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T Perreault

Publications and source records attributed to T Perreault.

21 records · Page 2Linked to original sources

Newborn piglet lungs release endothelin-1: effect of alpha-thrombin and hypoxia.

Endothelin-1 (ET-1) is a 21 amino acid vasoconstrictor peptide produced by endothelial cells, the expression of which is modulated by a variety of vasoconstrictors, vasodilators, and inflammatory mediators. Hypoxia has been shown to increase ET-1 expression and release in cultured endothelial cells from the systemic circulation, but reports are contradictory regarding the pulmonary circulation. In this study, the release of ET-1 and its cellular localization in the isolated perfused newborn piglet lung were examined under control conditions and after stimulation with hypoxia or alpha-thrombin (positive control). In the control condition, perfusion pressure remained stable during the study period, and a progressive increase in levels of immunoreactive ET-1 (irET-1) was noted. When alpha-thrombin was added to the perfusion fluid, a slow gradual increase in perfusion pressure was produced and the levels of irET-1 were significantly greater than those measured in the control preparations. Finally, hypoxia produced a significant increase in the perfusion pressure; however, the release of irET-1 did not differ significantly from the control, if anything, the net release across the lung was diminished. In all conditions, immunocytochemistry using antiserum to human-porcine ET-1 revealed the presence of high ET-1-like immunoreactivity in epithelial cells of bronchi, bronchioles, and terminal bronchioles. In addition, endothelial cells of large and medium-size pulmonary arteries were only moderately immunoreactive for ET-1. These findings indicate that the neonatal pig lung can produce and release ET-1, and that its release can be increased by certain stimuli like alpha-thrombin.(ABSTRACT TRUNCATED AT 250 WORDS)

Acute Disease↗

Use of a 12 French double-lumen catheter in a newborn supported with extracorporeal membrane oxygenation.

We present the first report of clinical experience with a 12 French double-lumen cannula in a newborn supported with venovenous extracorporeal membrane oxygenation. This cannula was used because the internal jugular vein could not accommodate a 14F double-lumen catheter. This newborn was on bypass for 94 h, and the highest plasma free hemoglobin noted at the end of that period was 56 mg/dl. The infant was successfully weaned from extracorporeal membrane oxygenation and discharged home at 35 days of age. We suggest that this 12F catheter may be beneficial and deserves further evaluation.

Carotid Arteries↗

Management of acute airway obstruction using extracorporeal membrane oxygenation.

The authors describe, to their knowledge, the first management of acute airway obstruction in a newborn infant using Extracorporeal Membrane Oxygenation (ECMO). The infant had a primary diagnosis of gram negative sepsis complicated by pulmonary hemorrhage resulting in a left main stem bronchus obstruction. Despite full ventilatory support, the infant could not be adequately oxygenated. The infant was placed on venovenous ECMO. Airway management also included vigorous physiotherapy, suctioning, and bronchoscopy. The infant was successfully weaned from ECMO after 208 hours. The authors suggest that ECMO could be useful to manage life threatening airway obstruction in the neonate.

Adult↗