“…On the other hand, the increase in airway pressures subsequent to a doubling of the V T to the injuriously ventilated lung was not surprising. However, our findings agree with those of Garcia-Delgado et al (24), who showed that pulmonary edema did not develop during a period of Ն4 hrs in large animals subjected to mechanical ventilation with V T as high as 50 mL/kg. In our own pilot experiments on anesthetized sheep (unpublished data), almost all the animals developed barotrauma (e.g., pneumothorax or pneumomediastinum) after 8 -12 hrs of ventilation with V T of 30 -50 mL/kg, without being preceded by pulmonary edema or derangements of gas exchange.…”