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Variation of Diagnostic Ultrasound-Induced Pulmonary Capillary Hemorrhage with Fraction of Inspired Oxygen.
Ultrasound in Medicine & Biology ( IF 2.9 ) Pub Date : 2020-05-15 , DOI: 10.1016/j.ultrasmedbio.2020.04.005
Douglas L Miller 1 , Chunyan Dou 1 , Krishnan Raghavendran 2 , Zhihong Dong 1
Affiliation  

Pulmonary capillary hemorrhage induction by diagnostic ultrasound (DUS-PCH) was investigated with respect to the influence of the fraction of inspired oxygen (FiO2). Sprague–Dawley rats were anesthetized with Telazol only (TO) or Telazol plus xylazine (TX), which can enhance DUS-PCH. A linear array probe (10 L, GE Vivid 7 Dimension) was used in B-mode at 7.5 MHz to expose the right lung. FiO2 at 10%, 20%, 60% and 100% was delivered through a nose cone. On the ultrasound images, the PCH effect was observed as growing comet tail (B-line) artifacts and as subpleural consolidated segments at higher FiO2. PCH for TO with 20% and 60% FiO2 were significantly greater (p < 0.05) than for the 10% FiO2. PCHs with TX at 10% and 20% FiO2 were significantly greater (p < 0.02) than those for TO anesthesia. Added xylazine and high percentages of FiO2 reduced PCH thresholds, but xylazine and high percentages of FiO2 together did not lower the PCH threshold further. The lowest threshold observed, 1.4 MPa, corresponded to an in situ mechanical index of 0.5.



中文翻译:

诊断性超声诱导的肺毛细血管出血与吸入氧分数的变化。

针对吸入氧分数 (FiO 2 )的影响,研究了通过诊断超声 (DUS-PCH) 诱导的肺毛细血管出血。Sprague-Dawley 大鼠仅用 Telazol (TO) 或 Telazol 加甲苯噻嗪 (TX) 麻醉,这可以增强 DUS-PCH。线性阵列探头(10 L,GE Vivid 7 Dimension)用于 B 模式,频率为 7.5 MHz,以暴露右肺。10%、20%、60% 和 100% 的FiO 2通过鼻锥输送。在超声图像上,PCH 效应被观察为不断增长的彗尾(B 线)伪影和更高 FiO 2 的胸膜下固结段。含 20% 和 60% FiO 2 的TO 的 PCH显着高于含10% FiO 2 的( p < 0.05). 与TX PCHS在10%和20%氧合指数2为显著更大(p <0.02)比那些TO麻醉。添加甲苯噻嗪和高百分比的 FiO 2降低了 PCH 阈值,但甲苯噻嗪和高百分比的 FiO 2并没有进一步降低 PCH 阈值。观察到的最低阈值 1.4 MPa,对应于0.5 的原位机械指数。

更新日期:2020-06-25
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