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pubmed-article:18552698pubmed:abstractTextHypercapnic acidosis is commonly permitted in patients with acute respiratory distress syndrome during the use of protective ventilation strategies. Hypercapnic acidosis is also a common complication of multiple lung diseases and is associated with a poor prognosis, although the mechanisms by which it leads to increased mortality is not known. Previous studies using noninfective models of lung injury show that acute (<6 hrs) hypercapnic acidosis reduced lung damage by an anti-inflammatory effect. We hypothesized that this anti-inflammatory effect would be detrimental in vivo in the presence of untreated bacterial infection and sustained hypercapnia (>48 hrs) and, furthermore, that if bacterial reproduction were controlled by antibiotic therapy, then the anti-inflammatory effects of hypercapnic acidosis would no longer prove detrimental.lld:pubmed
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pubmed-article:18552698pubmed:articleTitleSustained hypercapnic acidosis during pulmonary infection increases bacterial load and worsens lung injury.lld:pubmed
pubmed-article:18552698pubmed:affiliationSchool of Medicine and Medical Sciences, Conway Institute, University College Dublin, Ireland.lld:pubmed
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