abstract:OBJECTIVES:To determine the amount of spontaneous variability of cardiac output over time in critically ill patients, and to determine the effect of mechanical ventilation on cardiac output variability over time. DESIGN:Case series. SETTING:Medical intensive care unit in a Veterans Affairs Medical Center. PATIENTS:T...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199402000-00012

    authors: Sasse SA,Chen PA,Berry RB,Sassoon CS,Mahutte CK

    更新日期:1994-02-01 00:00:00

  • Effects of inhaled nitric oxide in a rat model of Pseudomonas aeruginosa pneumonia.

    abstract:OBJECTIVE:Antimicrobial effects of nitric oxide (NO) have been demonstrated in vitro against a variety of infectious pathogens, yet in vivo evidence of a potential therapeutic role for exogenous NO as an antimicrobial agent is limited. Thus, we assessed the effects of inhaled NO on pulmonary infection, leukocyte infilt...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200007000-00035

    authors: Webert KE,Vanderzwan J,Duggan M,Scott JA,McCormack DG,Lewis JF,Mehta S

    更新日期:2000-07-01 00:00:00

  • Laser bronchoscopy in respiratory failure from malignant airway obstruction.

    abstract:OBJECTIVE:To examine the value of laser bronchoscopy in patients with inoperable carcinoma of the lung who required ventilatory assistance for acute respiratory failure. DESIGN:Retrospective review of the medical records of all patients undergoing laser bronchoscopy. SETTING:The Lahey Clinic Medical Center, a tertiar...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199303000-00016

    authors: Stanopoulos IT,Beamis JF Jr,Martinez FJ,Vergos K,Shapshay SM

    更新日期:1993-03-01 00:00:00

  • Preclinical evaluation of epinephrine nebulization to reduce airway hyperemia and improve oxygenation after smoke inhalation injury.

    abstract:OBJECTIVE:Acute lung injury secondary to smoke inhalation is a major source of morbidity and mortality in burn patients. We tested the hypothesis that nebulized epinephrine would ameliorate pulmonary dysfunction secondary to acute lung injury by reducing airway hyperemia and edema formation and mediating bronchodilatat...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e318207ec52

    authors: Lange M,Hamahata A,Traber DL,Cox RA,Kulp GA,Nakano Y,Traber LD,Herndon DN,Enkhbaatar P

    更新日期:2011-04-01 00:00:00

  • Distribution and pathophysiology of acute lobar collapse in the pediatric intensive care unit.

    abstract:OBJECTIVE:The high incidence of lower lobe collapse in adult intensive care patients is well described. We aimed to document the incidence and distribution of acute lobar collapse in the pediatric intensive care setting. The influence of anatomical and pathophysiological differences between the adult and pediatric resp...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199908000-00035

    authors: Thomas K,Habibi P,Britto J,Owens CM

    更新日期:1999-08-01 00:00:00

  • Antibiotic dosing during sustained low-efficiency dialysis: special considerations in adult critically ill patients.

    abstract:OBJECTIVE:To address issues of antibiotic dosing during sustained low-efficiency dialysis by using available pharmacokinetic data, intermittent and continuous renal replacement therapy dialysis guidelines, and our experience with sustained low-efficiency dialysis. DATA RESOURCES:Published clinical trials, case reports...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/CCM.0b013e318206c3b2

    authors: Bogard KN,Peterson NT,Plumb TJ,Erwin MW,Fuller PD,Olsen KM

    更新日期:2011-03-01 00:00:00

  • Relationship between hemodynamic and vital support measures and pharmacokinetic variability of amikacin in critically ill patients with sepsis.

    abstract:OBJECTIVE:To examine the relationship between aminoglycoside disposition kinetics and hemodynamic response to sepsis, as well as vital support therapy, in critically ill patients with sepsis. DESIGN:Cross-sectional study of critically ill patients with sepsis undergoing physiologic and aminoglycoside pharmacokinetic m...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199705000-00016

    authors: Lugo G,Castañeda-Hernández G

    更新日期:1997-05-01 00:00:00

  • National estimates of severe sepsis in United States emergency departments.

