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Mechanism and the Effects of Anesthetics and Anesthetic Depth on the Development of Neurogenic Pulmonary Edema.

Research Project

Project/Area Number 61480332
Research Category

Grant-in-Aid for General Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field 麻酔学
Research InstitutionNagoya University School of Medicine

Principal Investigator

SHIMADA Yasuhiro (MIYAMOTO Yoshihiro)  Nagoya University School of Medicine, 医学部, 教授 (50028669)

Co-Investigator(Kenkyū-buntansha) KAINUMA Motoshi  Nagoya University School of Medicine, 医学部, 講師 (90135335)
ISHIKAWA Naohisa  Nagoya University School of Medicine, 医学部, 助教授 (80109321)
SHIGEI Tatsuro  名古屋大学, 名誉教授 (60013786)
Project Period (FY) 1986 – 1988
Project Status Completed (Fiscal Year 1988)
Budget Amount *help
¥6,800,000 (Direct Cost: ¥6,800,000)
Fiscal Year 1988: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 1987: ¥2,000,000 (Direct Cost: ¥2,000,000)
Fiscal Year 1986: ¥3,300,000 (Direct Cost: ¥3,300,000)
KeywordsPulmonary Edema / Neurogenic Pulmonary Edema / Anesthetic Depth / Vagus Nerve / Cardiopulmonary Nerve / Carbon Dioxide Concentration / Schwann cells / Dorsal root ganglia / Neurite outgrowth / Fibroblasts / Sciatic nerves / 星状神経節 / 神経原性肺水腫 / 気管支循環 / 血管透過性亢進 / セロトニン,ケタンセリン / 人工呼吸 / PEEP
Research Abstract

There is a controversy on the pathophysiology of neurogenic pulmonary edema (NPE), namely hydrostatic and permeability mechanisms. When ischemia develops in the central nervous system, hemodynamic changes occur both in systemic and pulmonary circulation, which would further complicate the study on NPE. The authors devoloped canine in situ model using two extracorporeal circulation systems and separating pulmonary circulation from systemic circulation. In situ lungs were perfused in the presence or absence of the cardiopulmonary nerves (CPN). A right-heart bypassed preparation was made first. It was then switched to a lung perfusion preparation and the lungs received all influences of sudden cessation of the brain and systemic circulation via the CPN. Hydrostatic mechanisms causing pulmonary edema were excluded by adjusting the pulmonary arterial preaaure less than 24mmHg. Accumulation of the extravascular lung water and rate of reaervoir blood loss were significantly lower in the CPN-severed group compared to the CNP-intact group. The result. indicates a CPN-mediated mechanism of permeability edema. Effects of the depth of anesthesia and intervention in the vagus nerves on the development of fibrin-induced NPE were examined in rats. Solutions of fibrinogen and thrombin were injected into the cisterna magna. Rats were anesthetized with an intraperitoneal injection of sodium pentobarbital, either 25 or 50mg/kg. Intervention in the vagus nerves consisted of intravenous atropine 1mg/kg or bilateral vagotomy. Lung water ratio was calculated as a ratio of the difference between wet and dry lung weight to dry lung weight. Incidence of pulmonary edema and lung water ratio were significantly decreased under deep anesthesia compared to light anesthesia. Lung water ratio was significantly increased in the vagotomized rats under light anesthesia compared to other groups. The results indicate the effects of anesthetic depth and vagus nerve on the development of NPE.

Report

(4 results)
  • 1988 Annual Research Report   Final Research Report Summary
  • 1987 Final Research Report Summary
  • 1986 Annual Research Report
  • Research Products

    (19 results)

All Other

All Publications (19 results)

  • [Publications] Nakamura,J.;Zhang,S.;Ishikawa,N.: Clin.Exp.Pharmacol.Physiol.14. 535-542 (1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Ishikawa,N.;Ichimura,I.;Kainuma,M.;Shigei,T.: Japan.J.Pharmacol.44. 159-167 (1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Kainuma,M.;Shimada,Y.: Anesthesiology. 66. 214-216 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Kainuma,M.;Nishiwaki,K.;Shimada,Y.: Anesthesiology. 69. 257-260 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Ichimura,I.;Kainuma,M.;Furuta,T;Sato.Y.: Japan.J.Pharmacol.46. 255-260 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Ishikawa,N.;Kainuma,M.;Taki,K.;Ichimura,I.: Arzneim.ーForsch./Drug Res.38. 1334-1335 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Nakamura,J.; Zhang,S.; Ishikawa,N.: "Role of pulmonary inervation in canine in situ lung-perfusion preparation: A model of neurogenic pulmonary oedema." Clin. Exp. Pharmacol. Physiol.14. 535-542 (1987)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Ishikawa,N.; Ichimura,I.; Kainuma,M.; Shigei,T.: "Isosorbide dinitrate blocks thromboxane synthesis caused by CO2in dog heart-lung preparation." Japan. J. Pharmacol.44. 159-167 (1987)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Kainuma,M.; Shimada,Y.: "Decreased partial pressure of oxygen in arterial blood secondary to inflation of a pulmonary artery flow-directed catheter balloon." Anesthesiology. 66. 214-216 (1988)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Kainuma,M.; Nishiwaki,K.; Shimada,Y.: "Rise in pulmonary arterial pressure following release of aortic crossclamp in abdominal aortic aneurysmectomy." Anesthesiology. 69. 257-260 (1988)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Ichimura,I.; Kainuma,M.; Furuta,T.; Sato,Y.: "Factors influencing fibrin-induced pulmonary edema." Japan. J. Pharmacol.46. 255-260 (1988)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Nakamura,J.;Zhang S.;Ishikawa,N.: Clin.Exp.Pharmacol.Physiol.14. 535-542 (1987)

    • Related Report
      1988 Annual Research Report
  • [Publications] Ishikawa,N.;Ichimura,I.;Kainuma,M.;Shigei,T.: Japan.J.Pharmacol.44. 159-167 (1987)

    • Related Report
      1988 Annual Research Report
  • [Publications] Kainuma,M.;Shimada,Y.: Anesthesiology. 66. 214-216 (1987)

    • Related Report
      1988 Annual Research Report
  • [Publications] Kainuma,M.;Nishiwaki,K.;Shimada,Y.: Anesthesiology. 69. 257-260 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] Ishikawa,N.;Kainuma,M.;Furuta,T.;Sato,Y.: Japan.J.Pharmacol.46. 255-260 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] Ishikawa,N.;Kainuma,M.;Taki,K.;Ichimura,I.: Arzneim.-Forsch./Drug Res.38. 1334-1335 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] Isao Kamiya;Toshiaki Sumito;Nachisa Ishikawa: Japanese Journal of Pharmacology. 45. 121-124 (1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1987 Final Research Report Summary
  • [Publications] Y.Miyamoto,M.D.: "Morphological Reaction of Cellular Elements and the Endoneurium Follwing Nerve Section" Peripheral Nerve Repair and Regeneration. 3. 7-18 (1986)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1987 Final Research Report Summary

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Published: 1987-03-31   Modified: 2016-04-21  

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