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Nitric Oxide Ventilation Improves Recirculation and Right Ventricular Function During Veno-Venous Extracorporeal Membrane Oxygenation in a COVID-19 Patient.
Heuts, Samuel; Ubben, Johannes F; Banks-Gonzales, Vanessa; Sels, Jan-Willem; Lorusso, Roberto; van Mook, Walther N K A; Delnoij, Thijs S R.
  • Heuts S; Department of Cardiothoracic Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands. Electronic address: sam.heuts@mumc.nl.
  • Ubben JF; Department of Intensive Care Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands; Department of Anesthesiology, Maastricht University Medical Center+, Maastricht, the Netherlands.
  • Banks-Gonzales V; Department of Intensive Care Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands.
  • Sels JW; Department of Intensive Care Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands; Department of Cardiology, Maastricht University Medical Center+, Maastricht, the Netherlands.
  • Lorusso R; Department of Cardiothoracic Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands; Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, the Netherlands.
  • van Mook WNKA; Department of Intensive Care Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands; Academy for Postgraduate Medical Training, Maastricht University Medical Center+, Maastricht, the Netherlands.
  • Delnoij TSR; Department of Intensive Care Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands; Department of Cardiology, Maastricht University Medical Center+, Maastricht, the Netherlands.
J Cardiothorac Vasc Anesth ; 35(9): 2763-2767, 2021 09.
Article in English | MEDLINE | ID: covidwho-813992
ABSTRACT
Patients with coronavirus disease 2019 (COVID-19) are prone to pulmonary artery hypertension (PAH) and right ventricular pressure overload due to severe bilateral infiltrates, high ventilation pressures, persistent hypoxemia, pulmonary fibrosis, and/or pulmonary embolism. In patients on extracorporeal membrane oxygenation (ECMO), this potentially leads to increased recirculation. In the current report, the authors present a case in which continuous inhaled nitric oxide (iNO)-enriched ventilation was effective in terms of PAH and recirculation reduction in a COVID-19 patient on veno-venous ECMO.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Extracorporeal Membrane Oxygenation / COVID-19 Type of study: Case report Limits: Humans Language: English Journal: J Cardiothorac Vasc Anesth Journal subject: Anesthesiology / Cardiology Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Extracorporeal Membrane Oxygenation / COVID-19 Type of study: Case report Limits: Humans Language: English Journal: J Cardiothorac Vasc Anesth Journal subject: Anesthesiology / Cardiology Year: 2021 Document Type: Article