    abstract:OBJECTIVE:The emergency department (ED) often serves as the first site for the recognition and treatment of patients with suspected severe sepsis. However, few evaluations of the national epidemiology and distribution of severe sepsis in the ED exist. We sought to determine national estimates of the number, timing, ED ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000277043.85378.C1

    authors: Wang HE,Shapiro NI,Angus DC,Yealy DM

    更新日期:2007-08-01 00:00:00

  • Assessing Variability in Hospital-Level Mortality Among U.S. Medicare Beneficiaries With Hospitalizations for Severe Sepsis and Septic Shock.

    abstract:OBJECTIVES:To assess the variability in short-term sepsis mortality by hospital among Centers for Medicare and Medicaid Services beneficiaries in the United States during 2013-2014. DESIGN:A retrospective cohort design. SETTING:Hospitalizations from 3,068 acute care hospitals that participated in the Centers for Medi...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003324

    authors: Hatfield KM,Dantes RB,Baggs J,Sapiano MRP,Fiore AE,Jernigan JA,Epstein L

    更新日期:2018-11-01 00:00:00

  • History of emergency and critical care ultrasound: the evolution of a new imaging paradigm.

    abstract::The tradition of clinical ultrasound in the hands of physicians who provide critical care to the most acutely ill patients stretches back into the 1980s and is rich with experiences from surgical, emergency medicine, and other practices. Now, as critical care ultrasound explodes around the world, it is important to re...

    journal_title:Critical care medicine

    pub_type: 历史文章,杂志文章

    doi:10.1097/01.CCM.0000260623.38982.83

    authors: Kendall JL,Hoffenberg SR,Smith RS

    更新日期:2007-05-01 00:00:00

  • Changes in conjunctival oxygen tension and temperature with advancing age.

    abstract::The conjunctival oxygen monitor reflects oxygen tension of the internal carotid artery without introducing the heating artifact characteristic of transcutaneous monitors. It is now being used in the ICU and the operating room to measure accurately and continuously Po2 and temperature of conjunctival tissue. We examine...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198508000-00016

    authors: Isenberg SJ,Green BF

    更新日期:1985-08-01 00:00:00

  • The effect of daily bathing with chlorhexidine on the acquisition of methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, and healthcare-associated bloodstream infections: results of a quasi-experimental multicenter trial.

    abstract:OBJECTIVE:Spread of multidrug-resistant organisms within the intensive care unit (ICU) results in substantial morbidity and mortality. Novel strategies are needed to reduce transmission. This study sought to determine if the use of daily chlorhexidine bathing would decrease the incidence of colonization and bloodstream...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0b013e31819ffe6d

    authors: Climo MW,Sepkowitz KA,Zuccotti G,Fraser VJ,Warren DK,Perl TM,Speck K,Jernigan JA,Robles JR,Wong ES

    更新日期:2009-06-01 00:00:00

  • Plasma interferon-gamma and interleukin-10 concentrations in systemic meningococcal disease compared with severe systemic Gram-positive septic shock.

    abstract:OBJECTIVE:To analyze plasma interferon-gamma and interleukin-10 concentrations in patients with systemic meningococcal disease and patients with severe Gram-positive septic shock caused by Streptococcus pneumoniae or Staphylococcus aureus. To study the in vitro cytokine (interferon-gamma and interleukin-10) responses i...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000104950.52577.97

    authors: Bjerre A,Brusletto B,Høiby EA,Kierulf P,Brandtzaeg P

    更新日期:2004-02-01 00:00:00

  • Iontophoretic delivery of calcium for experimental hydrofluoric acid burns.

    abstract:OBJECTIVE:To examine the efficacy of iontophoretic delivery of calcium to experimental hydrofluoric acid burns. DESIGN:Prospective, controlled study. SETTING:Institutional laboratory. SUBJECTS:Male nude rats. INTERVENTIONS:For the in vitro experiment, a full-thickness skin from the back was set in a vertical flow-t...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200108000-00013

    authors: Yamashita M,Yamashita M,Suzuki M,Hirai H,Kajigaya H

    更新日期:2001-08-01 00:00:00

  • Recovery of embolized albumin microspheres from the pulmonary microvasculature using a wedged balloon-tipped catheter.

