Use of nitric oxide for decompensated right ventricular failure and circulatory shock after cardiac arrest.
We describe a case of peri-operative cardiac arrest, severe right ventricular failure and pulmonary hypertension in a 60-yr-old woman with interstitial pulmonary fibrosis. Inhaled nitric oxide therapy rapidly improved arterial oxygenation and haemodynamic variables, allowing recovery and weaning from mechanical ventilation. Subsequently, the patient was discharged from the cardiac intensive care unit.
King
R
R
Cardiac Centre, Morriston Hospital, Swansea, Wales, UK.
Esmail
M
M
Mahon
S
S
Dingley
J
J
Dwyer
S
S
D000768:Anesthesia, General; D005260:Female; D006323:Heart Arrest / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D007431:Intraoperative Complications / Q000188:drug therapy*; D008875:Middle Aged; D009569:Nitric Oxide / Q000627:therapeutic use*; D011658:Pulmonary Fibrosis / Q000150:complications; D014665:Vasodilator Agents / Q000627:therapeutic use*; D018497:Ventricular Dysfunction, Right / Q000188:drug therapy*
D014665:Vasodilator Agents; D009569:Nitric Oxide