Inhaled Nitric Oxide and Pulmonary Vasoreactivity

被引:0
作者
Margaret Aranda
Ronald G. Pearl
机构
[1] University of Pennsylvania,Department of Anesthesia
[2] Stanford University School of Medicine,Department of Anesthesia
来源
Journal of Clinical Monitoring and Computing | 2000年 / 16卷
关键词
Inhaled nitric oxide; pulmonary hypertension; adult respiratory distress syndrome; “rebound” phenomenon; persistent pulmonary hypertension of the newborn; cardiac surgery; thoracic surgery;
D O I
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学科分类号
摘要
Inhaled nitric oxide is a ubiquitous molecule which is produced endogenously and is also found in air pollution and in cigarette smoke. After describing the chemistry of NO, we review its history from the first description in 1980 to the current clinical indications. The biosynthesis of NO, its effects on pulmonary vasoreactivity, and the administration of inhaled NO will be described. The indications, uses, and side effects of inhaled NO are discussed with an emphasis on withdrawal of NO therapy, specifically the “rebound” phenomenon. Possible drug interactions are listed. Inhaled nitric oxide is here to stay, and future studies will provide more information on its therapeutic dose, duration and potential toxicity.
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页码:393 / 401
页数:8
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共 285 条
[1]  
Mitchell HH(1916)The origin of the nitrates in the urine J Biol Chem 24 461-490
[2]  
Shonle HA(1928)Nitrite and nitrate are formed by endogenous synthesis in the human intestine Science 200 1487-1489
[3]  
Grindley HS(1980)The obligatory role of the endothelial cells in the relaxation of arterial smooth muscle by acetylcholine Nature 228 373-376
[4]  
Tannenbaum SR(1988)Continuous therapy with inhaled nitric oxide and intravenous vasodilators during experimental pulmonary hypertension MMWR Morb Mortal Wklly Res 37 1-158
[5]  
Fett D(1999)Combination of inhaled nitric oxide and intravenous prostacyclin for successful treatment of severe pulmonary hypertension in a patient with acute respiratory distress syndrome Anesth Analg 89 152-754
[6]  
Young VR(1999)Treatment of primary pulmonary hypertension with continuous intravenous prostacyclin (Editorial) Intens Care Med 25 752-301
[7]  
Land PD(1997)Adverse hemodynamic effects observed with inhaled nitric oxide Aranda and Pearl: NitricOxide after surgical repair of total anomalous pulmonary venous return Heart 77 299-226
[8]  
Bruce WR(1999)Inhaled nitric oxide for severe acute respiratory distress syndrome: A blessing or a curse? Ped Cardiol 20 224-362
[9]  
Furchgott RF(1997)Controversies in the use of inhaled nitric oxide therapy in the newborn Heart Lung 26 358-217
[10]  
Zawadzki JV(1998)Inhaled nitric oxide: A selective pulmonary vasodilator reversing hypoxic pulmonary vasoconstriction Clin Perinatology 25 203-2047