Sunday, October 30, 2005

Nitric oxide to the rescue--again--with premature infants

Nearly one in ten premature babies born in the Scranton PA area have a defective oxygen-delivery mechanism, according to a local online news source. The writer says that inhaling nitric oxide gas can make such babies better, faster, and avoid "the alternative - a surgical procedure that opens the jugular vein to use a heart-lung machine." Doctors say more babies will survive this type of problem without long-term effects as NO gas relaxes certain lung cells, allowing them to help get oxygen into the bloodstream.

As a mother, I am always excited about the idea of finding treatment approaches that help the child with as little trauma as possible. And the fact that NO gives premature infants a better chance of avoiding developmental problems is good news--(see here), though clearly it's not without risks and must be used judiciously with babies who meet certain criteria (and here).

A reader has suggested that the two treatments are not equivalent. (See comments to this entry.) The original story stated that this use of NO would give some parents the choice to save their premature babies from having to endure ventilator surgery. Even if it turns out not to be as ground-breaking as it seemed, still we're heading in the right direction anytime we work on replacing surgery with non-invasive approaches.

Aside: Hospitals are beginning to realize that giving close attention to parents during the birth process can create an emotional bond that will tend to make the family choose that hospital for a lifetime of services.

2 Comments:

Anonymous Anonymous said...

I find your post very misleading. Nitric Oxide (NO) has been used on premature infants for many years. It is a pulmonary vasodilator, allowing better blood flow thorugh the lungs. It is more effective on infants than on adults.
"Ventilator surgery" doesn't mean anything. A ventilator is a machine that delivers O2 to the lungs through a tube in the trachea. The type of machine you are referring to is one that oxygenates the blood outside the body called extracorporeal membrane oxygenation. or ECMO. THe patient is connected to the machine via cannulation tubing attached at the jugular.
When I saw the title of your blog, I thought it might be interesting information. But only half of what you are writing is fact. Please check your facts more carefully. Many people believe what they read on the internet.

1:47 PM  
Blogger Barbara Payne said...

Thank you for your comment--it is much appreciated. I am presuming from your explanation that you mean that inhaling NO cannot in fact replace use of a ventilator. Then the doctor in that news source was not quoted correctly and the story was misleading.

And you are very right--many people believe what they read on the Internet. I have amended my post to include your thoughts. Thank you.

4:31 AM  

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