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
相关论文
共 22 条
  • [1] NITRIC-OXIDE - MEDIATOR, MURDERER, AND MEDICINE
    ANGGARD, E
    [J]. LANCET, 1994, 343 (8907) : 1199 - 1206
  • [2] BEGHETTI M, 1995, BRIT HEART J, V73, P65
  • [3] RELIEF OF SEVERE PULMONARY-HYPERTENSION AFTER CLOSURE OF A LARGE VENTRICULAR SEPTAL-DEFECT USING LOW-DOSE INHALED NITRIC-OXIDE
    BERNER, M
    BEGHETTI, M
    RICOU, B
    ROUGE, JC
    PRETRE, R
    FRIEDLI, B
    [J]. INTENSIVE CARE MEDICINE, 1993, 19 (02) : 75 - 77
  • [4] NEGATIVE FEEDBACK-REGULATION OF ENDOTHELIAL-CELL FUNCTION BY NITRIC-OXIDE
    BUGA, GM
    GRISCAVAGE, JM
    ROGERS, NE
    IGNARRO, LJ
    [J]. CIRCULATION RESEARCH, 1993, 73 (05) : 808 - 812
  • [5] INHALED NITRIC-OXIDE - A SELECTIVE PULMONARY VASODILATOR OF HEPARIN PROTAMINE VASOCONSTRICTION IN SHEEP
    FRATACCI, MD
    FROSTELL, CG
    CHEN, TY
    WAIN, JC
    ROBINSON, DR
    ZAPOL, WM
    [J]. ANESTHESIOLOGY, 1991, 75 (06) : 990 - 999
  • [6] INHALED NITRIC-OXIDE - A SELECTIVE PULMONARY VASODILATOR REVERSING HYPOXIC PULMONARY VASOCONSTRICTION
    FROSTELL, C
    FRATACCI, MD
    WAIN, JC
    JONES, R
    ZAPOL, WM
    [J]. CIRCULATION, 1991, 83 (06) : 2038 - 2047
  • [7] INHALED NITRIC-OXIDE SELECTIVELY REVERSES HUMAN HYPOXIC PULMONARY VASOCONSTRICTION WITHOUT CAUSING SYSTEMIC VASODILATION
    FROSTELL, CG
    BLOMQVIST, H
    HEDENSTIERNA, G
    LUNDBERG, J
    ZAPOL, WM
    [J]. ANESTHESIOLOGY, 1993, 78 (03) : 427 - 435
  • [8] Girard C, 1993, J Cardiothorac Vasc Anesth, V7, P481, DOI 10.1016/1053-0770(93)90174-J
  • [9] 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
  • [10] JOHNS RA, 1991, ANESTHESIOLOGY, V75, P927