Maintenance of nitric oxide inhalation to a patient with hemoperitonium and acute respiratory distress syndrome during anesthesia -A case report

Inhaled nitric oxide (NO) is occasionally used to treat hypoxemia for patients with acute respiratory distress syndrome (ARDS) in the intensive care unit (ICU). However, it is controversial whether or not to maintain inhalation of NO during general anesthesia because of complications, such as nitrog...

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Published inKorean journal of anesthesiology Vol. 58; no. 5; pp. 485 - 489
Main Authors Chung, Ji-Hyun, Cho, Jung-Ha, Lee, In-Ho, Lee, Jong-Hyuk, Woo, Seong Chang, Lee, Cheong
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Society of Anesthesiologists 01.05.2010
Korean Society of Anesthesiologists
대한마취통증의학회
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Summary:Inhaled nitric oxide (NO) is occasionally used to treat hypoxemia for patients with acute respiratory distress syndrome (ARDS) in the intensive care unit (ICU). However, it is controversial whether or not to maintain inhalation of NO during general anesthesia because of complications, such as nitrogen dioxide (NO(2)) production, methemoglobinemia, and inhibition of platelet aggregation. In this case, a 67-year-old male fell from a roof and was brought to an emergency care center. During management, he vomited gastric contents and aspirated. In spite of tracheal intubation and mechanical ventilation with high oxygen therapy, the hypoxia did not improve. NO inhalation with mechanical ventilation was performed to treat hypoxemia due to ARDS in the ICU. We maintained the NO inhalation during the surgery for a hemoperitonium. The surgery was completed without intra-operative hemodynamic instability or any complications.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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content type line 23
G704-000679.2010.58.5.012
ISSN:2005-6419
2005-7563
DOI:10.4097/kjae.2010.58.5.485