Article
Biochemistry & Molecular Biology
Katja Mohnke, Victoria Buschmann, Thomas Baller, Julian Riedel, Miriam Renz, Rene Rissel, Alexander Ziebart, Erik K. K. Hartmann, Robert Ruemmler
Summary: This porcine study aimed to validate the hypothesis that ultra-low tidal volume ventilation during CPR minimizes renal and hepatic end-organ damage compared to standard intermittent positive pressure ventilation. The study found that ULTVV may be advantageous over standard ventilation in the short-term ROSC follow-up period.
Article
Multidisciplinary Sciences
Cristian Crisosto, Andreas Voskrebenzev, Marcel Gutberlet, Filip Klimes, Till F. Kaireit, Gesa Poehler, Tawfik Moher, Lea Behrendt, Robin Mueller, Maximilian Zubke, Frank Wacker, Jens Vogel-Claussen
Summary: This study aimed to improve automated lung segmentation on 2D lung MR images using balanced augmentation and artificially-generated consolidations for training of a convolutional neural network (CNN). The results showed that by increasing balanced augmentation and artificially-generated consolidations, the CNN performance was improved, especially in datasets with parenchymal consolidations. This is an important step towards a robust automated postprocessing of lung MRI datasets in clinical routine.
Article
Multidisciplinary Sciences
Yen-Fen Ko, Kuo-Sheng Cheng
Summary: Electrical impedance tomography (EIT) is commonly used for monitoring lung ventilation, but poor spatial resolution affects image reconstruction; the semi-Siamese U-Net shows performance improvement in separating heart and lung impedance images.
Article
Health Care Sciences & Services
Kyuho Lee, Mina Kim, Namo Kim, Su Jeong Kang, Young Jun Oh
Summary: In patients undergoing one-lung ventilation in the supine position, inhalation of iloprost does not significantly improve oxygenation parameters but improves alveolar ventilation without adverse hemodynamic effects.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Medicine, General & Internal
Angelo Justus, Aidan Burrell, Chris Anstey, George Cornmell, Daniel Brodie, Kiran Shekar
Summary: In patients supported by VA ECMO, hyperoxemia was common but not independently associated with increased mortality. Survivors received lower EBFR and had greater minute ventilation, but this was also not independently associated with survival. These findings highlight that interactions between EBFR, PaO2, and native lung ventilation may be more relevant than their individual association with survival.
FRONTIERS IN MEDICINE
(2021)
Article
Multidisciplinary Sciences
Keir A. Forgie, Nicholas Fialka, Mubashir Khan, Max Buchko, Sanaz Hatami, Sayed Himmat, Xiao Qi, Xiuhua Wang, Katie-Marie Buswell, Ryan Edgar, Daina Domahidi, Darren H. Freed, Jayan Nagendran
Summary: Lung transplantation is an effective treatment for end-stage lung disease but is limited by donor organ shortage. Ex situ lung perfusion (ESLP) has improved donor lung utilization rates and can be validated using porcine models. The porcine lung transplantation model is easily reproducible and can be used to validate ESLP strategies and evaluate interventions.
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
(2022)
Article
Anesthesiology
Philip J. Peyton
Summary: This study examines the partial pressure gradients and alveolar deadspace of inhaled gases during anesthesia. The results suggest that there is no significant diffusion limitation in the lung uptake of desflurane compared to nitrous oxide.
Review
Biotechnology & Applied Microbiology
Ahad Syed, Sarah Kerdi, Adnan Qamar
Summary: Artificial lung technology is advancing rapidly, offering hope for patients in need of respiratory support. From rehabilitation to transplantation, the search for safe and effective artificial lungs is critical. This review details the key advances in the historical development of artificial lungs, outlining the current state of extracorporeal membrane oxygenation, intravascular lung assists, and other technologies.
BIOENGINEERING-BASEL
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Gesa H. Poehler, Filip Klimes, Lea Behrendt, Andreas Voskrebenzev, Cristian Crisosto Gonzalez, Frank Wacker, Jens M. Hohlfeld, Jens Vogel-Claussen
Summary: The study aimed to evaluate the repeatability of PREFUL-MRI ventilation and perfusion parameters, with results showing high reproducibility of these parameters in two scan sessions, being observed in both healthy controls and COPD patients.
JOURNAL OF MAGNETIC RESONANCE IMAGING
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Ilyes Benlala, Rabea Klaar, Thomas Gaass, Julie Macey, Stephanie Bui, Baudouin Denis De Senneville, Patrick Berger, Francois Laurent, Gael Dournes, Julien Dinkel
Summary: This study evaluated whether Fourier decomposition (FD) functional lung MRI can detect response to treatment of allergic bronchopulmonary aspergillosis (ABPA) in cystic fibrosis (CF) patients. The results showed that non-contrast-enhanced FD lung MRI can reproducibly assess the response to ABPA treatment in CF patients and correlates with pulmonary function test obstructive parameters.
