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Inhaled nitric oxide followed by extracorporeal membrane oxygenation in resuscitating a newborn with hypoxemia
Author(s) -
KUKITA ICHIRO,
OKAMOTO KAZUFUMI,
KIKUTA KOICHI,
HAMAGUCHI MASAMICHI,
OKAMOTO TAISUKE,
TERASAKI HIDENORI
Publication year - 1998
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/j.1442-200x.1998.tb01412.x
Subject(s) - medicine , extracorporeal membrane oxygenation , hypoxemia , nitric oxide , anesthesia , oxygenation , intensive care medicine
In a newborn requiring cardiopulmonary resuscitation because of hypoxemia due to sepsis (oxygenation index > 40), inhalation of nitric oxide (NO) in a concentration of 16p.p.m. improved oxygenation and restored spontaneous circulation. Cannulation for extracorporeal membrane oxygenation (ECMO) then was performed safely under NO inhalation. ECMO was discontinued on day 7, and on day 14 the infant was extubated. During follow‐up examination at 5 months of age no neurological abnormalities were found. This case shows the usefulness of combining inhaled NO and ECMO.