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Meeting ReportConference Proceedings

Inhaled Medical Gases: More to Breathe Than Oxygen

Michael A Gentile
Respiratory Care September 2011, 56 (9) 1341-1359; DOI: https://doi.org/10.4187/respcare.01442
Michael A Gentile
Division of Pulmonary and Critical Care Medicine, Duke University Medical Center, Durham, North Carolina.
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    Fig. 1.

    Nitric oxide (NO) activates guanylate cyclase, which converts into cyclic guanine monophosphate (cGMP). The presence of cGMP at the smooth muscle causes relaxation. NOS = NO synthase. ACh = acetylcholine. PA = pulmonary artery. Hb = hemoglobin. met Hb = methemoglobin. LA = left atrium. (From Reference 6, with permission.)

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    Fig. 2.

    Cardiopulmonary interactions during persistent pulmonary hypertension of the newborn. PVR = pulmonary vascular resistance. SVR = systemic vascular resistance. (Adapted from Reference 8, with permission.)

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    Fig. 3.

    Change in pulmonary artery pressure, from baseline, in postoperative patients who received inhaled nitric oxide (INO) versus placebo. (Adapted from Reference 19, with permission.)

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    Fig. 4.

    Representative inhaled nitric oxide (INO) weaning protocol. ABG = arterial blood gas. (Adapted from Reference 19, with permission.)

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    Fig. 5.

    Carbon monoxide (CO) signal transduction pathways. sGC = soluble guanylate cyclase. MAPK = mitogenactivated protein kinase. NO = nitric oxide. cGMP = cyclic guanine monophosphate. HSF = heat shock factor. HSP = heat shock protein. NFκB = nuclear factor-κB. (Adapted from Reference 93, with permission.)

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    Fig. 6.

    A: The Covox DS delivery system for inhaled carbon monoxide. Covox (carbon monoxide for inhalation) and Covox DS are an Investigational Drug and Device, respectively, and are limited by Federal law to investigational use. B: Carbon monoxide concentration with the Covox DS delivery system. (Courtesy of Ikaria.)

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In this issue

Respiratory Care: 56 (9)
Respiratory Care
Vol. 56, Issue 9
1 Sep 2011
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Inhaled Medical Gases: More to Breathe Than Oxygen
Michael A Gentile
Respiratory Care Sep 2011, 56 (9) 1341-1359; DOI: 10.4187/respcare.01442

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Inhaled Medical Gases: More to Breathe Than Oxygen
Michael A Gentile
Respiratory Care Sep 2011, 56 (9) 1341-1359; DOI: 10.4187/respcare.01442
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  • Article
    • Abstract
    • Introduction
    • Inhaled Nitric Oxide
    • Heliox
    • Inhaled Anesthetics
    • Inhaled Carbon Dioxide
    • Hypoxic Gas Mixtures
    • Inhaled Carbon Monoxide
    • Hydrogen Sulfide
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Keywords

  • inhaled nitric oxide
  • heliox
  • inhaled anesthetics
  • inhaled carbon monoxide
  • inhaled carbon dioxide
  • hypoxic gas mixtures
  • hydrogen sulfide

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