Influence of weaning methods on the diaphragm after mechanical ventilation in a rat model

Abstract Background Mechanical ventilation (MV) is associated with diaphragm weakness, a phenomenon termed ventilator-induced diaphragmatic dysfunction. Weaning should balance diaphragmatic loading as well as prevention of overload after MV. The weaning methods pressure support ventilation (PSV) and spontaneous breathing trials (SBT) lead to gradual or intermittent reloading of a weak diaphragm, respectively. This study investigated which weaning method allows more efficient restoration of diaphragm homeostasis. Methods Rats (nā€‰=ā€‰8 per group) received 12 h of MV followed by either 12 h of pressure support ventilation (PSV) or intermittent spontaneous breathing trials (SBT) and were compared to rats euthanized after 12 h MV (CMV) and to acutely euthanized rats (CON). Force generation, activity of calpain-1 and caspase-3, oxidative stress, and markers of protein synthesis (phosphorylated AKT to total AKT) were measured in the diaphragm. Results Reduction of diaphragmatic force caused by CMV compared to CON was worsened with PSV and SBT (both p

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PID https://www.doi.org/10.6084/m9.figshare.c.3626246
PID https://www.doi.org/10.6084/m9.figshare.c.3626246.v1
URL http://dx.doi.org/10.6084/m9.figshare.c.3626246
URL http://dx.doi.org/10.6084/m9.figshare.c.3626246.v1
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Author Bruells, Christian
Author Breuer, Thomas
Author Maes, Karen
Author Bergs, Ingmar
Author Bleilevens, Christian
Author Marx, Gernot
Author Weis, Joachim
Author Gayan-Ramirez, Ghislaine
Author Rossaint, Rolf
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Collected From Datacite
Hosted By figshare
Publication Date 2016-01-01
Publisher Figshare
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Language UNKNOWN
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keyword FOS: Health sciences
system:type other
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Source https://science-innovation-policy.openaire.eu/search/other?orpId=dedup_wf_001::486337f2f893dddb36f25e5eb5d0591c
Author jsonws_user
Last Updated 19 December 2020, 13:41 (CET)
Created 19 December 2020, 13:41 (CET)