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

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.

Donate to EMM today!

Diversity and Inclusion Award

【第386期】404文库：在诈骗园区每天工作15至16个小时，一直没有业绩，就被打断四根肋骨……”（外二篇）