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Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins Medical Institutions at the Asthma and Allergy Center, Hopkins Bayview Medical Center, Baltimore, Maryland 21224
In ischemic organs, the protein
reflection coefficient (
) can be estimated by measuring blood
hematocrit (Hct) and protein after increasing static vascular pressure
(Pv). Our original equation for
(J Appl
Physiol 73: 2616-2622, 1992) assumed a constant vascular
volume during convective fluid flux
(
). In this study, we
1) quantified the rate of vascular volume change
(dV/dt) still present in ischemic single ferret lungs after
20 min of Pv = 30 Torr and 2) developed an
equation for
that allowed a finite dV/dt. In 25 lungs,
we estimated the dV/dt after 20 min at Pv = 30 Torr by subtracting
from the
rate of lung weight gain (
L). The relationship
between
(0.15 ± 0.02 ml/min) and
L (0.24 ± 0.02 g/min) was significant
(R = 0.66, P < 0.001), but the slope was
<1 (0.41 ± 0.10, P < 0.05). dV/dt
(0.10 ± 0.02 ml/min) was similar in magnitude to
at 20 min. The modified equation for
revealed that a finite dV/dt caused the original
measurement to underestimate true
. A low
, high
, high baseline Hct, and long filtration
time enhanced the error. The error was small, however, and could be
minimized by adjusting experimental parameters.
pulmonary circulation; vascular permeability; lung injury; filtration coefficient
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