Inhalation of nitric oxide as a life-saving therapy in a patient after pulmonary embolectomy

被引:9
作者
Schenk, P
Pernerstorfer, T
Mittermayer, C
Kranz, A
Frömmel, M
Birsan, T
Ratheiser, K
机构
[1] Univ Vienna, Dept Internal Med 4, Intens Care Unit 13 H1, Allgemeines Krankenhaus, A-1090 Vienna, Austria
[2] Univ Vienna, Dept Cardiothorac Surg, Allgemeines Krankenhaus, A-1090 Vienna, Austria
[3] Krankenhaus Barmherzigen Schwestern, Vienna, Austria
关键词
pharmacology; nitric oxide; complications; pulmonary hypertension; embolus; embolism;
D O I
10.1093/bja/82.3.444
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
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.
引用
收藏
页码:444 / 447
页数:4
相关论文
共 16 条
  • [1] Doppler assessment of pulmonary haemodynamics in chronic hypoxic lung disease
    Burghuber, OC
    [J]. THORAX, 1996, 51 (01) : 9 - 12
  • [2] Inhaled nitric oxide in patients with pulmonary embolism
    Capellier, G
    Jacques, T
    Balvay, P
    Blasco, G
    Belle, E
    Barale, F
    [J]. INTENSIVE CARE MEDICINE, 1997, 23 (10) : 1089 - 1092
  • [3] USE OF INHALED NITRIC-OXIDE TO REVERSE FLOW-THROUGH A PATENT FORAMEN OVALE DURING PULMONARY-EMBOLISM
    ESTAGNASIE, P
    LEBOURDELLES, GL
    MIER, L
    COSTE, F
    DREYFUSS, D
    [J]. ANNALS OF INTERNAL MEDICINE, 1994, 120 (09) : 757 - 759
  • [4] Girard C, 1993, J Cardiothorac Vasc Anesth, V7, P481, DOI 10.1016/1053-0770(93)90174-J
  • [5] INHALED NITRIC-OXIDE AFTER MITRAL-VALVE REPLACEMENT IN PATIENTS WITH CHRONIC PULMONARY-ARTERY HYPERTENSION
    GIRARD, C
    LEHOT, JJ
    PANNETIER, JC
    FILLEY, S
    FFRENCH, P
    ESTANOVE, S
    [J]. ANESTHESIOLOGY, 1992, 77 (05) : 880 - 883
  • [6] Inhaled nitric oxide inhibits platelet aggregation after pulmonary embolism in pigs
    Gries, A
    Bottiger, BW
    Dorsam, J
    Bauer, H
    Weimann, J
    Bode, C
    Martin, E
    Motsch, J
    [J]. ANESTHESIOLOGY, 1997, 86 (02) : 387 - 393
  • [7] THERAPEUTIC BENEFITS OF 5-HYDROXYTRYPTAMINE INHIBITION FOLLOWING PULMONARY-EMBOLISM
    HUVAL, WV
    MATHIESON, MA
    STEMP, LI
    DUNHAM, BM
    JONES, AG
    SHEPRO, D
    HECHTMAN, HB
    [J]. ANNALS OF SURGERY, 1983, 197 (02) : 220 - 225
  • [8] MANNY J, 1985, PULMONARY EMBOLISM D, P283
  • [9] IMPACT OF NITRIC-OXIDE INHALATION ON RIGHT-VENTRICULAR FAILURE AFTER IMPLANTATION OF NOVACOR LEFT-VENTRICULAR ASSIST SYSTEM
    MERTES, PM
    PINELLI, G
    HUBERT, T
    CARTEAUX, JP
    HOTTIER, E
    LARCAN, A
    VILLEMOT, JP
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1995, 109 (06) : 1251 - 1251
  • [10] MONCADA S, 1993, NEW ENGL J MED, V329, P2002