NEAR-FATAL PULMONARY-HYPERTENSION AFTER SURGICAL REPAIR OF CONGENITAL DIAPHRAGMATIC-HERNIA - SUCCESSFUL USE OF INHALED NITRIC-OXIDE

被引：37

作者：

FROSTELL, CG

LONNQVIST, PA

SONESSON, SE

GUSTAFSSON, LE

LOHR, G

NOACK, G

机构：

[1] ST GORANS UNIV HOSP,DEPT SURG,S-11281 STOCKHOLM,SWEDEN

[2] ST GORANS UNIV HOSP,DEPT PAEDIAT CARDIOL,S-11281 STOCKHOLM,SWEDEN

[3] KAROLINSKA INST,INST ENVIRONM MED,S-10401 STOCKHOLM 60,SWEDEN

来源：

ANAESTHESIA | 1993年 / 48卷 / 08期

关键词：

SURGERY; CONGENITAL DIAPHRAGMATIC HERNIA; LUNG; BLOOD FLOW; COMPLICATIONS; PULMONARY HYPERTENSION; GASES; NONANAESTHETIC; NITRIC OXIDE;

D O I：

10.1111/j.1365-2044.1993.tb07179.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The addition of 10–20 parts per million nitric oxide to the inspired gas was successful in controlling near fatal pulmonary hypertension after surgical repair of a congenital diaphragmatic hernia in a neonate. A preceding prostacyclin infusion was unable to prevent the failure of pulmonary perfusion. No side effect of nitric oxide therapy was observed, and ventilatory support could be substantially reduced as a result of the treatment. On the basis of the striking and lifesaving effects of nitric oxide therapy demonstrated in this child, we believe that nitric oxide treatment will prove to be a major contribution to the management of postoperative pulmonary hypertensive crises. Copyright © 1993, Wiley Blackwell. All rights reserved

引用

页码：679 / 683

页数：5

共 29 条

[1] ENHANCED PNEUMONIA RESOLUTION BY INHALATION OF NITRIC-OXIDE
BLOMQVIST, H
WICKERTS, CJ
ANDREEN, M
ULLBERG, U
ORTQVIST, A
FROSTELL, C
[J]. ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1993, 37 (01) : 110 - 114
[2] TIMING OF SURGERY IN CONGENITAL DIAPHRAGMATIC-HERNIA - LOW MORTALITY AFTER PREOPERATIVE STABILIZATION
CHARLTON, AJ
BRUCE, J
DAVENPORT, M
[J]. ANAESTHESIA, 1991, 46 (10) : 820 - 823
[3] DWORETZ AR, 1989, PEDIATRICS, V84, P1
[4] FALKE K, 1991, American Review of Respiratory Disease, V143, pA248
[5] HOMOGENEOUS CHEMILUMINESCENT MEASUREMENT OF NITRIC OXIDE WITH OZONE - IMPLICATIONS FOR CONTINUOUS SELECTIVE MONITORING OF GASEOUS AIR POLLUTANTS
FONTIJN, A
SABADELL, AJ
RONCO, RJ
[J]. ANALYTICAL CHEMISTRY, 1970, 42 (06) : 575 - &
[6] 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
[7] 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
[8] FROSTELL C, 1991, ANESTHESIOLOGY S, V75, pA989
[9] ENDOGENOUS NITRIC-OXIDE IS PRESENT IN THE EXHALED AIR OF RABBITS, GUINEA-PIGS AND HUMANS
GUSTAFSSON, LE
LEONE, AM
PERSSON, MG
WIKLUND, NP
MONCADA, S
[J]. BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, 1991, 181 (02) : 852 - 857
[10] REVERSAL OF MORTALITY FOR CONGENITAL DIAPHRAGMATIC-HERNIA WITH ECMO
HEISS, K
MANNING, P
OLDHAM, KT
CORAN, AG
POLLEY, TZ
WESLEY, JR
BARTLETT, RH
[J]. ANNALS OF SURGERY, 1989, 209 (02) : 225 - 230

← 1 2 3 →