RESUMO
To date, there is no compilation of evidence-based information associating photobiomodulation effect and salivary glands. This systematic review aims to assess photobiomodulation effect of low intensity laser on salivary glands in the presence of systemic diseases. MEDLINE databases were searched in duplicate through December 2018. In vivo studies and clinical trials were included if photobiomodulation was performed in salivary glands of animal (rat or mice) or human in the presence of systemic disease. The methodological quality was assessed in duplicate using the modified Newcastle-Ottawa scale (NOS). Search strategy identified 483 potentially eligible articles, and 449 were included. The Boolean search naturally leads to a high amount of works the majority of which were excluded because the analysis of the title and abstract demonstrated it was not focusing on PBM. Only 34 studies were selected for the full-text analysis, of which 5 were excluded due to non-use of photobiomodulation, 4 due to lack of control group, 2 because they were studies of cell cultures and 1 because they did not have the total of animals used. Thus, 21 papers were included for the critical evaluation of the impact of photobiomodulation on the major salivary glands; the studies used rats (n = 10) and humans (n = 11). Although studies reported an increase in the salivary rate, decrease in pain, and increase in quality of life after the PBM, the lack of standards for the application of light and reporting of the parameters, make it hard to reproduce the results. This topic is still in need for further research.
Assuntos
Terapia com Luz de Baixa Intensidade , Glândulas Salivares/efeitos da radiação , Animais , Ensaios Clínicos como Assunto , Humanos , Camundongos , Dor/radioterapia , Qualidade de Vida , RatosRESUMO
Respiratory mechanics and thoraco-abdominal morphometry were evaluated in anesthetized, paralyzed, mechanically ventilated rats before and after controlled intraperitoneal injection of warm (37 degrees C) saline. Respiratory system resistances and static elastance were determined in 9 animals using the end inflation occlusion method. Chest wall configuration at both functional residual capacity (FRC) and end inspiration (FRC + VT) was evaluated in: (a) 6 rats by measurements of lateral and anteroposterior diameters, and circumferences at four levels: 3rd intercostal space, xiphoid, subcostal plane and crista iliaca; and (b) 8 rats by measurements of thoracic cephalo-caudal diameter. In addition, FRC changes were measured in 6 rats. Resistances were not altered but static elastance increased progressively. Morphometric changes were similar at both FRC and FRC + VT: cephalo-caudal diameter diminished whereas all other diameters augmented; FRC decreased. In conclusion, intraperitoneal infusion of saline in rats augments elastance, and this is related to a cephalad deviation of the diaphragm plus an increase of the circumferences and diameters of the lower thorax.
Assuntos
Pulmão/fisiologia , Mecânica Respiratória/fisiologia , Abdome , Resistência das Vias Respiratórias/fisiologia , Animais , Infusões Parenterais , Cavidade Peritoneal/fisiologia , Ventilação Pulmonar/fisiologia , Ratos , Ratos Wistar , Respiração/fisiologia , TóraxRESUMO
The purpose of the present study was to determine the mechanical respiratory profile after the insertion of a catheter into the pleural cavity of anesthetized, paralyzed, mechanically ventilated rats, thus stimulating the common use of chest tubes in clinical situations. Using the method of end-inflation occlusion during constant inspiratory flow in 7 adult Wistar rats, respiratory system, lung, and chest wall total resistance (0.353 +/- 0.058, 0.260 +/- 0.651, 0.091 +/- 0.012 (mean +/- SD) cmH2O.ml-1.s, respectively), viscous resistance (0.140 +/- 0.007, 0.100 +/- 0.007, 0.040 +/- 0.003 cmH2O.ml-1.s< respectively), and viscoelastic resistance (0.213 +/- 0.017, 0.160 +/- 0.022, 0.053 +/- 0.011 cmH2O.ml-1.s, respectively) as well as respiratory system, lung, and chest wall static elastance (4.51 +/- 0.27, 3.85 +/- 0.28, 0.66 +/- 0.12 cmH2O.ml-1, respectively), and dynamic elastance (5.72 +/- 0.24, 4.76 +/- 0.32, 0.96 +/- 0.17 cmH2O.ml-1, respectively) were not significantly modified after the insertion of a tube into the second right intercostal stage. We conclude that, under the present experimental conditions, a catheter inserted into the pleural space per se is not responsible for any alterations in respiratory mechanics.
Assuntos
Mecânica Respiratória/fisiologia , Toracostomia/métodos , Resistência das Vias Respiratórias , Animais , Tubos Torácicos , Esôfago/fisiologia , Pressão , Ratos , Ratos Wistar , Toracostomia/instrumentaçãoRESUMO
The purpose of the present study was to determine the mechanical respiratory profile after the insertion of a catheter into the pleural cavity of anesthetized, paralyzed, mechanically ventilated rats, thus simulating the common use of chest tubes in clinical situations. Using the method of end-inflation occlusion during constant inspiratory flow in 7 adult Wistar rats, respiratory system, lung, and chest wall total resistance (0.353 +/- 0.058, 0.260 +/- 0.651, 0.092 +/- 0.012 (mean +/- SD) cmH2O.ml-1.s, respectively), viscous resistance (0.140 +/- 0.007, 0.100 +/- 0.007, 0.040 +/- 0.003 cmH2O.ml-1.s, respectively), and viscoelastic resistance (0.213 +/- 0.017, 0.160 +/- 0.022, 0.053 +/- 0.011 cmH2O.ml-1.s respectively) as well as respiratory system, lung and chest wall static elastance (4.51 +/- 0.27, 3.85...
Assuntos
Animais , Ratos , Mecânica Respiratória/fisiologia , Toracostomia , Resistência das Vias Respiratórias , Tubos Torácicos , Esôfago/fisiologia , Pressão , Ratos Wistar , Toracostomia/instrumentaçãoRESUMO
Respiratory changes resulting from stepwise intrathoracic injections of 4 ml of either room air or warm (37 degrees C) Haemaccel, simulating pneumothorax and pleural effusion, respectively, were evaluated in anaesthetized, paralysed, and mechanically-ventilated rats. Respiratory system, lung, and chest wall resistances and elastances (static and dynamic) were determined in 14 animals. For this purpose, the end-inflation occlusion during constant inspiratory flow method was used. Chest wall configuration at both functional residual capacity (FRC) and end-inspiration tidal volume (i.e. FRC+(VT)) was also evaluated in: 1) 15 rats by measurements of lateral and anteroposterior diameters, and circumferences at the 3rd intercostal space and xiphoid levels; and 2) in 16 rats by measurements of thoracic cephalocaudal diameter. In addition, changes in functional residual capacity were measured. Both in pneumothorax and pleural effusion, resistances were not altered, but static and dynamic respiratory system and lung elastances increased progressively. Morphometric changes were similar at both functional residual capacity and end-inspiration; however, whereas pleural effusion increased all diameters, pneumothorax did not modify lateral diameter. Functional residual capacity was decreased in both conditions. In conclusion, pneumothorax and pleural effusion induced similar mechanical changes, but thoracic configuration was differently affected, since lateral diameters were increased in pleural effusion only.