Inhibition of Nitric Oxide Production in Clinical Septic Shock
There is now an increasing body of evidence which strongly suggests that excess production of nitric oxide (NO) is responsible for the severe hypotension commonly seen in septic shock. Very recently, Gomez-Jimenez et al.  have shown that plasma nitrite and nitrate levels were not different between a control group of patients and those with sepsis, but the values in both these groups were significantly lower than in a group of patients with septic shock. In addition, they were able to show a correlation between nitrite and nitrate levels and cardiac output and plasma endotoxin levels in the septic group.
KeywordsNitric Oxide Cardiac Output Septic Shock Methylene Blue Pulmonary Vascular Resistance
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