scholarly journals A novel method during ventilator weaning; decreasing pulmonary vascular resistance of the children performed cardiac surgery: high flow nasal cannula-nitric oxide combination therapy

2017 ◽  
Vol 24 (4) ◽  
pp. 407-411
Author(s):  
Ryosuke Kowatari ◽  
Yasuyuki Suzuki ◽  
Kazuyuki Daitoku ◽  
Ikuo Fukuda
Keyword(s):  
Nitric Oxide ◽  
Cardiac Surgery ◽  
Combination Therapy ◽  
Pulmonary Vascular Resistance ◽  
Vascular Resistance ◽  
Ventilator Weaning ◽  
High Flow ◽  
Nasal Cannula ◽  
High Flow Nasal Cannula ◽  
Novel Method

scholarly journals Inhaled nitric oxide in patients with normal and increased pulmonary vascular resistance after cardiac surgery

1994 ◽  
Vol 72 (2) ◽  
pp. 185-189 ◽  
Author(s):  
D.J. SNOW ◽  
S.Y. GRAY ◽  
S. GHOSH ◽  
L. FOUBERT ◽  
A. ODURO ◽  
...  
Keyword(s):  
Nitric Oxide ◽  
Cardiac Surgery ◽  
Pulmonary Vascular Resistance ◽  
Vascular Resistance ◽  
Inhaled Nitric Oxide

30: Flow Index: A Novel Method to Report the Respiratory Support for Children on High-Flow Nasal Cannula

2020 ◽  
Vol 49 (1) ◽  
pp. 16-16
Author(s):  
Sandeep Tripathi ◽  
Nadia Shaikh ◽  
Logan Meixsell ◽  
Jeremy Mcgarvey
Keyword(s):  
High Flow ◽  
Nasal Cannula ◽  
Respiratory Support ◽  
Flow Index ◽  
High Flow Nasal Cannula ◽  
Novel Method

Use of High Flow Nasal Cannula with Inhaled Nitric Oxide During Pediatric Air Transport

2018 ◽  
Author(s):  
Philomena Costabile ◽  
Timothy Gelmini ◽  
Megan Martonick ◽  
Brenda Hillock ◽  
Christopher McNelly ◽  
...  
Keyword(s):  
Nitric Oxide ◽  
High Flow ◽  
Nasal Cannula ◽  
Inhaled Nitric Oxide ◽  
Air Transport ◽  
High Flow Nasal Cannula

Inhaled nitric oxide improves hemodynamics in patients with acute pulmonary hypertension after high-risk cardiac surgery

Perfusion ◽  
1999 ◽  
Vol 14 (1) ◽  
pp. 37-42 ◽  
Author(s):  
J R Beck ◽  
L B Mongero ◽  
R M Kroslowitz ◽  
A F Choudhri ◽  
J M Chen ◽  
...  
Keyword(s):  
Nitric Oxide ◽  
Pulmonary Hypertension ◽  
Cardiac Surgery ◽  
High Risk ◽  
Right Ventricular ◽  
Pulmonary Vascular Resistance ◽  
Vascular Resistance ◽  
Left Ventricular ◽  
Ventricular Assist ◽  
Acute Pulmonary Hypertension

Severe pulmonary hypertension and right-sided circulatory failure (RSCF) represent an increasing cause of morbidity and mortality in patients undergoing high-risk cardiac surgery. Increased pulmonary vascular resistance in the setting of cardiopulmonary bypass (CPB) may further lead to decreased blood flow across the pulmonary vascular bed; thereby decreasing left ventricular filling and cardiac output. Current management techniques for RSCF include both nonspecific vasodilator and inotropic agents (often limited by systemic hypotension) and the placement of right ventricular assist devices (associated with increased perioperative morbidity). Inhaled nitric oxide (NOi) represents a novel, specific pulmonary vasodilator that has been proven efficacious in these clinical settings. We evaluated 34 patients in 38 operations who underwent cardiac surgery at Columbia Presbyterian Medical Center, and who received NOi (20 ppm) through a modified ventilatory circuit for hemodynamically significant elevations in pulmonary vascular resistance. Nine patients underwent cardiac transplantation, three patients bilateral lung transplantation, 16 patients left ventricular assist device placement and 10 patients routine cardiac surgery. Patients receiving NOi exhibited substantial reductions in mean pulmonary artery pressure (mPAP) (34.6 ± 2.0 to 26.0 ± 1.7 mmHg, p < 0.0001), with improvements in systemic hemodynamics, mean arterial pressure (68 ± 3.1 to 75.9 ± 2.0 mmHg, p = 0.006). In five cases, patients could not be weaned from CPB until NOi was administered. Patients were maintained on NOi from 6 to 240 h postoperatively (median duration 36 h). Inhaled NO induces substantial reductions in mPAP and increases in both cardiac index and systemic blood pressure in patients displaying elevated pulmonary hemodynamics after high-risk cardiac surgery. NO is, therefore, a useful adjunct in these patients in whom acute pulmonary hypertension threatens right ventricular function and hemodynamic stability.

Comparison of high-flow nasal cannula versus conventional oxygen therapy following extubation after paediatric cardiac surgery

Airway ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. 4
Author(s):  
AdalagereSathyanarayana Lakshmi ◽  
Vijitha Burra ◽  
AnandV Bhat ◽  
V Prabhakar ◽  
N Manjunatha
Keyword(s):  
Cardiac Surgery ◽  
Oxygen Therapy ◽  
High Flow ◽  
Nasal Cannula ◽  
High Flow Nasal Cannula ◽  
Paediatric Cardiac Surgery
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