Increased Interleukin-8 in Epithelial Lining Fluid of Collapsed Lungs During One-Lung Ventilation for Thoracotomy

被引:14
作者
Komatsu, Yoshimichi [2 ]
Yamamoto, Hiroshi [2 ]
Tsushima, Kenji [2 ]
Furuya, Shino [2 ]
Yoshikawa, Sumiko [2 ]
Yasuo, Masanori [2 ]
Kubo, Keishi [2 ]
Yamazaki, Yoshitaka [3 ]
Hasegawa, Joh [4 ]
Eguchi, Takashi [5 ]
Kondo, Ryuichi [5 ]
Yoshida, Kazuo [5 ]
Koizumi, Tomonobu [1 ]
机构
[1] Shinshu Univ Hosp, Ctr Comprehens Canc, Matsumoto, Nagano 3908621, Japan
[2] Shinshu Univ, Sch Med, Dept Internal Med 1, Matsumoto, Nagano 3908621, Japan
[3] Shinshu Univ, Sch Med, Dept Clin Lab, Matsumoto, Nagano 3908621, Japan
[4] Shinshu Univ, Sch Med, Dept Anesthesiol, Matsumoto, Nagano 3908621, Japan
[5] Shinshu Univ, Sch Med, Dept Surg 2, Matsumoto, Nagano 3908621, Japan
基金
日本学术振兴会;
关键词
bronchoscopic microsampling; ARDS; permeability pulmonary edema; thoracic surgery; re-expansion pulmonary edema; RESPIRATORY-DISTRESS-SYNDROME; REEXPANSION PULMONARY-EDEMA; BRONCHOALVEOLAR LAVAGE FLUID; CARDIOPULMONARY BYPASS; RESECTION; RABBITS; INJURY; PLASMA; RISK;
D O I
10.1007/s10753-012-9505-y
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
The present study was designed to evaluate inflammatory changes in collapsed lungs during one-lung ventilation using the assistance of a bronchoscopic microsampling probe. Serial albumin and interleukin (IL)-8 concentrations in epithelial lining fluid (ELF) were measured in seven patients undergoing resection of lung tumors. The samples were taken after induction of anesthesia (baseline), 30 min after one-lung ventilation was started (point 2), just before resuming two-lung ventilation (point 3), and 30 min after two-lung ventilation was restarted (point 4). The albumin and IL-8 concentrations in ELF were significantly increased at point 2 and point 3, respectively, and remained to be high, compared to the baseline. The increase in IL-8 at point 3 was correlated with the interval of one-lung ventilation; however, none developed specific acute lung injury. These findings suggest that inflammatory changes can occur on the epithelium of a collapsed lung even in patients who underwent successful and standard thoracic surgery.
引用
收藏
页码:1844 / 1850
页数:7
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