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Acta Anaesthesiol Scand · May 2021
Effects of inhaled nitric oxide in COVID-19-induced ARDS - Is it worthwhile?
- Christopher Lotz, Ralf M Muellenbach, Patrick Meybohm, Haitham Mutlak, Philipp M Lepper, Caroline-Barbara Rolfes, Asghar Peivandi, Jan Stumpner, Markus Kredel, Peter Kranke, Iuliu Torje, and Christian Reyher.
- Department of Anaesthesiology and Critical Care Medicine, University of Würzburg, Würzburg, Germany.
- Acta Anaesthesiol Scand. 2021 May 1; 65 (5): 629-632.
BackgroundChanges in pulmonary hemodynamics and ventilation/perfusion were proposed as hallmarks of Coronavirus disease 2019 (COVID-19)-induced acute respiratory distress syndrome (ARDS). Inhaled nitric oxide (iNO) may overcome these issues and improve arterial oxygenation.MethodsWe retrospectively analyzed arterial oxygenation and pulmonary vasoreactivity in seven COVID-19 ARDS patients receiving 20 ppm iNO for 15-30 minutes.ResultsThe inhalation of NO significantly improved oxygenation. All patients with severe ARDS had higher partial pressures of oxygen and reduced pulmonary vascular resistance. Significant changes in pulmonary shunting were not observed.ConclusionOverall, iNO could provide immediate help and delay respiratory deterioration in COVID-19-induced moderate to severe ARDS.© 2020 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.
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