Inhaled nitric oxide followed by extracorporeal membrane oxygenation in resuscitating a newborn with hypoxemia |
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| Authors: | ICHIRO KUKITA KAZUFUMI OKAMOTO KOICHI KIKUTA MASAMICHI HAMAGUCHI TAISUKE OKAMOTO HIDENORI TERASAKI |
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| Institution: | Department of Anesthesiology, Kumamoto University School of Medicine, Kumamoto, Japan;Division of Intensive and Critical Care Medicine, Kumamoto University School of Medicine, Kumamoto, Japan |
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| Abstract: | 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. |
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| Keywords: | extracorporeal membrane oxygenation newborn nitric oxide resuscitation |
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