Ventilator-induced lung injury /
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Imprint: | New York : Taylor & Francis, 2006. |
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Description: | xxiii, 738 p. : ill. ; 24 cm. |
Language: | English |
Series: | Lung biology in health and disease ; v. 215 |
Subject: | |
Format: | Print Book |
URL for this record: | http://pi.lib.uchicago.edu/1001/cat/bib/5899465 |
Table of Contents:
- Introduction
- Preface
- Contributors
- Part I. Acute Manifestations of VILI
- 1. Shear and Pressure-Induced Mechanotransduction
- I. Introduction
- II. Mechanical Forces
- III. Membrane Signal Transduction
- IV. Intracellular Signal Transduction
- V. Conclusion
- References
- 2. Pulmonary Micromechanics of Injured Lungs
- I. Introduction
- II. Determinants of Regional Pressure and Volume in Health and Disease
- III. Micromechanics of the Normal Lung
- IV. Alveolar Micromechanics in Injury States
- V. Mechanisms by Which Ventilators Injure Lungs
- VI. Concluding Remarks
- References
- 3. Response of Cellular Plasma Membrane to Mechanical Stress
- I. Introduction
- II. The Histology of VILI
- III. Cellular Stress Failure in Ventilator-Injured Lungs
- IV. Determinants of PM Tension
- V. Cell Deformation-Associated PM Remodeling
- VI. PM Repair
- VII. Effects of PM Wounding on Gene Expression and Cell Survival
- VIII. Conclusion
- References
- 4. Acute Passive and Active Changes in Microvascular Permeability During Lung Distention
- I. Introduction
- II. Passive Effects of Lung Distention
- III. Active Endothelial Control of Vascular Permeability
- IV. Conclusion
- References
- 5. Hemodynamic Interactions During Ventilator-Induced Lung Injury
- I. Introduction
- II. Effect of Pulmonary Expansion on the Pulmonary Vascular Tree
- III. Response of the Endothelial Cell to Shear Forces
- IV. Interactions Between Airway and Pulmonary Vascular Pressures
- V. Mechanisms Disrupting the Blood-Gas Barrier
- VI. Behavior of Airway and Vascular Pressures in Heterogeneous Areas
- VII. Role of Vascular Pressure and Flow on Genesis of VILI
- VIII. Effect of Respiratory Rate and Flow on Expression of VILI 107 IX Cyclic Effect on the Microvascular Environment Induced by Mechanical Ventilation
- X. Effect of Postalveolar Vascular Pressure on the Development of VILI
- XI. Potential Clinical Implications
- XII. Conclusions
- References
- 6. Lung Mechanics and Pathological Features During Ventilation-Induced Lung Injury
- I. Introduction
- II. Acute Pulmonary Edema Consecutive to High-Lung-Volume Ventilation
- III. Respiratory Mechanics and Severity of VILI
- IV. Respiratory System PV Curve Changes During Lung Injury
- V. Improvement of Lung Mechanical Properties and Protection from VILI
- VI. Clinical Considerations
- References
- 7. The Significance of Air-Liquid Interfacial Stresses on Low-Volume Ventilator-Induced Lung Injury
- I. Introduction
- II. Background
- III. Introduction to Pulmonary Fluid-Structure Interactions
- IV. Microscale Fluid-Structure Interactions Leading to VILI
- V. The Protective Effect of Pulmonary Surfactant
- VI. Future Directions
- References
- 8. Cellular and Molecular Basis for Ventilator-Induced Lung Injury
- I. Introduction
- II. Ventilator-Induced Lung Inflammation
- III. Cells Submitted to Mechanical Stress
- IV. What Happens to Cells When They Are Submitted to Cyclic Stretch?
