在体外肺灌注过程中检测肺水肿

Ryan Nadybal, Andrew Wang, P. Iaizzo
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引用次数: 0

摘要

体外肺灌注(EVLP)现在是一项强大的临床技术,促进了成功的人肺移植手术的增加。通过评估边缘肺,延长保存时间,扩大捐赠的地理距离,EVLP有效地扩大了人类肺移植供体池,缩短了移植等待名单的时间。虽然EVLP的临床应用已经扩大,但临床前研究却没有。EVLP可以用作临床前研究模型,即调查药理学反应(例如,后适应剂),器官保存,设备测试和/或方法开发。为了方便使用EVLP作为研究工具,我们开发了一种低成本的测试系统,其功能不断增强,例如,使用一种新型的连续重量传感器来评估肺水肿。水肿的实时跟踪使我们能够深入了解肺损伤的潜在原因,并研究在短时间内(<8小时)恢复和减轻损伤的技术。该系统提高了我们准确测试医疗设备、肺生理学和对肺的潜在治疗影响的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
DETECTING PULMONARY EDEMA THROUGHOUT EX VIVO LUNG PERFUSION
Ex Vivo Lung Perfusion (EVLP) is now a powerful clinical technique that has facilitated the increase in successful human lung transplantation procedures. By having the abilities to assess marginal lungs, extend preservation times, and expand geographical distances for donations, EVLP has effectively both expanded the human lung transplantation donor pool and shortened times on the transplant waitlist. While clinical usage has expanded, preclinical research on EVLP has not. EVLP can be utilized as a preclinical research model, i.e., to investigate pharmacological responses (e.g., post-conditioning agents), organ preservation, device testing and/or methodology development. To facilitate the use of EVLP as a research tool, we have developed a low-cost testing system with ever increasing capabilities e.g., the use of a novel continuous weight sensor to evaluate lung edema. Real time tracking of edema allows us to hone in on potential causes of lung damage, and investigate techniques to rehabilitate and mitigate damage on a short time scale (<8 hours). This system enhances our abilities to accurately test medical devices, lung physiology, and potential treatment impacts on lungs.
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