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Intensive Care Medicine
Published in: Intensive Care Medicine 10/2005

01-10-2005 | Experimental

Effects of short vs. prolonged mechanical ventilation on antioxidant systems in piglet diaphragm

Authors: Samir Jaber, Mustapha Sebbane, Christelle Koechlin, Maurice Hayot, Xavier Capdevila, Jean-Jacques Eledjam, Christian Prefaut, Michèle Ramonatxo, Stefan Matecki

Published in: Intensive Care Medicine | Issue 10/2005

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Abstract

Objective

Prolonged controlled mechanical ventilation (MV) is known to induce diaphragmatic oxidative stress that seems to be an important factor reducing force-generating capacity. To better understand the cellular mechanisms involved, this work examined the effect of short vs. prolonged MV on antioxidant defense in the diaphragm.

Design and setting

Prospective, randomized, controlled animal study in a university laboratory.

Methods

Eleven piglets (15–20 kg) were assigned to one of two groups: a long-MV group (n=6) ventilated for 3 days or a short-MV group (n=5) ventilated for 3 h. Force frequency curves of the transdiaphragmatic pressure (Pdi) were obtained in vivo by phrenic nerve pacing. Oxidative stress was evaluated by thiobarbituric reactive substance (TBARs) content and the enzymatic antioxidant activity of both superoxide dismutase (SOD) and glutathione peroxidase (GPx) in samples of diaphragm.

Results

Pdi decreased in the long-MV group by 30–35% over the 3 days at all frequencies compared to the short-MV group. Diaphragm TBARs content was significantly higher and SOD activity lower in long-MV animals than in short-MV animals after 72 h. GPx activity tended to be lower in diaphragms from long-MV animals, but this difference was not significant.

Conclusions

This study shows that 3 days of MV in piglets is associated with a decrease in antioxidant activity which could emphasize oxidative stress and both contribute to the diaphragm dysfunction caused by MV
Appendix
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Metadata
Title
Effects of short vs. prolonged mechanical ventilation on antioxidant systems in piglet diaphragm
Authors
Samir Jaber
Mustapha Sebbane
Christelle Koechlin
Maurice Hayot
Xavier Capdevila
Jean-Jacques Eledjam
Christian Prefaut
Michèle Ramonatxo
Stefan Matecki
Publication date
01-10-2005
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 10/2005
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-005-2694-1

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