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The Application of Starling's Law of Capillary Exchange to the Lungs
O. Robert Levine, Robert B. Mellins, Robert M. Senior, Alfred P. Fishman
O. Robert Levine, Robert B. Mellins, Robert M. Senior, Alfred P. Fishman
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Research Article

The Application of Starling's Law of Capillary Exchange to the Lungs

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Abstract

The forces governing the movement of water across the pulmonary capillaries were studied in 39 intact, spontaneously breathing dogs. A situation favoring the net movement of water out of the pulmonary capillaries was created by means of partial pulmonary venous obstruction (left atrial balloon catheter) followed by rapid saline hemodilution. A predetermined difference between pulmonary capillary and plasma colloid osmotic pressures was maintained for periods of 1 to 2 hours. Left atrial (PLA) and plasma colloid osmotic pressures (πpl) were measured directly. The water content of the lungs was measured serially by an indicator-dilution technique, and at autopsy by drying the lungs. The rate of accumulation of lung water was measured in four groups of animals: in three of the groups, the capillary hydrostatic and colloid osmotic pressures were varied; in the fourth group, the right lymphatic duct was obstructed in addition.

Authors

O. Robert Levine, Robert B. Mellins, Robert M. Senior, Alfred P. Fishman

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