- V. Mechanosensing
- VI. Cyclic Stretch of Lung Epithelial Cells
- VII. Cyclic Stretch-Induced Cell Activation
- VIII. Synergy Between Cyclic Stretch and Inflammatory Stimuli
- IX. Genes Activated by Cyclic Stretch
- X. Conclusions and Perspectives
- References
- Part II. Subacute VILI
- 9. The Role of Cytokines During the Pathogenesis of Ventilator-Associated and Ventilator-Induced Lung Injury
- I. Introduction
- II. Mechanical Ventilation of the ALI/ARDS Lung
- III. Mechanotransduction Leads to Lung Injury
- IV. Cytokines and the Pathogenesis of VALI/VILI
- V. The Role of TNF-[alpha] During the Pathogenesis of VALI/VILI
- VI. The Role of IL-1[beta] During the Pathogenesis of VALI/VILI
- VII. The Role of IL-6 During the Pathogenesis of VALI/VILI
- VIII. The Role of IFN-[gamma] During the Pathogenesis of VALI/VILI
- IX. The Role of IL-10 During the Pathogenesis of VALI/VILI
- X. The Role of TGF-[beta] During the Pathogenesis of VALI/VILI
- XI. The Role of Chemokines and Chemokine Receptors During the Pathogenesis of VALI/VILI
- XII. The Role of CC Chemokines During the Pathogenesis of VALI/VILI
- XIII. Conclusion
- References
- 10. Systemic Effects of Mechanical Ventilation
- I. Introduction
- II. Physiological Effects of MV
- III. Mechanical Strain-Induced Release of Inflammatory Mediators In Vitro
- IV. Pulmonary and Systemic Release of Inflammatory Mediators in Ex Vivo and In Vivo Models of VILI
- V. Passage of Mediators from Lung to Bloodstream
- VI. Injurious Ventilatory Strategies Can Enhance End-Organ Dysfunction, Apoptosis, and Inflammation
- VII. Bacterial Translocation in MV
- VIII. Does the Release of Mediators by VILI Have Any Pathophysiologic Relevance?
- IX. Pulmonary and Systemic Inflammatory Mediators in VILI in Clinical Studies
- X. Multiple Organ Dysfunction and VILI in Clinical Studies
- XI. Conclusions
- References
- 11. Alveolar Fluid Reabsorption During VILI
- I. Introduction
- II. Alveolar Epithelial Sodium Transport
- III. Alveolar Fluid Reabsorption During VILI
- IV. Summary
- References
- 12. Interaction of VILI with Previous Lung Alterations
- I. Introduction
- II. Surfactant Depletion and Deactivation
- III. Toxic Lung Injuries
- IV. Inflammation and Infection: The Importance of Lung Priming and the Two-Hit Theory
- V. Consequences of Previous Lung Injury on Lung Mechanics
- VI. Counteracting Previous Lung Injury
- VII. Clinical Considerations
- References
- 13. Biological Markers of Ventilator-Induced Lung Injury
- I. Introduction
- II. Rationale for Biological Markers of VILI
- III. Recent Progress in Identifying Biological Markers of VILI
- IV. Future Approaches to Identifying Markers of VILI
- V. Summary and Conclusions
- References
- 14. Modulation of Lung Injury by Hypercapnia
- I. Introduction-Historical Context
- II. Hypercapnia-Definitions and Terminology
- III. Hypercapnia-Physiologic Effects
- IV. Acute Organ Injury: Evidence That CO[subscript 2] Is Protective
- V. Mechanisms of CO[subscript 2]-Induced Protection
- VI. Molecular Mechanisms of Hypercapnia-Induced Tissue Injury
- VII. Administration and Dose Response
- VIII. Role of Buffering
- IX. Hypercapnia-Clinical Studies
- X. Future Directions
- XI. Summary
- References
- 15. Alveolar Epithelial Function in Ventilator-Injured Lungs
- I. Introduction
- II. Effects of Mechanical Ventilation on Alveolar Epithelial Barrier Function
- III. Alveolar Epithelial Ion and Fluid Transport
- IV. Effects of Mechanical Strain on Epithelial Inflammatory Mediators
- V. Consequences of the Loss of Epithelial Barrier Function
- VI. Effects of VILI on Surfactants
- VII. Summary
- References
- 16. Genomic Insights into Ventilator-Induced Lung Injury
- I. Introduction-VALI and Genome Medicine
- II. Challenges to Unraveling the Genetics of VALI
- III. Current Status of VALI/VILI Genetics and the Candidate Gene Approach
- IV. Gene Expression in Animal Models of VILI
- V. Ortholog Gene Database in VALI and Mechanical Stress
