Alveolar permeability and liquid absorption during partial liquid ventilation of rats with perflubron

Am J Respir Crit Care Med. 2000 Jan;161(1):44-9. doi: 10.1164/ajrccm.161.1.9901088.

Abstract

We examined the effect of instilled perflubron (LiquiVent) on the transport properties of alveolar epithelium in anesthetized rats. Krebs-Ringer bicarbonate (1 to 4 ml) containing (125)I-albumin, [(3)H]mannitol and [(14)C] sucrose was instilled into airspaces either alone (n = 29), or with 1 (n = 21) or 2 (n = 12) ml perflubron and sampled 30 min later. Absorption was deduced from the changes in (125)I-albumin activity per unit volume in the airspace instillate, and changes in [(3)H]mannitol and [(14)C]sucrose activity per unit volume were used to evaluate the passive permeability of the alveolar-airway barrier. The rate of Ringer absorption depended on the volume instilled [0.38 (ml/h)/ml Ringer]. Perflubron (1 or 2 ml) increased Ringer absorption by 0.26 (p < 0. 001) and 0.19 ml/h (p < 0.05), respectively. However, 2 ml perflubron increased absorption less than did the same additional volume of Ringer (p < 0.001). The passive permeability of the alveolar-airway barrier increased exponentially with instilled Ringer volume. Sucrose/mannitol size selectivity was lost when Ringer volume was > 2 ml and albumin leaked from airspaces when it was 4 ml. Instillation of 2 ml perflubron prevented this increase in permeability, but 1 ml did not. No albumin leaked with perflubron even when the total volume of liquid in airspaces (Ringer + perflubron) was > 4 ml. These results suggest that perflubron can be beneficial in pulmonary edema by redistributing the alveolar liquid over a larger surface area, thus accelerating resorption. In addition, larger doses of perflubron may better preserve epithelial permeability during alveolar flooding.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absorption
  • Albumins / pharmacokinetics
  • Animals
  • Cell Membrane Permeability / drug effects
  • Drug Combinations
  • Emulsions
  • Fluorocarbons / administration & dosage*
  • Hydrocarbons, Brominated
  • Instillation, Drug
  • Isotonic Solutions / administration & dosage
  • Isotonic Solutions / pharmacokinetics*
  • Male
  • Mannitol / pharmacokinetics
  • Pulmonary Alveoli / drug effects
  • Pulmonary Alveoli / metabolism*
  • Rats
  • Rats, Wistar
  • Respiration, Artificial / methods*
  • Sucrose / pharmacokinetics
  • Trachea

Substances

  • Albumins
  • Drug Combinations
  • Emulsions
  • Fluorocarbons
  • Hydrocarbons, Brominated
  • Isotonic Solutions
  • Krebs-Ringer solution
  • Mannitol
  • Sucrose
  • perflubron