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Proceedings Paper

The effect of low level laser therapy on ventilator-induced lung injury in mice (Conference Presentation)
Author(s): Margit V. Szabari; Alyssa J. Miller; Lida P Hariri; Michael R. Hamblin; Guido Musch; Helene Stroh; Melissa J. Suter

Paper Abstract

Although mechanical ventilation (MV) is necessary to support gas exchange in critically ill patients, it can contribute to the development of lung injury and multiple organ dysfunction. It is known that high tidal volume (Vt) MV can cause ventilator-induced lung injury (VILI) in healthy lungs and increase the mortality of patients with Acute Respiratory Distress Syndrome. Low level laser therapy (LLLT) has demonstrated to have anti-inflammatory effects. We investigated whether LLLT could alleviate inflammation from injurious MV in mice. Adult mice were assigned to 2 groups: VILI+LLLT group (3 h of injurious MV: Vt=25-30 ml/kg, respiratory rate (RR)=50/min, positive end-expiratory pressure (PEEP)=0 cmH20, followed by 3 h of protective MV: Vt=9 ml/kg, RR=140/min, PEEP=2 cmH20) and VILI+no LLLT group. LLLT was applied during the first 30 min of the MV (810 nm LED system, 5 J/cm2, 1 cm above the chest). Respiratory impedance was measured in vivo with forced oscillation technique and lung mechanics were calculated by fitting the constant phase model. At the end of the MV, bronchoalveolar lavage (BAL) was performed and inflammatory cells counted. Lungs were removed en-bloc and fixed for histological evaluation. We hypothesize that LLLT can reduce lung injury and inflammation from VILI. This therapy could be translated into clinical practice, where it can potentially improve outcomes in patients requiring mechanical ventilation in the operating room or in the intensive care units.

Paper Details

Date Published: 27 April 2016
PDF: 1 pages
Proc. SPIE 9691, Endoscopic Microscopy XI; and Optical Techniques in Pulmonary Medicine III, 969115 (27 April 2016); doi: 10.1117/12.2214731
Show Author Affiliations
Margit V. Szabari, Massachusetts General Hospital (United States)
Alyssa J. Miller, Massachusetts General Hospital (United States)
Lida P Hariri, Massachusetts General Hospital (United States)
Michael R. Hamblin, Massachusetts General Hospital (United States)
Guido Musch, Massachusetts General Hospital (United States)
Helene Stroh, Massachusetts General Hospital (United States)
Melissa J. Suter, Massachusetts General Hospital (United States)

Published in SPIE Proceedings Vol. 9691:
Endoscopic Microscopy XI; and Optical Techniques in Pulmonary Medicine III
Melissa J. Suter; Guillermo J. Tearney M.D.; Thomas D. Wang; Stephen Lam M.D.; Matthew Brenner, Editor(s)

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