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Am J Physiol Heart Circ Physiol 280: H918-H924, 2001;
0363-6135/01 $5.00
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Vol. 280, Issue 2, H918-H924, February 2001

Effect of changing vascular volume on measurement of protein reflection coefficient in ischemic lungs

David B. Pearse, Patrice M. Becker, and Solbert Permutt

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 (sigma ) can be estimated by measuring blood hematocrit (Hct) and protein after increasing static vascular pressure (Pv). Our original equation for sigma  (J Appl Physiol 73: 2616-2622, 1992) assumed a constant vascular volume during convective fluid flux (&Jdot;). 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 sigma  that allowed a finite dV/dt. In 25 lungs, we estimated the dV/dt after 20 min at Pv = 30 Torr by subtracting &Jdot; from the rate of lung weight gain (WL). The relationship between &Jdot; (0.15 ± 0.02 ml/min) and WL (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 &Jdot; at 20 min. The modified equation for sigma  revealed that a finite dV/dt caused the original sigma  measurement to underestimate true sigma . A low sigma , high &Jdot;, 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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