caa a22 4500 445374292 CHVBK 20180317142957.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00540-011-1178-4 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1178-4 Successful treatment of acute respiratory distress syndrome after hysterectomy for life-threatening atonic bleeding by inhaled nitric oxide [Elektronische Daten] [Ayaka Fujita, Eiji Hashiba, Noriaki Otomo, Masatoshi Muraoka, Futoshi Kimura, Kazuyoshi Hirota] We report a case of a 33-year-old female who developed severe acute respiratory distress syndrome (ARDS) after emergency hysterectomy for life-threatening atonic bleeding. A marked decline in pulmonary oxygenation was observed during the surgery, which led to a diagnosis of ARDS. Following admission to the intensive care unit, hypoxia became critical, with a PaO2/FIO2 value of 52 even after recruitment maneuvers. Inhaled nitric oxide (NO 10ppm) was administered to the patient as a rescue treatment, resulting in a gradual but dramatic improvement in pulmonary oxygenation. Although several randomized trials have failed to confirm the beneficial effects of NO on morbidity in patients with ARDS, NO administration is worth consideration as treatment prior to invasive treatments, such as extracorporeal membrane oxygenation, for patients with acute lung injury/ARDS. Japanese Society of Anesthesiologists, 2011 Nitric oxide nationallicence ADRS nationallicence Atonic postpartum hemorrhage nationallicence Fujita Ayaka Department of Anesthesiology, Aomori City Hospital, 1-14-20 Katsuta, 030-0821, Aomori, Japan aut Hashiba Eiji Department of Anesthesiology, University of Hirosaki Postgraduate School of Medicine, 5 Zaifu-cho, 036-8216, Hirosaki, Japan aut Otomo Noriaki Department of Anesthesiology, Aomori City Hospital, 1-14-20 Katsuta, 030-0821, Aomori, Japan aut Muraoka Masatoshi Department of Anesthesiology, Aomori City Hospital, 1-14-20 Katsuta, 030-0821, Aomori, Japan aut Kimura Futoshi Department of Anesthesiology, University of Hirosaki Postgraduate School of Medicine, 5 Zaifu-cho, 036-8216, Hirosaki, Japan aut Hirota Kazuyoshi Department of Anesthesiology, University of Hirosaki Postgraduate School of Medicine, 5 Zaifu-cho, 036-8216, Hirosaki, Japan aut Journal of Anesthesia Springer Japan 25/5(2011-10-01), 741-744 0913-8668 25:5<741 2011 25 540 https://doi.org/10.1007/s00540-011-1178-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1178-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fujita Ayaka Department of Anesthesiology, Aomori City Hospital, 1-14-20 Katsuta, 030-0821, Aomori, Japan aut NATIONALLICENCE 700 1- Hashiba Eiji Department of Anesthesiology, University of Hirosaki Postgraduate School of Medicine, 5 Zaifu-cho, 036-8216, Hirosaki, Japan aut NATIONALLICENCE 700 1- Otomo Noriaki Department of Anesthesiology, Aomori City Hospital, 1-14-20 Katsuta, 030-0821, Aomori, Japan aut NATIONALLICENCE 700 1- Muraoka Masatoshi Department of Anesthesiology, Aomori City Hospital, 1-14-20 Katsuta, 030-0821, Aomori, Japan aut NATIONALLICENCE 700 1- Kimura Futoshi Department of Anesthesiology, University of Hirosaki Postgraduate School of Medicine, 5 Zaifu-cho, 036-8216, Hirosaki, Japan aut NATIONALLICENCE 700 1- Hirota Kazuyoshi Department of Anesthesiology, University of Hirosaki Postgraduate School of Medicine, 5 Zaifu-cho, 036-8216, Hirosaki, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/5(2011-10-01), 741-744 0913-8668 25:5<741 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer