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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao American Journal of ...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
American Journal of Respiratory and Critical Care Medicine
Article . 2003 . Peer-reviewed
License: OUP Standard Publication Reuse
Data sources: Crossref
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Pump and Circumstances

Authors: Georges, Saumon;

Pump and Circumstances

Abstract

Many experimental models have been designed to explore how ventilation could damage lungs and produce permeability-type pulmonary edema. Edema produced by ventilation with a high tidal volume varies in severity depending on the intensity and duration of the challenge and on previous lung state. Alveolar flooding with foam in airways excludes zones from the ventilation, and creates a vicious circle that increases the risk of overinflation of the remaining ventilated areas. This risk exists in patients suffering from the acute respiratory distress syndrome, even if ventilated with low tidal volumes. It is thus important to recruit zones filled with edematous liquid, and a means to achieve this goal is to accelerate alveolar liquid absorption. This may be obtained by activation of molecular mechanisms implicated in vectorial sodium transport by alveolar-bronchiolar cells responsible for liquid absorption, such as the sodium channel or the Na,K-ATPase pump. Unfortunately, overinflation experimentally decreases alveolar liquid resorption by depressing Na,K-ATPase function in the alveolar epithelium (1), for a yet unclear reason. Normal absorption may be restored in rat lungs submitted to overinflation by stimulating sodium transport with -adrenergic agonists (2), although these agents have not proven as effective in a similar model (3) or in patients with acute lung injury (4).

Keywords

Cell Membrane Permeability, Humans, Pulmonary Edema, Genetic Therapy, Sodium-Potassium-Exchanging ATPase, Respiration, Artificial

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Average
Average
Average
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