Sodium nitroprusside and positive end-expiratory pressure are not detrimental in canine asymmetric pulmonary edema.

Abstract:

:The effects of PEEP and subsequent augmentation of cardiac output by sodium nitroprusside (SNP) were examined in a canine model of asymmetric oleic acid injury to the right lung. PEEP (9.2 +/- 0.5 cm H2O) was added to six animals to decrease venous admixture (Qsp/Qt) from 50.6 +/- 4.4% to 16.0 +/- 1.3% (p less than .05). With PEEP, intrapulmonary blood flow distribution (assessed by radioactive microspheres) decreased significantly to nondependent lung regions while increasing to dependent regions. In six other animals, zero end-expiratory pressure (ZEEP) did not alter intrapulmonary blood flow distribution. SNP was then administered to increase cardiac output by 40% (to 2.60 +/- 0.21 L/min in the ZEEP group and to 1.75 +/- 0.27 L/min in the PEEP group). SNP produced no adverse effects on Qsp/Qt or intrapulmonary blood flow distribution. Specifically, SNP did not preferentially dilate pulmonary vessels injured by oleic acid with or without end-expiratory pressure. Thus, administration of a vasodilator drug in asymmetric pulmonary edema appears well tolerated.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Johnston WE,Vinten-Johansen J,Tommasi E

doi

10.1097/00003246-198903000-00008

subject

Has Abstract

pub_date

1989-03-01 00:00:00

pages

241-6

issue

3

eissn

0090-3493

issn

1530-0293

journal_volume

17

pub_type

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