    abstract::This study was performed to determine if particulate material within the pulmonary vascular bed could be sampled by aspirating blood from a wedged pulmonary artery catheter. 99mTechnetium-labeled albumin microspheres (20 micrometers) were injected and embolized into the precapillary pulmonary vasculature of 6 critical...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198304000-00001

    authors: Allen WG,Olsen GN,Williams WH,Yergin BM

    更新日期:1983-04-01 00:00:00

  • Distinct pathways of lipopolysaccharide priming of human neutrophil respiratory burst: role of lipid mediator synthesis and sensitivity to interleukin-10.

    abstract:OBJECTIVE:Exposure of neutrophils to low doses of bacterial lipopolysaccharides enhances their readiness to respond with inflammatory mediator generation including oxygen radical formation to a subsequently applied inflammatory stimulus ("priming"). In the present study, we investigated the role of lipid mediator synth...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200210000-00020

    authors: Sibelius U,Hattar K,Hoffmann S,Mayer K,Grandel U,Schenkel A,Seeger W,Grimminger F

    更新日期:2002-10-01 00:00:00

  • Incidence and Mortality of Acute Respiratory Distress Syndrome in Children: A Systematic Review and Meta-Analysis.

    abstract:OBJECTIVES:Our understanding of the acute respiratory distress syndrome in children is limited, and literature is dominated by investigations in adult patients. Recent preclinical studies suggest that the susceptibility to and severity of acute respiratory distress syndrome in children could differ from that in adults....

    journal_title:Critical care medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/CCM.0000000000001388

    authors: Schouten LR,Veltkamp F,Bos AP,van Woensel JB,Serpa Neto A,Schultz MJ,Wösten-van Asperen RM

    更新日期:2016-04-01 00:00:00

  • Comparison of right atrial and pulmonary capillary wedge pressures.

    abstract::The right atrial pressure (Pra) was compared to the pulmonary capillary wedge pressure (Pcw) in 54 patients. In patients with heart disease, the correlation of Pra with Pcw was poor. However, in patients without clinical heart disease, Pra approximated Pcw, in both absolute number and change. This finding was independ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-197805000-00010

    authors: Risk C,Rudo N,Falltrick R,Feeley T,Don HF

    更新日期:1978-05-01 00:00:00

  • Survival of critically ill patients hospitalized in and out of intensive care.

    abstract:OBJECTIVE:A lack of intensive care units beds in Israel results in critically ill patients being treated outside of the intensive care unit. The survival of such patients is largely unknown. The present study's objective was to screen entire hospitals for newly deteriorated patients and compare their survival in and ou...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000253407.89594.15

    authors: Simchen E,Sprung CL,Galai N,Zitser-Gurevich Y,Bar-Lavi Y,Levi L,Zveibil F,Mandel M,Mnatzaganian G,Goldschmidt N,Ekka-Zohar A,Weiss-Salz I

    更新日期:2007-02-01 00:00:00

  • Automatic Classification of Sedation Levels in ICU Patients Using Heart Rate Variability.

    abstract:OBJECTIVE:To explore the potential value of heart rate variability features for automated monitoring of sedation levels in mechanically ventilated ICU patients. DESIGN:Multicenter, pilot study. SETTING:Several ICUs at Massachusetts General Hospital, Boston, MA. PATIENTS:Electrocardiogram recordings from 40 mechanica...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0000000000001708

    authors: Nagaraj SB,McClain LM,Zhou DW,Biswal S,Rosenthal ES,Purdon PL,Westover MB

    更新日期:2016-09-01 00:00:00

  • Exhaled tidal volume overestimation in mechanically ventilated patients with large cardiogenic oscillation.

    abstract:OBJECTIVES:In postcardiac surgery patients, we often noticed that monitored tidal volumes exceeded the ventilator settings. We investigated whether cardiogenic oscillation causes overestimation of tidal volume. DESIGN:Prospective, observational, clinical study. SETTING:Surgical intensive care unit in a national heart...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.ccm.0000129487.25203.1f

    authors: Imanaka H,Takeuchi M,Tachibana K,Nishimura M

    更新日期:2004-07-01 00:00:00

  • The Very Elderly Admitted to ICU: A Quality Finish?

