Experience with inhaled nitric oxide therapy in patient with neurogenic pulmonary edema: A case report.
- Author:
Eun Sun PARK
1
;
In Young HUH
;
Dae Young KIM
;
Soon Eun PARK
;
Ok Kyung LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Ulsan University Hospital, Ulsan, Korea. inyoung_huh@uuh.ulsan.kr
- Publication Type:Case Report
- Keywords:
Hypoxemia;
Inhaled nitric oxide;
Neurogenic pulmonary edema
- MeSH:
Anoxia;
Central Nervous System;
Craniocerebral Trauma;
Humans;
Hypertension, Pulmonary;
Intracranial Pressure;
Nitric Oxide;
Oxygen;
Perioperative Period;
Pulmonary Edema
- From:Anesthesia and Pain Medicine
2010;5(3):236-239
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Neurogenic pulmonary edema is known in patients after head injuries or other cerebral lesions. Typically, this form of pulmonary edema occurs minutes to hours after central nervous system injury and may manifest during the perioperative period. It is always a life-threatening symptom after increased intracranial pressure (ICP), where immediate therapeutic interventions are imperative. Rapid initiation of strategies aimed at ameliorating hypoxia including support of oxygenation and ICP reduction is paramount. We report a case that responded dramatically to inhaled nitric oxide (NO). This therapy, to our experience, seems to provide a way not to reduce pulmonary hypertension, but to improve ventilation-perfusion mismatch for the treatment of refractory hypoxemia in neurogenic pulmonary edema patient.
