Intraoperative use of nitric oxide during intracranial aneurysm clipping in a patient with acute respiratory distress syndrome.
We describe a case of subarachnoid hemorrhage (SAH) complicated by acute respiratory distress syndrome (ARDS) and cerebral vasospasm. Inhaled nitric oxide (NO) was used to improve oxygenation, thereby facilitating cerebral aneurysm clipping.
Grady
R E
RE
Department of Anesthesiology, Mayo Clinic and Foundation, Rochester, Minnesota 55905, USA.
Strickland
R A
RA
Fabi
A Y
AY
Murray
M J
MJ
D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications / Q000601:surgery*; D001794:Blood Pressure; D002245:Carbon Dioxide / Q000097:blood; D005260:Female; D006339:Heart Rate; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery*; D007432:Intraoperative Period; D002546:Ischemic Attack, Transient / Q000150:complications; D009569:Nitric Oxide / Q000008:administration & dosage / Q000627:therapeutic use*; D010100:Oxygen / Q000097:blood; D010313:Partial Pressure; D011175:Positive-Pressure Respiration; D011651:Pulmonary Artery; D012128:Respiratory Distress Syndrome / Q000150:complications*; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000601:surgery*; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000627:therapeutic use*
D014665:Vasodilator Agents; D002245:Carbon Dioxide; D009569:Nitric Oxide; D010100:Oxygen