JOURNAL OF MAGNETIC RESONANCE IMAGING
(2023)
Article
Multidisciplinary Sciences
Steven L. Shein, Sofie Whitticar, Kira K. Mascho, Elizabeth Pace, Richard Speicher, Kathleen Deakins
Summary: The study found that among adult volunteers, neither cloth masks nor surgical masks had a significant impact on oxygenation or ventilation during rest or brisk walking. There were no episodes of hypoxemia or hypercarbia observed in the participants, indicating near-zero risk of pathologic gas exchange impairment with either type of mask in the general adult population.
Article
Radiology, Nuclear Medicine & Medical Imaging
Pierre-Yves Le Roux, Pierre-Benoit Bonnefoy, Achraf Bahloul, Benoit Denizot, Bertrand Barres, Caroline Moreau-Triby, Astrid Girma, Amandine Pallardy, Quentin Ceyrat, Laure Sarda-Mantel, Micheline Razzouk-Cadet, Reka Zsigmond, Cachin Florent, Gilles Karcher, Pierre-Yves Salaun
Summary: This study assessed the role of ventilation imaging in COVID-19 patients undergoing lung scintigraphy for suspected pulmonary embolism (PE). The findings showed that in this population, only 57% of patients could confidently exclude PE without ventilation imaging, while 31% of patients required ventilation imaging to rule out PE. The study also revealed a low prevalence of PE (12%).
JOURNAL OF NUCLEAR MEDICINE
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Efe Ilicak, Greta Thater, Safa Ozdemir, Jascha Zapp, Lothar R. Schad, Stefan O. Schoenberg, Frank G. Zoellner, Meike Weis
Summary: This study investigated the feasibility of non-contrast-enhanced functional lung imaging in 2-year-old children after congenital diaphragmatic hernia repair. The results showed that this method successfully generated ventilation and perfusion maps, and the results were consistent with dynamic contrast-enhanced MRI. This method provides a new option for lung imaging in CDH patients without the need for ionizing radiation or contrast agents.
EUROPEAN RADIOLOGY
(2023)
Article
Multidisciplinary Sciences
Alessandra F. Thompson, Lillian Moraes, Nazareth N. Rocha, Marcos V. S. Fernandes, Mariana A. Antunes, Soraia C. Abreu, Cintia L. Santos, Vera L. Capelozzi, Cynthia S. Samary, Marcelo G. de Abreu, Felipe Saddy, Paolo Pelosi, Pedro L. Silva, Patricia R. M. Rocco
Summary: The study found that adjusting the frequency of controlled breaths and the level of pressure support can mitigate lung and diaphragm damage in an animal model of acute respiratory distress syndrome. Increasing pressure support can improve lung mechanics and reduce lung injury, while partitioning inspiratory effort and pressure in spontaneous breathing can minimize lung and diaphragm damage.
Article
Radiology, Nuclear Medicine & Medical Imaging
Rie Tanaka, Isao Matsumoto, Masaya Tamura, Munehisa Takata, Shuhei Yoshida, Daisuke Saito, Yusuke Tanaka, Dai Inoue, Noriyuki Ohkura, Kazuo Kasahara
Summary: The study compared ventilation and perfusion metrics derived from DCR with nuclear medicine imaging findings, finding a reasonably good correlation in lung subdivisions. This suggests that DCR can provide useful information on pulmonary function without the use of radioactive contrast agents.
QUANTITATIVE IMAGING IN MEDICINE AND SURGERY
(2021)
Article
Multidisciplinary Sciences
Rene Rissel, Moritz Gosling, Robert Ruemmler, Alexander Ziebart, Erik K. Hartmann, Jens Kamuf
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
(2020)
Article
Multidisciplinary Sciences
Robert Ruemmler, Alexander Ziebart, Frances Kuropka, Bastian Duenges, Jens Kamuf, Andreas Garcia-Bardon, Erik K. Hartmann
Article
Veterinary Sciences
Robert Ruemmler, Alexander Ziebart, Elisabeth Britten, Jens Kamuf, Andreas Garcia-Bardon, Erik Kristoffer Hartmann
Summary: The targeted application of drugs via flexible fibre-optic endoscopy successfully induced lung injury in pigs, simulating symptoms of mild-to-moderate acute respiratory distress syndrome (ARDS) with significant inflammation and edema in lung tissues. The results suggest that this method is reliable and can help further understand critical conditions like ARDS.
VETERINARY ANAESTHESIA AND ANALGESIA
(2021)
Article
Anesthesiology
Robert Ruemmler, Alexander Ziebart, Thomas Ott, Dagmar Dirvonskis, Erik Kristoffer Hartmann
BMC ANESTHESIOLOGY
(2020)
Article
Anesthesiology
Alexander Ziebart, Christian Breit, Robert Ruemmler, Regina Hummel, Christian Moellmann, Florian Jungmann, Jens Kamuf, Andreas Garcia-Bardon, Serge C. Thal, Karl-Friedrich Kreitner, Michael K. E. Schaefer, Erik K. Hartmann
Summary: In this study using a porcine model, fluid resuscitation with colloids, particularly gelatine-polysuccinate, was associated with cerebral injury.
