Inhalation of nitric oxide as a life-saving therapy in a patient after pulmonary embolectomy.
نویسندگان
چکیده
We describe a 54-yr-old man with cardiogenic shock caused by acute right heart failure after pulmonary embolectomy. Inhalation of nitric oxide led to immediate improvement in respiratory and haemodynamic variables. Inhaled nitric oxide can be used to reduce acute right heart failure until conventional therapy can provide successful haemodynamic stability.
منابع مشابه
Favorable response of Eisenmenger syndrome to inhaled nitric oxide during pregnancy.
OBJECTIVE Our goal was to evaluate the effectiveness of therapy with a specific pulmonary vasodilator, nitric oxide, in a woman with Eisenmenger syndrome during pregnancy. STUDY DESIGN Eisenmenger syndrome consists of a congenital communication between the systemic and pulmonary circulation with secondary pulmonary hypertension causing reversal of flow through the shunt. Maternal morbidity is...
متن کاملOne-year continuous inhaled nitric oxide for primary pulmonary hypertension.
We describe a case of long-term administration of nitric oxide (NO) in a 32-year-old man who was admitted with exertional dyspnea and anasarca. A diagnosis of primary pulmonary hypertension was made. An acute vasodilator trial with inhaled NO showed a 5% reduction of the mean pulmonary artery pressure. Long-term NO inhalation therapy was initiated. Twenty days later, the dyspnea improved, the a...
متن کاملMedical Policy Inhaled Nitric Oxide in Newborns
1. Technology Assessment Nitric Oxide inhalation (iNO) therapy is a noninvasive treatment for PPHN that involves inhalation of gaseous nitric oxide in conjunction with ventilator support. The potential of exogenous NO as a therapeutic agent is based on its potent vasodilator properties and its ability to be delivered as a gas to the lung. Exogenous NO increases the partial pressure of arterial ...
متن کاملPostcesarean pulmonary embolism, sustained cardiopulmonary resuscitation, embolectomy, and near-death experience.
BACKGROUND Survival after surgical embolectomy for massive postcesarean pulmonary embolism causing sustained cardiac arrest is rare. CASE One day after an uneventful cesarean delivery, a woman developed cardiac asystole and apnea due to pulmonary embolism. Femoral-femoral cardiopulmonary bypass performed during continuous cardiopulmonary resuscitation allowed a successful embolectomy. Upon aw...
متن کاملInhaled L-arginine improves exhaled nitric oxide and pulmonary function in patients with cystic fibrosis.
RATIONALE Nitric oxide formation is deficient in airways of patients with cystic fibrosis (CF). Since nitric oxide has bronchodilatory effects, nitric oxide deficiency may contribute to airway obstruction in CF. OBJECTIVES We reasoned that inhalation of l-arginine, the precursor of enzymatic nitric oxide formation, could improve airway nitric oxide formation and pulmonary function in patients...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- British journal of anaesthesia
دوره 82 3 شماره
صفحات -
تاریخ انتشار 1999