The use of inhaled nitric oxide and prone position in an ARDS patient with severe traumatic brain injury during spine stabilization

The use of inhaled nitric oxide in patients with traumatic brain injury, intracranial hypertension, and acute respiratory distress syndrome (ARDS) has been reported in an intensive care unit setting only in a few case reports. The use of the prone position for patients with traumatic brain injury an...

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Bibliographic Details
Published in:Journal of anesthesia 2013-04, Vol.27 (2), p.293-297
Main Authors: Gritti, Paolo, Lanterna, Luigi Andrea, Re, Mariachiara, Martchenko, Svetlana, Olivotto, Paola, Brembilla, Carlo, Agostinis, Cristina, Paganoni, Guido, Lorini, Ferdinando Luca
Format: Article
Language:English
Subjects:
Accidental Falls
Acute respiratory distress syndrome
Adult
Anesthesiology
Blood Gas Analysis
Brain
Brain Injuries - complications
Brain Injuries - surgery
Bronchodilator Agents - administration & dosage
Bronchodilator Agents - pharmacology
Clinical Report
Critical Care Medicine
Emergency Medicine
Glasgow Coma Scale
Health aspects
Humans
Injuries
Intensive
Intracranial Pressure
Intraoperative Care
Male
Medicine
Medicine & Public Health
Nitric oxide
Nitric Oxide - administration & dosage
Nitric Oxide - pharmacology
Pain Medicine
Physiological aspects
Prone Position
Respiratory Distress Syndrome, Adult - complications
Respiratory Distress Syndrome, Adult - drug therapy
Skull Fractures - diagnostic imaging
Skull Fractures - surgery
Spine
Spine - surgery
Subarachnoid Hemorrhage - diagnostic imaging
Subarachnoid Hemorrhage - surgery
Tomography, X-Ray Computed
Vecuronium
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Summary:The use of inhaled nitric oxide in patients with traumatic brain injury, intracranial hypertension, and acute respiratory distress syndrome (ARDS) has been reported in an intensive care unit setting only in a few case reports. The use of the prone position for patients with traumatic brain injury and lung impairment has been reported only in selected cases. Here we report our experience with the use of both inhaled nitric oxide and the prone position together in the operating room in a patient with head injury and ARDS who underwent column stabilization.
ISSN:0913-8668
1438-8359
DOI:10.1007/s00540-012-1495-2