Effects of body temperature on ventilator-induced lung injury

Ozkan I. Akinci*, Mehmet Celik, Gökhan M. Mutlu, Janice M. Martino, Simru Tugrul, Perihan E. Ozcan, Dilek Yilmazbayhan, Anjana V Yeldandi, Kemal H. Turkoz, Bayram Kiran, Lütfi Telci, Nahit Cakar

*Corresponding author for this work

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Purpose: To evaluate the effects of body temperature on ventilator-induced lung injury. Material and Methods: Thirty-four male Sprague-Dawley rats were randomized into 6 groups based on their body temperature (normothermia, 37 ± 1°C; hypothermia, 31 ± 1°C; hyperthermia, 41 ± 1°C). Ventilator-induced lung injury was achieved by ventilating for 1 hour with pressure-controlled ventilation mode set at peak inspiratory pressure (PIP) of 30 cmH2O (high pressure, or HP) and positive end-expiratory pressure (PEEP) of 0 cmH2O. In control subjects, PIP was set at 14 cmH2O (low pressure, or LP) and PEEP set at 0 cmH2O. Systemic chemokine and cytokine (tumor necrosis factor α, interleukin 1β, interleukin 6, and monocyte chemoatractant protein 1) levels were measured. The lungs were assessed for histological changes. Results: Serum chemokines and cytokines were significantly elevated in the hyperthermia HP group compared with all 3 groups, LP (control), normothermia HP, and hypothermia HP. Oxygenation was better but not statistically significant in hypothermia HP compared with other HP groups. Cumulative mean histology scores were higher in hyperthermia HP and normothermia HP groups compared with control and normothermia HP groups. Conclusions: Concomitant hyperthermia increased systemic inflammatory response during HP ventilation. Although hypothermia decreased local inflammation in the lung, it did not completely attenuate systemic inflammatory response associated with HP ventilation.

Original languageEnglish (US)
Pages (from-to)66-73
Number of pages8
JournalJournal of Critical Care
Volume20
Issue number1
DOIs
StatePublished - Jan 1 2005

Keywords

  • Cytokines
  • Hyperthermia
  • Hypothermia
  • Mechanical ventilation
  • Ventilator-induced lung injury

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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    Akinci, O. I., Celik, M., Mutlu, G. M., Martino, J. M., Tugrul, S., Ozcan, P. E., Yilmazbayhan, D., Yeldandi, A. V., Turkoz, K. H., Kiran, B., Telci, L., & Cakar, N. (2005). Effects of body temperature on ventilator-induced lung injury. Journal of Critical Care, 20(1), 66-73. https://doi.org/10.1016/j.jcrc.2004.11.001