Inhaled nitric oxide for oligohydramnios-induced pulmonary hypoplasia

A report of two cases and review of the literature

Cara Geary, Jeffrey Whitsett

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

We describe the clinical courses of two premature infants, a male born at 294/7 weeks' gestational age after an 8-week period of rupture of membranes (ROM) and severe oligohydramnios, and a female infant born at 31 weeks' gestational age after an 18-week period of ROM and severe oligohydramnios. Within hours after birth, despite intubation and aggressive ventilation, both infants developed fulminant hypoxic respiratory failure. Their clinical courses were consistent with pulmonary hypertension and both infants were transferred for trials of inhaled nitric oxide (iNO). Both infants had dramatic responses to iNO, suggesting that the pulmonary disease seen after prolonged oligohydramnios may have a component of nitric oxide-sensitive pulmonary hypertension. The goals of this article are to (1) review oligohydramnios-induced pulmonary hypoplasia, (2) discuss patients at highest mortality risk, and (3) describe the effects of iNO on pulmonary hypertension in infants with hypoxemia following prolonged ROM and severe oligohydramnios.

Original languageEnglish (US)
Pages (from-to)82-85
Number of pages4
JournalJournal of Perinatology
Volume22
Issue number1
DOIs
StatePublished - Jan 1 2002
Externally publishedYes

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Oligohydramnios
Nitric Oxide
Lung
Pulmonary Hypertension
Rupture
Gestational Age
Membranes
Intubation
Premature Infants
Respiratory Insufficiency
Lung Diseases
Ventilation
Parturition
Mortality

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Inhaled nitric oxide for oligohydramnios-induced pulmonary hypoplasia : A report of two cases and review of the literature. / Geary, Cara; Whitsett, Jeffrey.

In: Journal of Perinatology, Vol. 22, No. 1, 01.01.2002, p. 82-85.

Research output: Contribution to journalArticle

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