Recent progress in artificial ventilation procedures sheds doubt on the tox
icity of oxygen in the lung. Histological studies of the lung by light and
electron microscopy were made in rats exposed to 100 % oxygen at I ATA in s
pontaneous ventilation. The results are compared with the lesions observed
in 19 human patients suffering from acute respiratory distress syndrome and
with the data on retinopathy of prematurity. This study suggests to keep i
n mind that oxygen may, as well as infections or baro-traumatic factors, be
involved in causing or aggravating lung fibrosis. The complexity of the me
chanisms of this action is emphasized The production of highly reactive fre
e radicals is one of the essential factors of this aggression. These elemen
ts illustrate the value of further studies on ways of preventing these chan
ges, especially using appropriate antioxydant molecules.