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Medicine
集中治療室型装置による急性呼吸窮迫症候群の豚モデルにおけるハロゲン化剤の送達
集中治療室型装置による急性呼吸窮迫症候群の豚モデルにおけるハロゲン化剤の送達
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JoVE Journal Medicine
Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device

集中治療室型装置による急性呼吸窮迫症候群の豚モデルにおけるハロゲン化剤の送達

Full Text
3,265 Views
09:36 min
September 24, 2020

DOI: 10.3791/61644-v

Raiko Blondonnet1,2, Bertille Paquette1,2, Jules Audard1,2, Ridvan Guler1,2, François-Xavier Roman1,2, Ruoyang Zhai2, Corinne Belville2, Loïc Blanchon2, Thomas Godet1, Emmanuel Futier1,2, Jean-Etienne Bazin1, Jean-Michel Constantin3, Vincent Sapin2,4, Matthieu Jabaudon1,2,5

1Department of Perioperative Medicine,CHU Clermont-Ferrand, 2GReD, CNRS, INSERM,Université Clermont Auvergne, 3GRC 29, AP-HP, DMU DREAM, Department of Anesthesiology and Critical Care, Pitié-Salpêtrière Hospital,Sorbonne University, 4Department of Biochemistry and Molecular Genetics,CHU Clermont-Ferrand, 5Division of Allergy, Pulmonary, and Critical Care Medicine,Vanderbilt University Medical Center

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Overview

This study presents a model of hydrochloric acid-induced acute respiratory distress syndrome (ARDS) in piglets. The model utilizes halogenated agents for sedation, allowing for the investigation of lung injury mechanisms and potential therapies.

Key Study Components

Area of Science

  • Neuroscience
  • Respiratory Medicine
  • Pharmacology

Background

  • Acute respiratory distress syndrome (ARDS) is a severe lung condition.
  • Halogenated agents are commonly used anesthetics.
  • Understanding lung injury mechanisms is crucial for developing therapies.
  • This model aims to bridge clinical practice and research.

Purpose of Study

  • To improve understanding of lung injury mechanisms.
  • To test halogenated agents as potential therapies for ARDS.
  • To utilize a clinically relevant device for sedation in research.

Methods Used

  • Modeling ARDS in piglets using hydrochloric acid.
  • Administering sedation with isoflurane and sevoflurane.
  • Using a device for inhaled intensive care sedation.
  • Performing surgical procedures for central venous access.

Main Results

  • The model effectively simulates ARDS in a controlled environment.
  • Halogenated agents demonstrated potential for therapeutic use.
  • The technique allows for translational research opportunities.
  • Inhaled anesthetics can be delivered safely in this model.

Conclusions

  • This model provides insights into lung injury and repair mechanisms.
  • It supports the exploration of novel therapies for ARDS.
  • The use of a clinically relevant device enhances research applicability.

Frequently Asked Questions

What is ARDS?
Acute respiratory distress syndrome (ARDS) is a severe lung condition characterized by rapid onset of widespread inflammation in the lungs.
How are halogenated agents used in this study?
Halogenated agents like isoflurane and sevoflurane are used for sedation in piglets to study their effects on lung injury.
What are the advantages of this model?
The model allows for the investigation of lung injury mechanisms and the testing of potential therapies using a clinically relevant sedation device.
What surgical procedures are involved?
Surgical exposure of the right internal jugular vein is performed to insert a catheter for central venous access.
What is the significance of using piglets in this research?
Piglets are used due to their physiological similarities to humans, making the findings more applicable to human medicine.
How does this research contribute to clinical practices?
It provides insights that could lead to improved therapeutic strategies for treating ARDS in patients.

ハロゲン化剤、イヨフルランおよびセボフルランで沈下を受ける子豚における塩酸誘発急性呼吸窮迫症候群(ARDS)のモデルを、吸入集中治療セデに使用される装置を通じて説明する。このモデルは、肺損傷および修復に関するハロゲン化剤の生物学的メカニズムを調べるのに使用することができる。

このモデルは、肺損傷に関与するメカニズムの理解を深め、急性呼吸窮迫症候群の潜在的な新規治療法としてハロゲン化剤をテストするのに役立ちます。この技術の主な利点は、吸入麻酔薬がICU患者に使用されるような審美的保存装置を通じて送達されることです。私たちの技術は、臨床的に関連性のあるデバイスを使用して吸入ICU鎮静を送達し、急性呼吸窮迫症候群におけるハロゲン化剤の効果の研究のための翻訳の機会を促進します。

生後 2 か月から 4 か月の 10 から 15 キログラムの白いオスの陸上飼育子豚でペダル反射に対する反応の欠如を確認した後、右内頸静脈の外科的露出とセルディンガー法を使用して、中心静脈アクセスのために血管に 3 ルーメンのカテーテルを挿入します。気管から2センチ横の首の腹側に皮膚の正中線を切開します。そして、外科用鉗子を使用して組織を解剖します。

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