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Immediate Prone Positioning After Massive Gastric Aspiration Reduces Lung Injury Possibly by Attenuating Interleukin-6-Mediated Lung-Tissue Inflammation in Pigs.
- Source :
-
Biological Research for Nursing . Jan2020, Vol. 22 Issue 1, p64-74. 11p. - Publication Year :
- 2020
-
Abstract
- Gastric aspiration, which can cause acute, diffuse, inflammatory lung injury, is of particular concern in critically ill patients. This study aimed to determine the effects of immediate prone positioning on the degree of lung injury and inflammatory response induced by gastric aspiration. Following induction of gastric aspiration by injection of gastric fluid, 16 healthy pigs were randomized to one of two groups: supine position (SP) or prone position (PP). After ventilation and monitoring for 6 hr, all pigs were euthanized. The ratio of the partial pressure of arterial oxygen/fraction of inspired oxygen (PaO2/FIO2) and the partial pressure of arterial carbon dioxide (PaCO2) were recorded during the 6-hr study period. Serum levels of interleukin (IL)-6 were measured every 2 hr, and the mean optical density (MOD) of IL-6 in lung tissues and lung-injury scores were measured at the end of the experiment. The PP group showed a significantly higher PaO2/FIO2 ratio, lower serum IL-6 concentration (p =.015), lower lung-injury scores (p =.012), and lower IL-6 concentration and MOD of IL-6 in lung tissue, especially in dorsal (p =.001, p =.021, respectively) and nondependent regions (p =.005, p =.035, respectively) than the SP group. There were no statistically significant differences in PaCO2 between the groups. Lung-injury severity was positively correlated with the IL-6 concentration and MOD of IL-6 in lung tissues (p <.05). These results suggest that immediate prone positioning alleviated the degree of aspiration-induced lung injury, possibly through mitigating IL-6-mediated lung inflammation. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ANALYSIS of variance
*ANIMAL experimentation
*ARTIFICIAL respiration
*BLOOD gases analysis
*CARBON dioxide
*STATISTICAL correlation
*IMMUNOHISTOCHEMISTRY
*INFLAMMATION
*INFLAMMATORY mediators
*INTERLEUKINS
*LUNGS
*LUNG injuries
*LYING down position
*OXYGEN
*RESEARCH funding
*SWINE
*T-test (Statistics)
*TISSUES
*TREATMENT effectiveness
*REPEATED measures design
*GASTROINTESTINAL contents
*RESPIRATORY aspiration
*DATA analysis software
*DESCRIPTIVE statistics
*MANN Whitney U Test
*EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 10998004
- Volume :
- 22
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Biological Research for Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 140353612
- Full Text :
- https://doi.org/10.1177/1099800419875521