Document Detail


Prostacyclin in the intensive care setting.
MedLine Citation:
PMID:  20216163     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The prostacyclins-prostanoids were one of the first medications used to treat pulmonary arterial hypertension (PAH). Three prostanoids have been developed to treat PAH: epoprostenol, treprostinil, and iloprost. In the acute setting, experience is growing, using the inhaled forms of these three medications. Inhalation may improve ventilation/perfusion matching, whereas in the intravenous form these medications may cause nonselective pulmonary vasodilation and may worsen ventilation/perfusion matching. Currently, there are no universal recommendations for dosing delivery of inhaled prostanoids to intubated patients in the intensive care unit setting.
Authors:
D Dunbar Ivy
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies     Volume:  11     ISSN:  1529-7535     ISO Abbreviation:  Pediatr Crit Care Med     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-10     Completed Date:  2010-06-14     Revised Date:  2011-09-26    
Medline Journal Info:
Nlm Unique ID:  100954653     Medline TA:  Pediatr Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S41-5     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of Colorado Denver School of Medicine, The Children's Hospital, Aurora, CO, USA. ivy.dunbar@tchden.org
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MeSH Terms
Descriptor/Qualifier:
Administration, Inhalation
Antihypertensive Agents / administration & dosage,  therapeutic use*
Child
Epoprostenol / administration & dosage,  analogs & derivatives,  therapeutic use
Humans
Hypertension, Pulmonary / drug therapy*
Iloprost / administration & dosage,  therapeutic use
Intensive Care*
Grant Support
ID/Acronym/Agency:
P50 HL084923-04/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Antihypertensive Agents; 0/treprostinil; 35121-78-9/Epoprostenol; 78919-13-8/Iloprost
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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