Master Teacher Series: Case Study on Inhaled Nitric Oxide

Learning Objectives
Recall clinical scenarios in which inhaled nitric oxide is used as an adjunct to ventilatory support in pediatric patients with pulmonary hypertension or cardiopulmonary instability
Explain how inhaled nitric oxide interacts with ventilation, pulmonary blood flow, and ventricular function to influence oxygen delivery and hemodynamic stability
Apply anticipatory airway and ventilatory planning when initiating inhaled nitric oxide in mechanically ventilated children
Analyze patient physiology—including ventricular function and shunt physiology—to identify situations where inhaled nitric oxide may precipitate clinical deterioration
Evaluate safe weaning strategies for inhaled nitric oxide in ventilated pediatric patients to avoid rebound pulmonary hypertension and respiratory collapse
Author(s)
David Wessel, MD
Professior, Anesthesiology & Critical Care Medicine | Children's National Hospital
Lisa DelSignore, MD
Associate Professor, Fellowship Program Director, Pediatric Critical Care Medicine | Yale University
Jefferey Burns, MD, MPH
Assoc. Chief Medical Officer, Critical Care Services; Shapiro Chair in Critical Care Medicine, Division of Critical Care MedicineDirector, OPENPediatrics; Sr. Assoc. in Critical Care Medicine; Department of Anesthesiology, Critical Care & Pain Medicine | Boston Children's Hospital
Professor of Anesthesia | Harvard Medical School
Citation
Wessel D, DelSignore L, Burns JP. Master Teacher Series: Case Study on Inhaled Nitric Oxide. 5/2016. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/3164/master-teacher-series-case-study-on-inhaled-nitric-oxide.