EUROPEAN JOURNAL OF ANAESTHESIOLOGY
(2021)
Article
Multidisciplinary Sciences
Jens Kamuf, Andreas Garcia Bardon, Alexander Ziebart, Katrin Frauenknecht, Konstantin Folkert, Johannes Schwab, Robert Ruemmler, Miriam Renz, Denis Cana, Serge C. Thal, Erik K. Hartmann
Article
Emergency Medicine
Robert Ruemmler, Jakob Stein, Bastian Duenges, Miriam Renz, Erik Kristoffer Hartmann
Summary: This study compared the CPR effectiveness and thoracic injuries between two mechanical chest compression devices in pigs. The results showed that the LUCAS 2 device had better resuscitation outcomes and caused less thoracic injuries compared to the Corpuls cpr device.
SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE
(2021)
Article
Anesthesiology
Jens Kamuf, Andreas Garcia Bardon, Alexander Ziebart, Robert Ruemmler, Johannes Schwab, Mobin Dib, Andreas Daiber, Serge C. Thal, Erik K. Hartmann
Summary: Patients with acute respiratory distress syndrome (ARDS) may suffer from cognitive impairment after hospital discharge, and treatment with rosuvastatin may reduce cerebral cytokine mRNA expression and nitro-oxidative stress in an animal model of acute lung injury. The findings highlight the potential benefits of rosuvastatin in reducing cognitive impairment in ARDS survivors by attenuating inflammation and oxidative stress.
BMC ANESTHESIOLOGY
(2021)
Article
Biology
Robert Ruemmler, Alexander Ziebart, Elisabeth Britten, Moritz Gosling, Rene Rissel, Erik K. Hartmann
Summary: The study confirmed the proinflammatory effects of extracellular histones in a prospective translational porcine model, without significant differences in tissue damage between the groups.
BMC RESEARCH NOTES
(2021)
Article
Multidisciplinary Sciences
Rainer Thomas, Tanghua Liu, Arno Schad, Robert Ruemmler, Jens Kamuf, Rene Rissel, Thomas Ott, Matthias David, Erik K. Hartmann, Alexander Ziebart
Summary: In a porcine model of septic shock and ARDS, the serum hyaluronic acid levels were significantly elevated in both sepsis groups compared to the no-LPS-group. Intergroup comparison between lung protective ventilated and high tidal ventilated animals revealed no significant differences in the serum hyaluronic acid levels.
Article
Multidisciplinary Sciences
Rene Rissel, Moritz Schaefer, Jens Kamuf, Robert Ruemmler, Julian Riedel, Katja Mohnke, Miriam Renz, Erik K. Hartmann, Alexander Ziebart
Summary: This study analyzed the role of systemic distribution of cytokines via the bloodstream in a porcine ARDS model and investigated possible inflammatory changes in the brain. The results showed that the role of systemic distribution of inflammatory cytokines from one affected organ to another could not be confirmed.
Article
Biochemistry & Molecular Biology
Rene Rissel, Moritz Gosling, Jens Kamuf, Miriam Renz, Robert Ruemmler, Alexander Ziebart, Erik K. Hartmann
Summary: In a new experimental porcine model of ARDS, intravenous administration of levosimendan improved hemodynamics and lung function, but did not show significant beneficial effects on the inflammatory response and lung injury.
Article
Multidisciplinary Sciences
Katja Mohnke, Julian Riedel, Miriam Renz, Rene Rissel, Alexander Ziebart, Jens Kamuf, Erik Kristoffer Hartmann, Robert Ruemmler
Summary: Endotracheal intubation is crucial for translational research in porcine models, but can be challenging for non-anesthesiology researchers. Fiberoptic-assisted intubation has a higher success rate and provides a secure airway, reducing animal suffering and losses.
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
(2022)
Article
Medicine, General & Internal
Miriam Renz, Leah Mullejans, Julian Riedel, Katja Mohnke, Rene Rissel, Alexander Ziebart, Bastian Duenges, Erik Kristoffer Hartmann, Robert Ruemmler
Summary: This study found that using PEEP during CPR is beneficial for optimizing ventilation pressures and reducing lung damage without significantly compromising blood pressure. Further studies are needed to examine long-term effects in resuscitated animals.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Critical Care Medicine
Rene Rissel, Miriam Renz, Katja Mohnke, Julian Riedel, Katharina Ritter, Alexander Ziebart, Robert Ruemmler, Erik K. Hartmann, Jens Kamuf
Summary: This study compares two common ARDS models, LPS and double-hit model, in pigs. The results show that both models can successfully induce ARDS and have similar presentation to human ARDS. However, LPS-induced ARDS leads to more hemodynamic and inflammatory changes, while the double-hit ARDS model requires a more invasive ventilator strategy to maintain oxygenation.
INTENSIVE CARE MEDICINE EXPERIMENTAL
(2022)
Article
Critical Care Medicine
Veerle Heesters, Janneke Dekker, Timothy J. R. Panneflek, Kristel L. A. M. Kuypers, Stuart B. Hooper, Remco Visser, Arjan B. te Pas
Summary: This study visualized the closure of vocal cords during apnea, in between breaths, and during breath holds in preterm infants using ultrasonography. The closure of vocal cords impaired the effect of respiratory support.