Table 4

Summary of the details of postacute iNO administration in preterm infants in the included studies

Author
year
Postnatal day of iNO initiationDosage of iNO (ppm)Duration of iNOOther drugsDiscontinuation criteriaAdverse effects
1Ballard et al, 200687–21 daysStart with 20 ppm for 48–96 hours Decreased to 10, 5, and 2 ppm at weekly intervalsMinimum 24 daysN/ASpecified by the protocolNo difference in the complications of prematurity No methaemoglobinaemia
2Ballard et al, 2016117–14 daysStart with 20 ppm for 48–96 hours Decreased to 10, 5, and 2 ppm at weekly intervalsMinimum 24 daysSurfactantSpecified by the protocolNo difference in severe adverse events and complications of prematurity
3Hasan et al, 201797–14 daysStart with 20 ppm
Decreased to 10 ppm in 72–96 hours
Then 5 ppm on day 10 or 11
Remain at 5 ppm until completion of therapy for 24 days
Minimum 24 daysN/ASpecified by the protocolNo differences in common complications of prematurity
No elevation in NO2 or methaemoglobin level
4Truog et al, 2014107–28 days: (n=140 or 2.9%) >28 days: (n=47 or 0.96%)N/AN/AN/AN/AN/A
5Hsiao et al, 201920>7 daysStart with 20 ppm (rarely 10 ppm) Increased to 40 ppm without clinical response (max 80 ppm)N/ASurfactant 1/27 (3.7%) Dopamine 10/27 (37.0%) Dobutamine 6/27 (22.2%) Epinephrine 3/27 (11.1%) Milrinone 6/27 (22.2%)N/AN/A
6Nakanishi et al, 20234N/A (postacute iNO; defined as iNO administration in the late phase of hospitalisation)N/A26 days (14–70 days)N/AN/AN/A
7Oka et al, 20231319 (11–26) daysStarting dose: 10 ppm20.5 (8–32.5) daysSurfactant corticosteroidN/ANo complications
No methaemoglobinaemia
8Fraga et al, 20231440 weeks (37–43)20 ppmN/ABronchodilators; n=16 (43%)
Diuretics; furosemide: n=15 (40%), chlorothiazide: n=16 (43%)
N/APulmonary oedema; n=1
9Nakao et al, 201222>7 days (214–2880 hours)Starting dose: 3–20 ppm Highest dose: 5–40 ppmMedian 130 hours (22–1330 hours)N/AN/ANo complications
10Iwatani et al, 20222139 (12–142) daysN/A2–36 daysN/AN/ANo methaemoglobinaemia No jaundice
  • iNO, inhaled nitric oxide; ppm, parts per million.