Background: The role of pulmonary micro circulatory dis orders in the patho
genesis of sepsis-associated adult respiratory distress syndrom is unclear.
Methods: The aim of this study is to establish a modell of direct visualisa
tion of the pulmonary microcirculation of the rat by in vivo fluorescence v
ideomicroscopy.
Results: 24 hours after induction of a necrotizing pancreatitis we observe
an increased number of sticking leucocytes and a decreased velocity of red
blood cells in pulmonary capillaries, an increased permeability of the alve
olo-capillary wall and an increased width of interalveolar septa.
Conclusion: This method of pulmonary videomicroscopy allows a quantitative
study of subpleural vascular and alveolar structures in vivo.