Thorac Cardiovasc Surg 2014; 62(02): 169-173
DOI: 10.1055/s-0032-1328924
Original Basic Science
Georg Thieme Verlag KG Stuttgart · New York

Pneumonectomy in Isoflurane-Anesthetized Rats without Tracheal Intubation: An Experimental Model

C. A. Rombolá
1   Department of Thoracic Surgery, General University Hospital of Albacete, Albacete, Spain
,
E. M. Tagliaferri
2   Department of General Surgery, Hospital of Hellín, Albacete, Spain
,
A. A. Boué
3   Department of General Surgery, General University Hospital of Albacete, Albacete, Spain
,
M. D. García-Jiménez
1   Department of Thoracic Surgery, General University Hospital of Albacete, Albacete, Spain
,
M. G. Picazo
4   Experimental Research Unit, General University Hospital of Albacete, Albacete, Spain
,
D. C. García-Olmo
4   Experimental Research Unit, General University Hospital of Albacete, Albacete, Spain
› Author Affiliations
Further Information

Publication History

22 May 2012

04 July 2012

Publication Date:
04 December 2012 (online)

Abstract

Introduction A few models for pneumonectomy in rats have been described, and in most of these, anesthesia includes orotracheal intubation, which increases morbidity and mortality and also adds technical complexity. Models without tracheal intubation but with injectable anesthesia are difficult to reproduce, however, and lead to a lengthy postoperative-recovery period with high morbidity and mortality rates.

Objective The objective of this study was to describe a simple, safe, and effective experimental model for pneumonectomy in rats without tracheal intubation.

Materials and Methods A left-sided pneumonectomy was performed on 26 Sprague-Dawley rats anesthetized by isoflurane applied via a mask without tracheal intubation. To avoid dangerous traction movements, the lung pedicle was ligated en bloc using clips.

Results and Discussion No rat demonstrated cardiorespiratory depression. Of the 26 rats, 1 was dehydrated and had lost more than 10% of its body weight, resulting in death on the third day after surgery. Total mortality was therefore 3.8%. Mean (standard deviation [SD]) anesthesia duration was 9.8 (1.0) minutes, surgery time was 3.0 (0.6) minutes, and open pneumothorax time was 1.2 (0.3) minutes. Mean (SD) weight loss during the early postoperative period was 4.5% (3.5%). These results were more satisfactory than results obtained using ketamine mixtures as anesthetic agents (ketamine plus xylacine, and ketamine plus diazepam).

Conclusion Our model for left-sided pneumonectomy in isoflurane-anesthetized rats does not require endotracheal intubation and is effective, safe, quick, and easily reproducible.

 
  • References

  • 1 Nattie EE, Wiley CW, Bartlett Jr D. Adaptive growth of the lung following pneumonectomy in rats. J Appl Physiol 1974; 37 (4) 491-495
  • 2 Brown LM, Rannels SR, Rannels DE. Implications of post-pneumonectomy compensatory lung growth in pulmonary physiology and disease. Respir Res 2001; 2 (6) 340-347
  • 3 Watanabe A, Hashimoto Y, Ochiai E, Sato A, Kamei K. A simple method for confirming correct endotracheal intubation in mice. Lab Anim 2009; 43 (4) 399-401
  • 4 Samano MN, Pazetti R, Prado CM , et al. Effects of pneumonectomy on nitric oxide synthase expression and perivascular edema in the remaining lung of rats. Braz J Med Biol Res 2009; 42 (11) 1113-1118
  • 5 Maxey TS, Fernandez LG, Reece TB, Keeling WB, Kron IL, Laubach VE. Endothelial nitric oxide synthase is essential for postpneumonectomy compensatory vasodilation. Ann Thorac Surg 2006; 81 (4) 1234-1238
  • 6 Kaza AK, Kron IL, Kern JA , et al. Retinoic acid enhances lung growth after pneumonectomy. Ann Thorac Surg 2001; 71 (5) 1645-1650
  • 7 Sakurai MK, Greene AK, Wilson J, Fauza D, Puder M. Pneumonectomy in the mouse: technique and perioperative management. J Invest Surg 2005; 18 (4) 201-205
  • 8 Nolen-Walston RD, Kim CF, Mazan MR , et al. Cellular kinetics and modeling of bronchioalveolar stem cell response during lung regeneration. Am J Physiol Lung Cell Mol Physiol 2008; 294 (6) L1158-L1165
  • 9 Wertzel H, Wagner B, Hasse J, Lange W, Freudenberg N. Experimental gluing of the bronchial stump after pneumonectomy in rats. Eur J Cardiothorac Surg 1997; 12 (1) 88-91
  • 10 Tajima A, Kohno M, Watanabe M , et al. Occult injury in the residual lung after pneumonectomy in mice. Interact Cardiovasc Thorac Surg 2008; 7 (6) 1114-1120
  • 11 Buhain WJ, Brody JS. Compensatory growth of the lung following pneumonectomy. J Appl Physiol 1973; 35 (6) 898-902
  • 12 Seidel AC, Bahls AS, Moreschi D, Muraro CB. Toracotomia sem intubaçao orotraqueal: modelo experimental em ratos. Acta Cir Bras 1997; 12: 135-136
  • 13 Rannels DE, White DM, Watkins CA. Rapidity of compensatory lung growth following pneumonectomy in adult rats. J Appl Physiol 1979; 46 (2) 326-333
  • 14 Rivera B, Miller SR, Brown EM, Price RE. A novel method for endotracheal intubation of mice and rats used in imaging studies. Contemp Top Lab Anim Sci 2005; 44 (2) 52-55
  • 15 MacDonald KD, Chang H-YS, Mitzner W. An improved simple method of mouse lung intubation. J Appl Physiol 2009; 106 (3) 984-987
  • 16 Spoelstra EN, Ince C, Koeman A , et al. A novel and simple method for endotracheal intubation of mice. Lab Anim 2007; 41 (1) 128-135
  • 17 Roman CD, Hanley GA, Beauchamp RD. Operative technique for safe pulmonary lobectomy in Sprague-Dawley rats. Contemp Top Lab Anim Sci 2002; 41 (2) 28-30
  • 18 Seidel AC, Fagundes DJ, Ferreira Novo N, Juliano J, Meister H, Barbosa Bazotte R. Response of the lung after pneumonectomy in alloxan diabetic rats. Braz Arch Biol Technol 2003; 46: 211-214
  • 19 Flecknell P. Laboratory Animal Anaesthesia. 2nd ed. Academic Press; 1996
  • 20 Waynforth HB, Flecknell PA. Experimental and Surgical Technique in the Rat. 2nd ed. London, UK; San Diego, CA: Elsevier Academic Press; 1992
  • 21 WHO/IPC. International Chemical Safety Cards: Isoflurane. ICSC:1435, 2002
  • 22 González García MI, Aragón Peña A, Álvarez Escudero J , et al. Protocolos de Vigilancia Sanitaria Especifica. Agentes Anestésicos Inhalatorios. Comisión de Salud Pública. Consejo Interterritorial del Sistema Nacional de Salud. Ministerio de Sanidad y Consumo de España; 2001
  • 23 Pompeo E, Mineo TC. Awake operative videothoracoscopic pulmonary resections. Thorac Surg Clin 2008; 18 (3) 311-320
  • 24 Fernandez LG, Le Cras TD, Ruiz M, Glover DK, Kron IL, Laubach VE. Differential vascular growth in postpneumonectomy compensatory lung growth. J Thorac Cardiovasc Surg 2007; 133 (2) 309-316