The effectiveness of respiratory support in the early period of intoxication of rabbits with products of thermal degradation of fluoroplast-4
- 作者: Tolkach P.G.1, Yaroshenko D.M.1, Khovpachev A.A.1, Sizova D.T.1, Ilatovskaya Y.D.2, Gracheva G.U.2,3, Basharin V.A.1
-
隶属关系:
- Kirov Military Medical Academy
- Veterinary clinic of oncology, traumatology and intensive care of Dr. Sotnikov
- St. Petersburg State University of veterinary medicine
- 期: 卷 144, 编号 4 (2024)
- 页面: 435-441
- 栏目: Articles
- ##submission.dateSubmitted##: 02.02.2025
- ##submission.datePublished##: 22.07.2024
- URL: https://rjpbr.com/0042-1324/article/view/653191
- DOI: https://doi.org/10.31857/S0042132424040063
- EDN: https://elibrary.ru/PPEBND
- ID: 653191
如何引用文章
全文:
详细
Inhalation intoxication with acylating pulmonotoxicants (phosgene, perfluoroisobutylene) leads to the formation of toxic pulmonary edema, pharmacological approaches to the treatment of which are ineffective. Respiratory therapy is successfully used to treat non-toxic pulmonary edema. Data on the effectiveness of respiratory support in toxic pulmonary edema are limited. The aim of the study was to experimentally evaluate the effectiveness of protective ventilation with positive end-expiratory pressure in the early period of intoxication by products of thermal degradation of fluoroplast-4. Early initiation of protective ventilation with positive end-expiratory pressure proved to be effective for the correction of toxic pulmonary edema in rabbits in the early period of intoxication by products of thermal degradation of fluoroplast-4 with pulmonotoxic effects. Respiratory support may be an effective approach for the treatment of toxic pulmonary edema caused by intoxication with acylating pulmonotoxicants.
全文:

作者简介
P. Tolkach
Kirov Military Medical Academy
编辑信件的主要联系方式.
Email: pgtolkach@gmail.com
俄罗斯联邦, St. Petersburg
D. Yaroshenko
Kirov Military Medical Academy
Email: pgtolkach@gmail.com
俄罗斯联邦, St. Petersburg
A. Khovpachev
Kirov Military Medical Academy
Email: pgtolkach@gmail.com
俄罗斯联邦, St. Petersburg
D. Sizova
Kirov Military Medical Academy
Email: pgtolkach@gmail.com
俄罗斯联邦, St. Petersburg
Yu. Ilatovskaya
Veterinary clinic of oncology, traumatology and intensive care of Dr. Sotnikov
Email: pgtolkach@gmail.com
俄罗斯联邦, St. Petersburg
G. Gracheva
Veterinary clinic of oncology, traumatology and intensive care of Dr. Sotnikov; St. Petersburg State University of veterinary medicine
Email: pgtolkach@gmail.com
俄罗斯联邦, St. Petersburg; St. Petersburg
V. Basharin
Kirov Military Medical Academy
Email: pgtolkach@gmail.com
俄罗斯联邦, St. Petersburg
参考
- Башарин В.А., Чепур С.В., Щёголев А.В. и др. Роль и место респираторной поддержки в схемах терапии острого легочного отека, вызванного ингаляционным воздействием токсичных веществ // Воен.-мед. журн. 2019. Т. 340 (11). С. 26–32.
- Завирский А.В., Зацепин В.В., Башарин В.А. и др. Экспериментальная модель комбинированного радиационно-химического поражения в результате воздействия рентгеновского излучения и монооксида углерода // Medline.ru. 2020. Т. 21. С. 11–22.
- Паншин Ю.А., Малкевич С.Г., Дунаевская Ц.С. Фторопласты. Л.: Химия, 1978. 232 с.
- Ярошецкий А.И., Грицан А.И., Авдеев С.Н. и др. Диагностика и интенсивная терапия острого респираторного дистресс-синдрома // Анестезиол. реаниматол. 2020. № 2. С. 5–39.
- Brown R.F., Jugg B.J., Harban F.M. et al. Pathophysiological responses following phosgene exposure in the anaesthetized pig // J. Appl. Toxicol. 2002. V. 22. P. 263–269.
- Grainge C., Rice P. Management of phosgene-induced acute lung injury // Clin. Toxicol. 2010. V. 48. P. 497–508.
- Graham S., Fairhall S., Rutter S. et al. Continuous positive airway pressure: an early intervention to prevent phosgene-induced acute lung injury // Toxicol. Lett. 2018. V. 293. P. 120–126.
- Jugg B.J. Toxicology and treatment of phosgene induced lung injury // Chem. Warfare Toxicol. 2016. V. 1. P. 117–153.
- Li W., Rosenbruch M., Pauluhn J. Effect of PEEP on phosgene-induced lung edema: pilot study on dogs using protective ventilation strategies // Exp. Toxicol. Pathol. 2015. V. 67. P. 109–116.
- Meng G., Zhao J., Wang H-M. et al. Cell injuries of the blood-air barrier in acute lung injury caused by perfluoroisobutylene exposure // J. Occup. Health. 2010. V. 52. P. 48–57.
- Mistry S., Scott T.E., Jugg B.J. et al. An in silico porcine model of phosgene-induced lung injury predicts clinically relevant benefits from application of continuous positive airway pressure up to 8 h post exposure // Toxicol. Lett. 2024. V. 391. P. 45–54.
- Muir B., Cooper D.B., Carrick W.A. et al. Analysis of chemical warfare agents III. Use of bis-nucleophiles in the trace level determination of phosgene and perfluoroisobutylene // J. Chromatogr. A. 2005. V. 1098 (1–2). P. 156–165.
- Parkhouse D.A., Brown R.F., Jugg B.J. et al. Protective ventilation strategies in the management of phosgene-induced acute lung injury // Mil. Med. 2007. V. 172. P. 295–300.
- Patocka J. Perfluoroisobutene: poisonous choking gas // Mil. Med. Sci. Lett. 2019. V. 88 (3). P. 98–105.
- Roy S., Sadowitz B., Andrews P. et al. Early stabilizing alveolar ventilation prevents ARDS: a novel timing-based ventilatory intervention to avert lung injury // J. Trauma Acute Care Surg. 2012. V. 73. P. 391–400.
补充文件
