[Dose-effect of inhaled nitric oxide on pulmonary hypertension in inhaled injury in rabbits].
OBJECTIVE: To explore the relation of dose-response of NO inhalation in treatment of pulmonary hypertension in rabbits with smoke inhalation injury. METHODS: The effect of various concentrations (1, 5, 10, 20, 30, 40, 50 and 60) x 10(-6) of NO on pulmonary hypertension after smoke inhalation injury was studied with right heart catheterization in 15 rabbits. RESULTS: Mean pulmonary artery pressure (mPAP), pulmonary capillary wedge pressure (PCWP), pulmonary minute vessel pressure (Pmv), and pulmonary vascular resistance (PVR) were not changed remarkably (P > 0.05) after inhalation of (1 or 5) x 10(-6) NO. mPAP, PCWP, and Pmv were lowered significantly after inhalation of (10, 20, 30, 40, 50 and 60) x 10(-6) NO (P < 0.05, P < 0.01). Major vascular relaxation occurred when NO concentration was at 30 x 10(-6), and PVR did not further decrease along with the increase of NO concentration. CONCLUSION: The concentration of inhaled NO should not exceed 30 x 10(-6) for the treatment of pulmonary hypertension in early stage of smoke inhalation.