The lung lesion in four different types of shock in rabbits
Abstract
Endotoxemia was demonstrated in over 90% (28 of 30) of a series of animals subjected to one of four different types of refractory shock. Microscopic study of the lungs showed that the changes characteristic of the lung lesion in shock did not occur unless an endotoxemia developed and persisted until death. When pretreatment by inducing resistance to endotoxin or by intraintestinal administration of nonabsorbable antibiotics prevented the endotoxemia or converted a persistent to a transient endotoxemia, there was a corresponding reduction in the incidence of the lung lesion and the mortality.
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The relation between gut bacterial burden and systemic injury in shock has been reported consistently across species, types of shock, and decades of rigorous inquiry.
“This relation has been reported consistently across species (mice,90,93 rats,94 rabbits,89 and dogs87), types of shock (haemorrhage,87 sepsis,89 and ischaemia–reperfusion90), and decades of rigorous inquiry.”
From The microbiome and critical illness (2016) · cites this paper as [89]
During severe systemic illness such as sepsis or haemorrhagic shock, the bacterial content of the gut determines the severity of systemic injury.
“During severe systemic illness, such as sepsis or haemorrhagic shock, the bacterial content of the gut determines the severity of systemic injury”
From The microbiome and critical illness (2016) · cites this paper as [89]
When the bacterial burden of the gut is minimised, either by pretreatment with enteric antibiotics or by use of germ-free animals, the inflammation and injury sustained by distal organs in shock is lessened.
“When the bacterial burden of the gut is minimised, either by pretreatment with enteric antibiotics or by use of germ-free animals, the inflammation and injury sustained by distal organs in shock is lessened.”
From The microbiome and critical illness (2016) · cites this paper as [89]
Cites
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Demonstration of a Lethal Endotoxemia of Intestinal Origin in Refractory Non-Septic Shock
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Self-citationProtection of Functional and Vascular Integrity of the Spleen in Traumatic Shock by Denervation.
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Dickson, R. P., Singer, B. H., Newstead, M. W., Falkowski, N. R., Erb-Downward, J. R., Standiford, T. J., & Huffnagle, G. B. (2016) · Nature Microbiology · doi:10.1038/nmicrobiol.2016.113 · Cited by 724 · see citing works
The microbiome and critical illness
Dickson, R. P. (2016) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(15)00427-0 · Cited by 460 · see citing works
Gut-Lung Crosstalk in Sepsis-Induced Acute Lung Injury
Zhou, X., & Liao, Y. (2021) · Frontiers in Microbiology · doi:10.3389/fmicb.2021.779620 · Cited by 153 · see citing works
“When the bacterial burden of the gut is minimized, the inflammation and injury sustained with distal organs are lessened during sepsis (Cuevas et al., 1972).”
Background
- Authors
- Cuevas, P.
- Corresponding author
- Cuevas, Peter
- Venue
- Archives of Surgery
- Publisher
- American Medical Association (AMA)
- Published
- 1972-03-01
- Volume
- 104
- Issue
- 3
- Pages
- 319
- ISSN
- 0004-0010 (ISSN-L)
- OpenAlex
- W2061028300
- Cited by
- 48
- References
- 11
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 2 · 2017: 1 · 2016: 2 · 2015: 1 · 2012: 1
- FWCI
- 12.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Trauma, Hemostasis, Coagulopathy, Resuscitation
- Keywords
- refractory shock, endotoxemia, lung lesions, endotoxin resistance, non-absorbable antibiotics, mortality, rabbits
- MeSH terms
- Animals, Bradykinin, Endotoxins, Escherichia coli, Kanamycin, Lung, Lung Diseases, Rabbits, Shock, Shock, Cardiogenic, Shock, Septic, Toxemia
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