The Science Journal of the American Association for Respiratory Care

2009 OPEN FORUM Abstracts

UTILIZATION OF INHALED NITRIC OXIDE (INO) AT A CHILDREN’S HOSPITAL

John Salyer, Dave N. Crotwell; Respiratory Care, Seattle Children’s Hospital, Seattle, WA

Background: iNO is a very costly intervention. We report a three years of data on the utilization of iNO in a pediatric hospital. Methods: Our hospital has 254 beds. ICU beds are as follows; PICU 16, NICU 19, CICU 16. Financial and administrative records were used to determine length of therapy in hours, number of patients treated, and location of therapy. Results: Results are described in the table below. Discussion: We have experienced a significant increase in the numbers of patients treated with iNO, which has resulted in a doubling of our iNO expense. This was most pronounced in the CICU population. There has also been a large increase in the length of therapy among NICU patients. Anecdotal reports from our clinical staff indicate that weaning of iNO is done very conservatively and there is a consensus that a more systematic approach to weaning iNO would help to reduce inappropriate utilization of the drug and thus reduce costs. Sponsored Research - None

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