Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/9634
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dc.contributor.authorLekka, M. E.en
dc.contributor.authorLiokatis, S.en
dc.contributor.authorNathanail, C.en
dc.contributor.authorGalani, V.en
dc.contributor.authorNakos, G.en
dc.date.accessioned2015-11-24T16:50:43Z-
dc.date.available2015-11-24T16:50:43Z-
dc.identifier.issn1073-449X-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/9634-
dc.rightsDefault Licence-
dc.subjectparenteral nutritionen
dc.subjectmedium-chain triglycericles/long-chain triglyceridesen
dc.subjectphospholipase a(2)en
dc.subjectplatelet-activating factor-acetylhydrolaseen
dc.subjectplatelet-activating factoren
dc.subjectrespiratory-distress-syndromeen
dc.subjectplatelet-activating-factoren
dc.subjectpulmonary surfactanten
dc.subjectgas-exchangeen
dc.subjectintralipid infusionen
dc.subjectphospholipases a(2)en
dc.subjectpermeabilityen
dc.subjectproteinsen
dc.subjectardsen
dc.subjectlysophosphatidylcholineen
dc.titleThe impact of intravenous fat emulsion administration in acute lung injuryen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondary<Go to ISI>://000189249300019-
heal.identifier.secondaryhttp://ajrccm.atsjournals.org/content/169/5/638.full.pdf-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Θετικών Επιστημών. Τμήμα Χημείαςel
heal.publicationDate2004-
heal.abstractThe aim of this study was to evaluate the effect of parenteral nutrition containing medium- and long-chain triglycerides on the function of the respiratory system and to investigate mechanisms involved in this process. We studied 13 patients with acute respiratory distress syndrome (ARDS), 8 receiving lipid and 5 placebo, and 6 without ARDS, receiving lipid. Bronchoalveolar lavage (BAL) was performed before and 1 hour after administration of lipid or placebo. In patients with ARDS, lipid administration resulted in deterioration of oxygenation (Pa-O2/Fi(O2): from 129 +/- 37 to 95 +/- 42), compliance of respiratory system (from 39.2 +/- 12 to 33.1 +/- 9.2 ml/cm H2O), and pulmonary vascular resistance (from 258 +/- 47 to 321 +/- 58 dyne.s.cm(-1)). In the BAL fluid of the same group, an increase in total protein and phospholipid concentrations, phospholipase activities, platelet-activating factor and neutrophils, as well as alterations in BAL lipid profile were observed. No significant changes were observed in the control or in the ARDS-Placebo groups. In conclusion, this study indicates that administration of medium- and long-chain triglycerides in patients with ARDS causes alterations in lung function and hemodynamics. Inflammatory cells, possibly activated by lipids, release phospholipase A(2) and platelet-activating factor, enhancing edema formation, inflammation, and surfactant alterations.en
heal.publisherAmerican Thoracic Societyen
heal.journalNameAm J Respir Crit Care Meden
heal.journalTypepeer reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά). ΧΗΜ

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