The use of inhaled nitric oxide and prone position in an ARDS patient with severe traumatic brain injury during spine stabilization.
The use of inhaled nitric oxide in patients with traumatic brain injury, intracranial hypertension, and acute respiratory distress syndrome (ARDS) has been reported in an intensive care unit setting only in a few case reports. The use of the prone position for patients with traumatic brain injury and lung impairment has been reported only in selected cases. Here we report our experience with the use of both inhaled nitric oxide and the prone position together in the operating room in a patient with head injury and ARDS who underwent column stabilization.
Anaesthesia and Intensive Care IV, Department of Anaesthesia, Ospedali Riuniti di Bergamo, Largo Barozzi no. 1, Bergamo, Italy. grittip@libero.it
Paolo
P
Gritti
Luigi Andrea
LA
Lanterna
Mariachiara
M
Re
Svetlana
S
Martchenko
Paola
P
Olivotto
Carlo
C
Brembilla
Cristina
C
Agostinis
Guido
G
Paganoni
Ferdinando Luca
FL
Lorini
D000058:Accidental Falls; D000328:Adult; D001784:Blood Gas Analysis; D001930:Brain Injuries / Q000150:complications / Q000601:surgery*; D001993:Bronchodilator Agents / Q000008:administration & dosage / Q000494:pharmacology*; D015600:Glasgow Coma Scale; D006801:Humans; D007427:Intracranial Pressure; D007430:Intraoperative Care; D008297:Male; D009569:Nitric Oxide / Q000008:administration & dosage / Q000494:pharmacology*; D016684:Prone Position; D012128:Respiratory Distress Syndrome / Q000150:complications* / Q000188:drug therapy*; D012887:Skull Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D013131:Spine / Q000601:surgery*; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed
D001993:Bronchodilator Agents; D009569:Nitric Oxide