Subrina Jesmin
Japan
Research Article
Effects of Closed Vs. Open Repeated Endotracheal Suctioning During Mechanical Ventilation on the Pulmonary and Circulatory Levels of Endothelin-1 in Lavage-Induced Rabbit ARDS Model
Author(s): Hideaki Sakuramoto, Subrina Jesmin, Nobutake Shimojo, Junko Kamiyama, Ken Miya, Majedul Islam, Tanzila Khatun, Satoru Kawano and Taro MizutaniHideaki Sakuramoto, Subrina Jesmin, Nobutake Shimojo, Junko Kamiyama, Ken Miya, Majedul Islam, Tanzila Khatun, Satoru Kawano and Taro Mizutani
Background: A growing body of evidence demonstrates discretely the difference of open endotracheal suctioning (OES) and closed endotracheal suctioning (CES) on the respiratory and hemodynamic parameters in acute respiratory distress syndrome (ARDS). Endothelin-1 (ET-1), a mediator of vascular inflammation, cell proliferation, and fibrosis in addition to being a potent vasoconstrictor has been potentially implicated in the pathogenesis of ARDS. Here, we investigated the effects of repeated OES vs. CES during mechanical ventilation on circulatory and pulmonary levels of ET-1 in ARDS. Methods: Briefly, 22 Japanese White Rabbits were intubated with a 3.5-mm endotracheal tube. Normal saline was instilled into lung and washed mildly. After instillation, rabbits were ventilated at definite setting; OES and CES duration was for 6 hours and performed every 30 minutes from protocol start. Resul.. View More»
DOI:
10.4172/2329-6925.1000127