Intensive care for severe acute pneumonia using hemodynamic pulmonary circulatory unloading
Stoliarova, N.A.; Sadchikova, G.D.
Anesteziologiia i Reanimatologiia 4: 46-49
2005
ISSN/ISBN: 0201-7563 PMID: 16206586 Document Number: 588699
Pulmonary hypertension (PH) and its direct sequel, namely progressive arterial hypoxemia, is one of the severe complications of acute severe pneumonia (ASP). The paper presents the view of the pathogenesis of PH in patients with ASP and discusses a treatment for this complication. Based on the results of their own studies, the authors propose one of the effective methods for decreasing pulmonary vascular resistance. This method is based on the vasoconstrictor concept of the pathogenesis of PH in PH and includes therapy with nitrates. The authors propose to use drugs ameliorating pulmonary arterial hypertension, particularly intravenous nitrates in a dose of 0.2-0.3 mg/kg/day, as a part of intensive care.