- VI. Regional Heterogeneity in Ventilator-Associated Mechanical Stress
- VII. Pre-B-Cell Colony-Enhancing Factor as an ALI Candidate Gene
- VIII. Preliminary PBEF Genotyping in ALI Patients
- IX. Preliminary IL-6 Genotyping in VALI
- X. Summary
- References
- Part III. Clinical Implications and Treatment of VILI
- 17. Lung Imaging of Ventilator-Associated Injury
- I. Introduction
- II. Histological Evidence of Mechanical Ventilation-Induced Lung Distortion/Overinflation
- III. CT Evidence of Mechanical Ventilation-Induced Lung Distortion/Overinflation
- References
- 18. Imaging Ventilator-Induced Lung Injury: Present and Future Possibilities
- I. Introduction
- II. Anatomic Imaging of VILI: Quantifying Edema Accumulation
- III. Functional Imaging of VILI
- IV. Molecular Imaging of VILI
- V. Summary
- References
- 19. Modulation of the Cytokine Network by Lung-Protective Mechanical Ventilation Strategies
- I. Introduction
- II. MV and the Cytokine Network
- III. Modulation of the Cytokine Network in ALI: Evidence from Studies
- IV. Impact of MV on the Cytokine Network in Healthy Lungs
- V. Conclusion
- References
- 20. Role of Tidal Volume and PEEP in the Reduction of VILI
- I. Introduction
- II. Traditional Approach to MV in ALI/ARDS
- III. Mechanisms of VILI
- IV. Lung-Protective Ventilation
- V. Clinical Trials of Lung-Protective MV Strategies
- VI. Controversies
- VII. Summary
- References
- 21. A Critical Review of RCTs of Tidal Volume Reduction in Patients with ARDS and Their Impact on Practice
- I. Introduction
- II. Randomized, Controlled Trials of Tidal Volume Reduction in ARDS
- III. Meta-Analyses of the RCTs of Tidal Volume Reduction During ARDS
- IV. Impact of the Low Tidal Volume Trials on Practice Patterns
- V. Conclusions
- References
- 22. The Importance of Protocol-Directed Patient Management for Research on Lung-Protective Ventilation
- I. Introduction
- II. Experimental Scientific Principles
- III. Computerized Protocol Experience
- IV. Summary
- References
- 23. Crossing the Quality Chasm in Critical Care: Changing Ventilator Management in Patients with ALI
- I. Introduction
- II. Understanding Current Practice
- III. Do We Know Why Clinicians Do Not Follow Practice Guidelines?
- IV. Barriers to Changing Practice in the ICU
- V. Models of Changing Clinical Practice
- VI. Effective Strategies to Change Practice in the ICU
- VII. Conclusions
- References
- 24. How to Design Clinical Studies for Preventing Ventilator-Induced Lung Injury
- I. Introduction-Questions to Be Addressed
- II. Inclusion and Exclusion Criteria
- III. Outcomes
- IV. Study Designs
- V. The RCT
- VI. Ethical Issues in a Clinical Trial
- VII. Understanding the Results of a Clinical Trial
- VIII. Nonrandomized Cohort Studies
- IX. Evidence-Based Medicine and Hierarchy of Study Designs
- References
- 25. Perfluorocarbons and Acute Lung Injury
- I. Introduction
- II. Perfluorocarbon Liquids as Media for Breathing
- III. Effects of Perfluorocarbons on Inflammation and Oxidative Injury
- IV. In Vitro Effects of Neat Perfluorocarbon Liquids Involving Surface Tension
- V. Effects of Ventilation with Perfluorocarbons on Lung Injury
- VI. Mechanical Protection from Lung Injury by Perfluorocarbon Ventilation
- VII. Conclusions
- References
- 26. Prospects for Reduction of Ventilator-Induced Lung Injury with Surfactant
- I. Introduction-The Pulmonary Surfactant System
- II. Surfactant Alterations and Replacement Treatment in ALI/ARDS
- III. Role of the Pulmonary Surfactant System in VILI
- IV. Conclusions
- References
- 27. Rationale for High-Frequency Oscillatory Ventilation in Acute Lung Injury
- I. Introduction
- II. Background
- III. Rationale for HFOV
- IV. Clinical Experience with HFOV
- V. Future Directions in the Application of HFOV
- VI. Conclusion
- References
- 28. Gene Therapy for Ventilator-Induced Lung Injury
- I. Introduction
- II. Gene Therapy for ALI
- III. Gene Therapy for VILI
- IV. Conclusions
- References
- Index