Article ; Online: In utero ventilation induces lung parenchymal and vascular alterations in extremely preterm fetal sheep.
American journal of physiology. Lung cellular and molecular physiology
2024 Volume 326, Issue 3, Page(s) L330–L343
Abstract: Extremely preterm infants are often exposed to long durations of mechanical ventilation to facilitate gas exchange, resulting in ventilation-induced lung injury (VILI). New lung protective strategies utilizing noninvasive ventilation or low tidal volumes ...
Abstract | Extremely preterm infants are often exposed to long durations of mechanical ventilation to facilitate gas exchange, resulting in ventilation-induced lung injury (VILI). New lung protective strategies utilizing noninvasive ventilation or low tidal volumes are now common but have not reduced rates of bronchopulmonary dysplasia. We aimed to determine the effect of 24 h of low tidal volume ventilation on the immature lung by ventilating preterm fetal sheep in utero. Preterm fetal sheep at 110 ± 1(SD) days' gestation underwent sterile surgery for instrumentation with a tracheal loop to enable in utero mechanical ventilation (IUV). At 112 ± 1 days' gestation, fetuses received either in utero mechanical ventilation (IUV, |
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MeSH term(s) | Humans ; Infant, Newborn ; Sheep ; Animals ; Infant, Extremely Premature ; Lung/metabolism ; Fetus/metabolism ; Respiration, Artificial/adverse effects ; Respiration, Artificial/methods ; Ventilator-Induced Lung Injury/metabolism ; Collagen/metabolism ; Pneumonia/pathology ; Surface-Active Agents/metabolism ; RNA, Messenger/metabolism |
Chemical Substances | Collagen (9007-34-5) ; Surface-Active Agents ; RNA, Messenger |
Language | English |
Publishing date | 2024-01-22 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 1013184-x |
ISSN | 1522-1504 ; 1040-0605 |
ISSN (online) | 1522-1504 |
ISSN | 1040-0605 |
DOI | 10.1152/ajplung.00249.2023 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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