Evidence of fetal pulmonary aspiration of intra-amniotic administered surfactant in animal experiment

Verfasser / Beitragende:
[R. Illia, C. Solana, P. Oliveri, J. Toblli, M.U. Imaz, D. Häbich]
Ort, Verlag, Jahr:
2004
Enthalten in:
Journal of Perinatal Medicine, 32/4(2004-07-09), 354-358
Format:
Artikel (online)
ID: 378938142
LEADER caa a22 4500
001 378938142
003 CHVBK
005 20180305123645.0
007 cr unu---uuuuu
008 161128e20040709xx s 000 0 eng
024 7 0 |a 10.1515/JPM.2004.066  |2 doi 
035 |a (NATIONALLICENCE)gruyter-10.1515/JPM.2004.066 
245 0 0 |a Evidence of fetal pulmonary aspiration of intra-amniotic administered surfactant in animal experiment  |h [Elektronische Daten]  |c [R. Illia, C. Solana, P. Oliveri, J. Toblli, M.U. Imaz, D. Häbich] 
520 3 |a Introduction: The instillation of surfactant into the airways of patients with respiratory distress syndrome (RDS), especially in the neonatal period, is a proven therapy. The preventive therapy of RDS through intra-amniotic injection of surfactant has been reported recently. It has not been conclusively shown, however, that the surfactant administered in this way actually reaches the fetal pulmonary airways. Objective: To study the distribution in fetal organs of a natural surfactant labeled with technetium-99m and injected through amniocentesis into the amniotic sac of guinea pigs in the last third of pregnancy. Methods: After stimulating fetal respiratory movements with aminophylline 0.3 ml of an aqueous suspension containing 0.75 mg of phospholipids of a natural bovine surfactant labeled with technetium-99m, together with 0.1 ml of the biological dye carmine indigo, were injected into the amniotic sac. One hour later fetuses were delivered by cesarean section. In those that were dye-stained, dosimetric and gammagraphic tests were applied to trachea, lungs, esophagus, stomach, heart, liver, kidneys and placenta. Results: Significant radio isotopic activity was found in both lungs of six treated fetuses, with a dose capture of between 1.0% and 5.3% of total dose. The level of activity in the stomachs was similar to that in the lungs (0.9% to 3.0% dose capture), whereas activity in other organs was negligible except in two placentae. No radio isotopic activity was found in non-injected control fetuses. Conclusions: In the present animal model natural surfactant injected intra-amniotically is aspirated into the lungs within one hour. 
540 |a Copyright © 2004 by Walter de Gruyter GmbH & Co. KG 
690 7 |a Human reproduction, growth & development  |2 nationallicence 
690 7 |a Gynaecology & obstetrics  |2 nationallicence 
690 7 |a Paediatric medicine  |2 nationallicence 
700 1 |a Illia  |D R.  |4 aut 
700 1 |a Solana  |D C.  |4 aut 
700 1 |a Oliveri  |D P.  |4 aut 
700 1 |a Toblli  |D J.  |4 aut 
700 1 |a Imaz  |D M.U.  |4 aut 
700 1 |a Häbich  |D D.  |4 aut 
773 0 |t Journal of Perinatal Medicine  |d Walter de Gruyter  |g 32/4(2004-07-09), 354-358  |x 0300-5577  |q 32:4<354  |1 2004  |2 32  |o jpme 
856 4 0 |u https://doi.org/10.1515/JPM.2004.066  |q text/html  |z Onlinezugriff via DOI 
908 |D 1  |a research article  |2 jats 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1515/JPM.2004.066  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Illia  |D R.  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Solana  |D C.  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Oliveri  |D P.  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Toblli  |D J.  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Imaz  |D M.U.  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Häbich  |D D.  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Perinatal Medicine  |d Walter de Gruyter  |g 32/4(2004-07-09), 354-358  |x 0300-5577  |q 32:4<354  |1 2004  |2 32  |o jpme 
900 7 |b CC0  |u http://creativecommons.org/publicdomain/zero/1.0  |2 nationallicence 
898 |a BK010053  |b XK010053  |c XK010000 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-gruyter