and key wordsBackground: Both high tidal volume (V T ) ventilation and hemorrhage induce acute lung injury in adult rodents. It is not known whether injurious ventilation augments lung injury in infant rats exposed to severe hemorrhage.
Methods:Two week old rats were allocated to ventilation with V T 7 mL/kg and PEEP 5 cmH 2 O (low V T ) or V T 21 mL/kg and PEEP 1 (high V T ) for 4 h. Additional rats were subjected to volume-controlled hemorrhage and delayed saline resuscitation, followed by low V T or high V T ventilation for 4 h. Non-ventilated control groups were also included.Airway resistance and the coefficient of tissue elastance (H) were derived from respiratory input impedance measurements using the low-frequency forced oscillation technique. Pressure-volume curves were obtained at baseline and at the end of the study.Interleukin-6 (IL-6), macrophage inflammatory protein-2 (MIP-2), and tumor necrosis factor alpha (TNF-α) were determined in bronchoalveolar lavage fluid (BALF) and serum.
Results:In both healthy and hemorrhage-exposed animals high V T resulted in reduced H (better lung compliance), and increased transcutaneous oxygen saturation. IL-6 in BALF was greater in ventilated animals when compared to non-ventilated controls, but not different between ventilated groups. No significant differences were found for all other inflammatory mediators, total protein concentration in BALF, and histology.
Conclusion:High V T ventilation with low PEEP improves respiratory system mechanics without causing additional damage to healthy and hemorrhage-exposed infant rats after 4 3 h of ventilation. This study highlights the tolerance to high V T ventilation in infant rats and underscores the need for age-specific animal models.