Abstract:
:We describe the combined use of inhaled nitric oxide and heliox (79% helium and 21% oxygen) as a rescue therapy for a critically ill infant with localized interstitial pulmonary emphysema and pulmonary hypertension. Conventional interventions were ineffective, not feasible, or unlikely to take effect in time, during this infant's acute critical illness. We added heliox based on its known pulmonary effects, and inhaled nitric oxide to improve oxygenation, after echocardiographic evidence of high right-ventricular pressure. The infant made a full recovery. To our knowledge this is the first case report of heliox and inhaled nitric oxide used simultaneously in localized interstitial pulmonary emphysema.
journal_name
Respir Carejournal_title
Respiratory careauthors
Phatak RS,Pairaudeau CF,Smith CJ,Pairaudeau PW,Klonin Hsubject
Has Abstractpub_date
2008-12-01 00:00:00pages
1731-8issue
12eissn
0020-1324issn
1943-3654journal_volume
53pub_type
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