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(Chest. 2004;125:1579-1581.)
© 2004 American College of Chest Physicians

Successful Aeromedical Transport Using Inhaled Prostacyclin for a Patient With Life-Threatening Hypoxemia*

Daniel J. Reily, MGA, RRT; Edward Tollok, BS, RRT; Kristen Mallitz, RRT; C. William Hanson, III, MD and Barry D. Fuchs, MD, FCCP

* From the Respiratory Care Department (Mssrs. Reily and Tollok, and Ms. Mallitz), Hospital of the University of Pennsylvania, Philadelphia, PA; and the Departments of Anesthesia (Dr. Hanson) and Medicine (Dr. Fuchs), Pulmonary, Allergy, and Critical Care Division, University of Pennsylvania, Philadelphia, PA.

Correspondence to: Barry D. Fuchs, MD, FCCP, Medical Director, Medical Intensive Care Unit and Respiratory Care Services, Hospital of the University of Pennsylvania, University of Pennsylvania Health System, 3400 Spruce St–Founders 9.066, Philadelphia, PA 19104; e-mail: barry.fuchs{at}uphs.upenn.edu

Our aim was to describe the technique and results of using inhaled prostacyclin (iPGI2) to enable the safe interhospital helicopter transport of a patient with ARDS complicated by life-threatening hypoxemia. The case describes a 32-year-old women with ARDS complicated by life-threatening hypoxemia who was referred to our ARDS referral center for further management. Multiple attempts to place the patient on the transport ventilator failed because of severe hypoxemia. After the administration of iPGI2, oxygen saturation improved significantly, enabling the transport to occur safely by medevac helicopter. iPGI2 is a valuable adjunct for the medical transport team to enable the safe transport of critically ill patients with severe hypoxemia. The simple, lightweight, and portable delivery system makes it ideal for use during all forms of aeromedical transport.

Key Words: aeromedical transport • ARDS • interhospital transfer • life-threatening hypoxemia • prostacyclin • nitric oxide • pulmonary vasodilator




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E. J. van Lieshout, M. V. Vroom, B. D. Fuchs, and D. Reily
ICU Transport: Interhospital Transport of Critically Ill Patient With Dedicated Intensive Care Ventilator
Chest, February 1, 2005; 127(2): 688 - 689.
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