Podcast 733: Nitric Oxide for COVID

Podcast 733: Nitric Oxide for COVID

Contributor: Nick Hatch, MD

Educational Pearls:

  • Inhaled nitric oxide or Flolan may be considered in COVID
    • Flolan is a prostaglandin can be inhaled or given IV
  • These medications are classically used for right-sided heart failure, but may be used in COVID
  • Causes pulmonary vasodilation to reduce the resistance against the right ventricle
  • Complications include hypotension and hemolysis, but nitric oxide can be turned off very quickly if needed
    • Be careful and wean patients on nitric oxide for pulmonary hypertension

References

Lotz C, Muellenbach RM, Meybohm P, et al. Effects of inhaled nitric oxide in COVID-19-induced ARDS - Is it worthwhile?. Acta Anaesthesiol Scand. 2021;65(5):629-632. doi:10.1111/aas.13757

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

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Podcast 826: STEMI Equivalents

Podcast 826: STEMI Equivalents

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Podcast 825: ALS vs PD Transport

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Podcast 824: Catheter-Related Blood Infections

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Contributor: Travis Barlock, MD Educational Pearls: Catheter related blood infections were thought to be caused by skin flora seeding the catheter. Thus, significant effort is applied to sterility an...

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Podcast 823: Immediate Resuscitative Thoracotomy

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Podcast 822: Meralgia Paresthetica

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Contributor: Aaron Lessen, MD Educational Pearls: Lateral Cutaneous Femoral Nerve Entrapment Syndrome, also known as Meralgia Paresthetica, results from entrapment of the lateral cutaneous femoral ne...

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Podcast 821: EKGs in Syncope

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Contributor: Travis Barlock, MD Educational Pearls: An EKG should be obtained quickly after a syncopal event to identify possible life-threatening causes such as ischemia and arrhythmia WOBBLER is a...

17 Okt 20224min

Podcast 820: Who Qualifies for Take-Home Naloxone

Podcast 820: Who Qualifies for Take-Home Naloxone

Contributor: Don Stader, MD Educational Pearls: Home naloxone is traditionally given to those at high risk for opioid overdose such as those in the ED due to an opioid overdose, opioid intoxication, ...

11 Okt 20224min

Podcast 819: Indiscriminate Lactate Testing

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Contributor: Jared Scott, MD Educational Pearls: Elevated lactate levels can be a useful indicator of critical illness in patients who meet SIRS criteria Lactate can also be elevated due to ot...

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