Abstract
The aim of this study was to determine the effect of partial liquid ventilation
(PLV) using a perfluorocarbon (PFC) on gas exchange and lung inflammatory
response in a canine acute lung injury model. After inducing severe lung injury
by oleic acid infusion, beagle dogs were randomized to receive either gas
ventilation only (control group, n = 6) or PLV (PLV group, n = 7) by sequential
instillation of 10 mL/kg of perfluorodecalin (PFC) at 30 min intervals till
functional residual capacity was attained. Measurements were made every 30 min
till 210 min. Then the lungs were removed and bronchoalveolar lavage (BAL) (35
mL/kg) was performed on the right lung and the left lung was submitted for
histologic analysis. There was significant improvement in PaO2 and PaCO2 in the
PLV group compared to the control group (p< 0.05) which was associated with a
significant decrease in shunt (p< 0.05). There was no significant difference in
parameters of lung mechanics and hemodynamics. There was a significant decrease
in cell count and neutrophil percentage in BAL fluid and significantly less
inflammation and exudate scores in histology in the PLV group (p< 0.05). We
conclude that PLV with perfluorodecalin improves gas exchange and decreases
inflammatory response in the acutely-injured lung.