Inhaled nitric oxide for acute right-ventricular dysfunction after extrapleural pneumonectomy.
نویسندگان
چکیده
Increased pulmonary vascular pressure and decreased right-ventricular performance may occur following pneumonectomy. Inhaled nitric oxide decreases right-ventricular afterload and improves cardiac index by selectively decreasing pulmonary vascular resistance without causing systemic hypotension. We report the use of inhaled nitric oxide in a patient with acute right-ventricular dysfunction after extrapleural pneumonectomy.
منابع مشابه
Use of Early Inhaled Nitric Oxide Therapy in Fat Embolism Syndrome to Prevent Right Heart Failure
Fat embolism syndrome (FES) is a life-threatening condition in which multiorgan dysfunction manifests 48-72 hours after long bone or pelvis fractures. Right ventricular (RV) failure, especially in the setting of pulmonary hypertension, is a frequent feature of FES. We report our experience treating 2 young, previously healthy trauma patients who developed severe hypoxemia in the setting of FES....
متن کاملPatient alert and cardiac defibrillators.
1. Inglessis I, Shin JT, Lepore JJ, et al. Hemodynamic effects of inhaled nitric oxide in right ventricular myocardial infarction and cardiogenic shock. J Am Coll Cardiol 2004;44:793–8. 2. Semigran MJ, Cockrill BA, Kacmarek R, et al. Hemodynamic effects of inhaled nitric oxide in heart failure. J Am Coll Cardiol 1994;4:982–8. 3. Loh E, Stamler JS, Hare JM, et al. Cardiovascular effects of inhal...
متن کاملIs there a place for inhaled nitric oxide in the therapy of massive pulmonary embolism?
To the Editor:—Dr. Haddad et al. have written an interesting and informative article regarding the beneficial effects of inhaled nitric oxide (inhaled NO) in perioperative and critical care patients. They believe that inhaled NO causes vasodilation that is proportional to the pulmonary vascular resistance in the presence of pulmonary vasoconstriction. Moreover, they have indicated that the effe...
متن کاملInhaled nitric oxide as salvage therapy in massive pulmonary embolism: a case series.
Inhaled nitric oxide (INO) has been shown to preferentially lower resistance in the pulmonary vasculature. The relative selectiveness of INO in accomplishing this effect makes it an attractive drug to administer as salvage therapy in patients with acute right ventricular failure secondary to pulmonary embolism. We describe 4 cases in which INO was used as a temporizing agent to decrease right ...
متن کاملTreatment of pulmonary hypertension in the general adult intensive care unit: a role for oral sildenafil?
Use of inhaled nitric oxide for treatment of pulmonary hypertension in adult critical illness is limited by its mode of delivery and high costs, prompting evaluation of alternative therapies. We report the use of oral sildenafil in a patient with severe secondary pulmonary hypertension and right ventricular dysfunction. Following reduction in mean pulmonary artery pressure and pulmonary vascula...
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:
- Respiratory care
دوره 51 10 شماره
صفحات -
تاریخ انتشار 2006