Pulmonary toxicity of inhaled aerosolized prostacyclin therapy - An observational study

被引:21
作者
van Heerden, PV
Caterina, P
Filion, P
Spagnolo, DV
Gibbs, NM
机构
[1] Sir Charles Gairdiner Hosp, Dept Intens Care, PathCtr, QEII Med Ctr, Perth, WA, Australia
[2] Sir Charles Gairdiner Hosp, Dept Histopathol & Anaesthesia, PathCtr, QEII Med Ctr, Perth, WA, Australia
[3] Univ Western Australia, Dept Pharmacol, Perth, WA 6009, Australia
关键词
prostaglandin : prostacyclin; inhalational; toxicity; pulmonary; prostacyclin;
D O I
10.1177/0310057X0002800206
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Large white/landrace piglets (mass 11 to 21 kg) were exposed to aerosolized alkaline glycine diluent (n=2) or inhaled aerosolized prostacyclin (n=2) for five to eight hours. Pigs receiving these aerosols developed mild acute sterile tracheitis, involving the superficial layers of the trachea shown histologically and ultrastructurally. Pigs receiving the diluent aerosol also showed mild inflammatory changes in the bronchioles, These findings suggest caution with the use of high volumes of aerosolized alkaline glycine diluent during inhaled aerosolized prostacyclin therapy.
引用
收藏
页码:161 / 166
页数:6
相关论文
共 40 条
[1]   Cardiovascular and pulmonary effects of aerosolized prostacyclin administration in severe respiratory failure using a ventilator nebulization system [J].
Bein, T ;
Metz, C ;
Keyl, C ;
Sendtner, E ;
Pfeifer, M .
JOURNAL OF CARDIOVASCULAR PHARMACOLOGY, 1996, 27 (04) :583-586
[2]   CONTINUOUS INTRAARTERIAL MEASUREMENT OF OXYGENATION DURING AEROSOLIZED PROSTACYCLIN ADMINISTRATION IN SEVERE RESPIRATORY-FAILURE [J].
BEIN, T ;
PFEIFER, M ;
RIEGGER, GAJ ;
TAEGER, K .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (05) :335-336
[3]  
BEIN T, 1995, CHEST, V108, pS119
[4]   EFFECT OF PROSTACYCLIN ON ANTIGEN-INDUCED IMMEDIATE BRONCHOCONSTRICTION IN ASTHMATIC-PATIENTS [J].
BIANCO, S ;
ROBUSCHI, M ;
GRUGNI, A ;
CESERANI, R ;
GANDOLFI, C .
PROSTAGLANDINS AND MEDICINE, 1979, 3 (01) :39-45
[5]   AEROSOLIZED PROSTACYCLIN FOR PULMONARY-HYPERTENSION IN NEONATES [J].
BINDL, L ;
FAHNENSTICH, H ;
PEUKERT, U .
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 1994, 71 (03) :F214-F216
[6]   Effects of inhaled nitric oxide and nebulized prostacyclin on hypoxic pulmonary vasoconstriction in anesthetized sheep [J].
Booke, M ;
Bradford, DW ;
Hinder, F ;
Harper, D ;
Brauchle, RW ;
Traber, LD ;
Traber, DL .
CRITICAL CARE MEDICINE, 1996, 24 (11) :1841-1848
[7]   PULMONARY AND ANTIAGGREGATORY EFFECTS OF PROSTACYCLIN AFTER INHALATION AND INTRAVENOUS-INFUSION [J].
BURGHUBER, OC ;
SILBERBAUER, K ;
HABER, P ;
SINZINGER, H ;
ELLIOTT, M ;
LEITHNER, C .
RESPIRATION, 1984, 45 (04) :450-454
[8]  
Doyle P, 1996, ANAESTH INTENS CARE, V24, P514
[9]  
Eichelbronner O, 1996, INTENS CARE MED, V22, P880
[10]   INTRATRACHEAL PROSTACYCLIN FOR RESUSCITATION IN PRIMARY PULMONARY-HYPERTENSION [J].
HAAS, NA ;
SCHULZENEICK, I ;
LANGE, PE .
LANCET, 1995, 346 (8975) :643-643