Sublobar atelectasis and regional pulmonary blood flow

S. Enjeti, J. T. O'Neill, P. B. Terry, H. A. Menkes, R. J. Traystman

Research output: Contribution to journalArticlepeer-review

Abstract

We studied the effects of sublobar atelectasis on regional blood flow in anesthetized paralyzed pigs. Following the washout of nitrogen from the lung with oxygen, a sublobar airway was obstructed and a peripheral segment of lung allowed to collapse. Blood flow to the atelectatic region fell from a control of 140.0 ± 20.5 to 16.6 ± 2.9 ml/(min.g). Basilar regions that became atelectatic spontaneously during the course of the studies had similar decreases in blood flow. Inflation of the surrounding lung by the application of positive end-expiratory pressure failed to increase blood flow and vascular conductance within the atelectatic regions. These results indicate that mechanical and hypoxic effects on vessels perfusing sublobar atelectatic regions limit the effects of interdependence from the surrounding lung. Furthermore, with inflation of the surrounding lung, increases in pulmonary shunting of blood are small.

Original languageEnglish (US)
Pages (from-to)1245-1250
Number of pages6
JournalJournal of Applied Physiology Respiratory Environmental and Exercise Physiology
Volume47
Issue number6
DOIs
StatePublished - 1979

ASJC Scopus subject areas

  • Physiology
  • Endocrinology

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