Successful weaning from cardiopulmonary bypass after cardiac surgery using inhaled nitric oxide

被引:7
作者
Bichel, T
SpahrSchopfer, I
Berner, M
Jaeggi, E
Velkovski, Y
Friedli, B
Kalangos, A
Faidutti, B
Rouge, JC
机构
[1] UNIV HOSP GENEVA,DEPT ANAESTHESIOL,PAEDIAT UNIT,GENEVA,SWITZERLAND
[2] UNIV HOSP GENEVA,DEPT PAEDIAT,PAEDIAT INTENS CARE UNIT,GENEVA,SWITZERLAND
[3] UNIV HOSP GENEVA,DEPT PAEDIAT,PAEDIAT CARDIOL UNIT,GENEVA,SWITZERLAND
[4] UNIV HOSP GENEVA,DEPT SURG,CARDIOVASC UNIT,GENEVA,SWITZERLAND
来源
PAEDIATRIC ANAESTHESIA | 1997年 / 7卷 / 04期
关键词
nitric oxide; cardiac surgery;
D O I
10.1046/j.1460-9592.1997.d01-82.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Two cases of very difficult weaning from cardiopulmonary bypass after cardiac surgery in children with pulmonary hypertension and ventricular dysfunction are reported. Children fail to respond to conventional therapy combining nitrovasodilators and inotropic support and react successfully to combined inhaled nitric oxide (NO) and epinephrine or left atrial infused norepinephrine. Postoperative NO inhalation must be prolonged and no toxicity appears. Pulmonary endothelial function recovers only after several days.
引用
收藏
页码:335 / 339
页数:5
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