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Inhaled nitric oxide: one modality in the treatment of ARDS

Carrillo-Esper, R.; Ramírez-Hernández, J.M.; Gargallo-Hernández, J.J.; Hernández-Vásquez, R.; Domínguez-Rodríguez, M.I.; Alemán-Alarcón, C.E.; Gallegos-Rodríguez, G.

Gaceta Medica de Mexico 135(4): 417-421

1999

ISSN/ISBN: 0016-3813
PMID: 10491897
Document Number: 503354
We describe a patient with acute respiratory distress syndrome (ARDS), refractory to treatment with conventional mechanical ventilation. The hemodynamic parameters showed severe pulmonary hypertension with increased intrapulmonary shunt. Inhaled nitric oxide was administered and we observed a diminishing in pulmonary hypertension and intrapulmonary shunt with an important increase of oxygen exchange. We reviewed the literature and make a suggestion concerning use of inhaled nitric oxide in patients with ARDS.

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