    abstract:OBJECTIVE:Very elderly persons admitted to ICUs are at high risk of death. To document life-sustaining interventions (mechanical ventilation, vasopressors, renal replacement therapy) provided in the ICU and outcomes of care. DESIGN:Multicenter, prospective cohort study. SETTING:ICUs of 24 Canadian hospitals. PARTICI...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0000000000001024

    authors: Heyland D,Cook D,Bagshaw SM,Garland A,Stelfox HT,Mehta S,Dodek P,Kutsogiannis J,Burns K,Muscedere J,Turgeon AF,Fowler R,Jiang X,Day AG,Canadian Critical Care Trials Group.,Canadian Researchers at the End of Life Network.

    更新日期:2015-07-01 00:00:00

  • Does IV Iron Induce Plasma Oxidative Stress in Critically Ill Patients? A Comparison With Healthy Volunteers.

    abstract:OBJECTIVE:To compare the oxidative stress induced by IV iron infusion in critically ill patients and in healthy volunteers. DESIGN:Multicenter, interventional study. SETTING:Two ICUs and one clinical research center. SUBJECTS:Anemic critically ill patients treated with IV iron and healthy volunteers. INTERVENTIONS:...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0000000000001420

    authors: Lasocki S,Piednoir P,Couffignal C,Rineau E,Dufour G,Lefebvre T,Puy H,Duval X,Driss F,Schilte C

    更新日期:2016-03-01 00:00:00

  • Molecular biology of inflammation and sepsis: a primer.

    abstract:BACKGROUND:Remarkable progress has been made during the last decade in defining the molecular mechanisms that underlie septic shock. This rapidly expanding field is leading to new therapeutic opportunities in the management of severe sepsis. AIM:To provide the clinician with a timely summary of the molecular biology o...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/CCM.0b013e31819267fb

    authors: Cinel I,Opal SM

    更新日期:2009-01-01 00:00:00

  • The difficult airway in adult critical care.

    abstract:INTRODUCTION:The difficult airway is a common problem in adult critical care patients. However, the challenge is not just the establishment of a safe airway, but also maintaining that safety over days, weeks, or longer. AIMS:This review considers the management of the difficult airway in the adult critical care enviro...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/CCM.0b013e31817d7ae1

    authors: Lavery GG,McCloskey BV

    更新日期:2008-07-01 00:00:00

  • Dopamine versus norepinephrine in the treatment of septic shock: a meta-analysis*.

    abstract:OBJECTIVES:There has long-been controversy about the possible superiority of norepinephrine compared to dopamine in the treatment of shock. The objective was to evaluate the effects of norepinephrine and dopamine on outcome and adverse events in patients with septic shock. DATA SOURCES:A systematic search of the MEDLI...

    journal_title:Critical care medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/CCM.0b013e31823778ee

    authors: De Backer D,Aldecoa C,Njimi H,Vincent JL

    更新日期:2012-03-01 00:00:00

  • Positive end-expiratory pressure may decrease arterial oxygen tension in the presence of a collapsed lung region.

    abstract::The effect of positive end-expiratory pressure (PEEP) on PaO2 during collapse of a single pulmonary lobe was investigated in seven dogs. Increasing PEEP to the ventilated region of lung increased the proportion of cardiac output flowing to the collapsed lobe and decreased PaO2 and pH. PaCO2 increased at the onset of l...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198505000-00004

    authors: Sánchez De León R,Orchard C,Sykes K,Brajkovich I

    更新日期:1985-05-01 00:00:00

  • Effect of 24-hour mandatory versus on-demand critical care specialist presence on quality of care and family and provider satisfaction in the intensive care unit of a teaching hospital.

    abstract:OBJECTIVE:The benefit of continuous on-site presence by a staff academic critical care specialist in the intensive care unit of a teaching hospital is not known. We compared the quality of care and patient/family and provider satisfaction before and after changing the staffing model from on-demand to continuous 24-hr c...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.CCM.0000297887.84347.85

    authors: Gajic O,Afessa B,Hanson AC,Krpata T,Yilmaz M,Mohamed SF,Rabatin JT,Evenson LK,Aksamit TR,Peters SG,Hubmayr RD,Wylam ME

    更新日期:2008-01-01 00:00:00