Treatment of pulmonary hypertension in the general adult intensive care unit: a role for oral sildenafil?

Abstract:

:Use of inhaled nitric oxide for treatment of pulmonary hypertension in adult critical illness is limited by its mode of delivery and high costs, prompting evaluation of alternative therapies. We report the use of oral sildenafil in a patient with severe secondary pulmonary hypertension and right ventricular dysfunction. Following reduction in mean pulmonary artery pressure and pulmonary vascular resistance with inhaled nitric oxide, crossover to sildenafil therapy maintained control of pulmonary hypertension, facilitating discontinuation of respiratory and cardiovascular organ support. The relative pulmonary vascular specificity of oral sildenafil, and its low cost, makes it an attractive therapeutic alternative to inhaled nitric oxide, and warrants further study.

journal_name

Br J Anaesth

authors

Ng J,Finney SJ,Shulman R,Bellingan GJ,Singer M,Glynne PA

doi

10.1093/bja/aei114

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

774-7

issue

6

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)36031-2

journal_volume

94

pub_type

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