[Effect of hypocapnia/alkalosis on the fluid filtration rate in isolated and perfused rabbit lungs]

Invest Clin. 2008 Jun;49(2):181-93.
[Article in Spanish]

Abstract

Hypocapnia/alkalosis is a consequence of several lung and metabolic pathologies. The aim of this study was to determine whether the increase of fluid filtration rate (FFR) that occurs during Hypocapnia/alkalosis circumstances is determined by hypocapnia, alkalosis or both. 7 groups were formed (N=36) using isolated rabbit lungs. Group 1: Control (PCO2 6%, pH: 7.35-7.45); Group 2 (n=6): Hypocapnia/Alkalosis (CO2 1%, pH: 7.9); Group 3 (n=6): Hypocapnia/Normo-pH (CO2 1% pH 7.35-7.45), Group 4 (n=6) Normocapnia/Alcalosis (CO2 6%, pH: 7.9). Fenoterol, papaverine and hydrocortisone were added to Groups 5, 6 and 7 (n=4) respectively, all under Normocapnia/Alkalosis. FFR and Pulmonary Arterial Pressure (Pap) were considerably higher in group 2 than in control (FFR: 1.92g/min +/- 0.6 vs 0.0 g/min +/- 0.006). A strong influence exerted by pH was observed when Group 3 and group 4 were compared (FFR: 0.02 g/min +/- 0.009 vs 2.3 g/min +/- 0.9) and (Pap: 13.5 cmH2O +/- 1.4 vs 90 cmH2O +/- 15). A reduced effect was observed in groups 5 and 6 (papaverine and hydrocorisone) and a totally abolished effect was observed in group 7 (fenoterol) (FFR: 0.001 +/- 0.0003 mL/min and Pap: 14 +/- 0.8 cmH2O). Pulmonary edema induced by Hypocapnia/alkalosis is a consequence of alkalosis and not of hypocapnia. This effect could be due to inflammatory damage in the lung parenchyma and alkalosis-mediated vasoconstriction.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic beta-Agonists / pharmacology
  • Alkalosis / complications
  • Alkalosis / physiopathology*
  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • Blood Pressure / drug effects
  • Fenoterol / pharmacology
  • Fluid Shifts / drug effects
  • Fluid Shifts / physiology*
  • Hydrocortisone / pharmacology
  • Hydrogen-Ion Concentration
  • Hypocapnia / complications
  • Hypocapnia / physiopathology*
  • Lung / blood supply
  • Lung / drug effects
  • Lung / physiopathology*
  • Papaverine / pharmacology
  • Perfusion
  • Pulmonary Artery
  • Pulmonary Edema / etiology
  • Pulmonary Edema / physiopathology*
  • Rabbits
  • Vasoconstriction / drug effects
  • Vasoconstriction / physiology
  • Vasodilator Agents / pharmacology

Substances

  • Adrenergic beta-Agonists
  • Anti-Inflammatory Agents
  • Vasodilator Agents
  • Fenoterol
  • Papaverine
  • Hydrocortisone