You are here

Article Text

Article menu

Download PDFPDF

Poster symposium presentations
408 Aerosolized Surfactant Improves Lung Mechanics and Reduces Lung Injury in Premature Lambs with Respiratory Distress Syndrome
Free
  1. C ReySantano1,
  2. VE Mielgo1,
  3. E Ruiz-del-Yerro1,
  4. L Andres2,
  5. A Vallsi-Soler3,
  6. X Murgia1
  1. 1Respiratory Physiology Research Unit
  2. 2Pathology, University Cruces Hospital
  3. 3Neonatal Intensive Care Unit, Cruces Hospital, Barakaldo, Spain

Abstract

Background Aerosolization of surfactant(SF) has emerged as feasible alternative to instillation for RDS.

Aim To determinate the effects of aerosolized SF on lung function and evaluate changes in the biochemistry and histology of premature lung.

Methods 21 preterm lambs (85%gestation) were randomly assigned to receive aerosolized SF (Curosurf ®, 200mg/kg-20min), delivered via an inhalation catheter (SF-Aero), bolus-SF (SF-Bolus) or Control groups maintained during 6hours in IMV. Lung mechanics [compliance(Cdyn) and tidal-volume(VT)], antioxidant enzyme (catalase; superoxide-dismutase, SOD; gluthation-peroxidase, GSH-Px) activity, surfactant proteins (SP-B, SP-C) concentration and histological analysis were performed. Mean±SD, ANOVA, p<0.05. *vs.Control, #vs.SF-bolus group.

Results After 60min of treatment, animals in SF-Aero and SF-Bolus groups, significantly improved Cdyn and VT in comparison to control group, being improvement persistent until the end of the experiment.

View this table:
Abstract 408 Table 1

Biochemical lung analysis

View this table:
Abstract 408 Table 2

Lung injury score

Conclusion Surfactant delivered as an aerosol produce a similar response in terms of pulmonary mechanics to bolus instillation, and result in less lung damage.

https://doi.org/10.1136/archdischild-2012-302724.0408

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.