INHALED NITRIC-OXIDE IN PATIENTS WITH PULMONARY-EMBOLISM

Objective: To describe the use of inhaled nitric oxide (NO) in four pa tients with severe pulmonary embolism. Setting: The intensive care uni t (ICU) of a university teaching hospital. Patients: Four patients wit h severe pulmonary embolism on the basis of clinical, haemodynamic or blood-gas parameters received NO by inhalation either during spontaneo us respiration (two cases) or while mechanically ventilated (two cases ). Interventions: Conventional management of pulmonary embolism in add ition to the use of inhaled ND. Measurements and results: Description of clinical course, haemodynamic and gas-exchange data. Dose-response data are also described for three patients. Conclusions: We reported f our cases of pulmonary embolism where the administration of inhaled NO resulted in an improvement in pulmonary haemodynamic and gas-exchange parameters. Two patients were weaned from NO and survived until disch arged from the ICU, Inhaled NO might be a useful adjunct in pulmonary embolism to improve stability of the patient prior to thrombolysis or surgery.