Inhaled nitric oxide for the brain dead donor with neurogenic pulmonary edema during anesthesia for organ donation: a case report
Korean Journal of Anesthesiology 2014³â 67±Ç 2È£ p.133 ~ p.138
¹ÚÀº¼±(Park Eun-Sun) - University of Ulsan College of Medicine Ulsan University Hospital Department of Anesthesiology and Pain Medicine
¼ÕÈñ¿ø(Son Hee-Won) - University of Ulsan College of Medicine Ulsan University Hospital Department of Anesthesiology and Pain Medicine
À̾ƶõ(Lee A-Ran) - University of Ulsan College of Medicine Ulsan University Hospital Department of Anesthesiology and Pain Medicine
ÀÌ»óÇö(Lee Sang-Hyun) - University of Ulsan College of Medicine Ulsan University Hospital Department of Anesthesiology and Pain Medicine
±è¾È¼÷(Kim An-Suk) - University of Ulsan College of Medicine Ulsan University Hospital Department of Anesthesiology and Pain Medicine
¹Ú¼øÀº(Park Soon-Eun) - University of Ulsan College of Medicine Ulsan University Hospital Department of Anesthesiology and Pain Medicine
Á¶¿µ¿ì(Cho Young-Woo) - University of Ulsan College of Medicine Ulsan University Hospital Department of Anesthesiology and Pain Medicine
Abstract
Neurogenic pulmonary edema (NPE) in brain dead organ donors occurring after an acute central nervous system insult threatens organ preservation of potential organ donors and the outcome of organ donation. Hence the active and immediate management of NPE is critical. In this case, a 50-year-old male was admitted to the intensive care unit (ICU) for organ donation. He was hypoxic due to NPE induced by spontaneous intracerebral hemorrhage and intraventricular hemorrhage. Protective ventilatory management, intermittent recruitment maneuvers, and supportive treatment were maintained in the ICU and the operating room (OR). Despite this management, the hypoxemia worsened after the OR admission. So inhaled nitric oxide (NO) therapy was performed during the operation, and the hypoxic phenomena showed remarkable improvement. The organ retrieval was successfully completed. Therefore, NO inhalation can be helpful in the improvement of hypoxemia caused by NPE in brain dead organ donors during anesthesia for the organ donation.
Å°¿öµå
Brain death, Nitric oxide, Organ donors, Organ retrieval, Pulmonary edema
KMID :
0356920140670020133
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