Surfactant replacement therapy improves pulmonary mechanics in end-stage influenza A pneumonia in mice

Am Rev Respir Dis. 1992 Apr;145(4 Pt 1):859-63. doi: 10.1164/ajrccm/145.4_Pt_1.859.

Abstract

Surfactant replacement therapy may be a promising approach for treatment of respiratory failure caused by viral pneumonia. This study in mice demonstrates that during the development of lethal influenza A pneumonia, thorax-lung compliance (Ctl/kg) and lung volume at 5 cm H2O PEEP (V5/kg) significantly decrease (28 and 54%, respectively), whereas lung water content significantly increases (25%). Surfactant replacement therapy during the end stage of pneumonia significantly increases Ctl/kg (31%) and V5/kg (21%). Instillation of the vehicle for surfactant in control animals does not significantly affect Ctl/kg (5% decrease), but it significantly decreases V5/kg (25% decrease). Further, a new method for postmortem measurement of lung volumes in small laboratory animals based on Archimedes' principle is presented.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Influenza A virus*
  • Lung Volume Measurements / veterinary
  • Male
  • Mice
  • Orthomyxoviridae Infections / physiopathology
  • Orthomyxoviridae Infections / therapy*
  • Pneumonia, Viral / microbiology
  • Pneumonia, Viral / physiopathology
  • Pneumonia, Viral / therapy*
  • Pulmonary Surfactants / therapeutic use*
  • Respiratory Mechanics / physiology

Substances

  • Pulmonary Surfactants