Respiratory failure & ventilation

Effects of inhaled nitric oxide on ventilation/perfusion mismatch assessed by electrical impedance tomography in patients with acute respiratory distress syndrome (ARDS): a prospective observational study

Crit CarePublished Prospective observational study

Authors' conclusion

The response to iNO varied. In responders, EIT showed a potential redistribution of lung perfusion toward ventral regions, with reductions in the proportions of only perfused units and unmatched units in the whole lung.

Study context

Population
Mechanically ventilated ARDS patients
Participants
30 participants
Exposure
Responders vs non-responders to inhaled nitric oxide (iNO)
  • Respondersn = 11
Outcome
Effects of iNO on ventilation/perfusion mismatch assessed by EIT
Follow-up
30 min and 3 h after iNO initiation
Methodological detailssingle-center, physiological study, All patients initially received 5 ppm iNO; trial lasted 3 h; Electrical impedance tomography (EIT) and clinical parameters at baseline, 30 min and 3 h
  • Single-center
  • Physiological study
  • All patients initially received 5 ppm iNO; trial lasted 3 h; EIT and clinical parameters at baseline, 30 min and 3 h

Main finding

As reported in the abstract

iNO response (≥ 20% increase in PaO2/FiO2 at 30 min) · 30 min

Patients who responded to iNO

36.7%

11/30

Observational data: associations, not effects.

Original publication

Effects of inhaled nitric oxide on ventilation/perfusion mismatch assessed by electrical impedance tomography in patients with ARDS: a prospective observational study. Crit Care. Published 27 July 2025. doi:10.1186/s13054-025-05543-z

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