Nitrogen dioxide formation during inhaled nitric oxide therapy

BACKGROUND

Nitrogen dioxide (NO2) is a toxic by-product of inhalation therapy with nitric oxide (NO). The rate of NO2 formation during NO therapy is controversial.

METHODS

The formation of NO2 was studied under dynamic flows emulating a base case NO ventilator mixture containing 80 ppm NO in a 90% oxygen matrix. The difficulty in measuring NO2 concentrations below 2 ppm accurately was overcome by the use of tunable diode laser absorption spectroscopy.

RESULTS

Using a second-order model, the rate constant, k, for NO2 formation was determined to be (1.19 +/- 0.11) x 10(-11) ppm-2s-1, which is in basic agreement with evaluated data from atmospheric literature.

CONCLUSIONS

Inhaled NO can be delivered safely in a well-designed, continuous flow neonatal ventilatory circuit, and NO2 formation can be calculated reliably using the rate constant and circuit dwell time.

On-Demand Generation of a Formaldehyde-in-Air Standard

The feasibility of using catalytic conversion of methanol to formaldehyde to produce standard amount of substance fractions of formaldehyde was examined. The conversion efficiencies of several catalysts were measured as a function of temperature, balance gas, catalyst bed length, and methanol amount of substance fraction in an effort to identify conditions which yield high and consistent conversion of methanol to formaldehyde. The highest observed conversion rate was (97 ± 4) % using a molybdenum catalyst, where the error is the 2σ uncertainty. The conversion efficiency was found to be consistent over repeated cycles and over a long lifetime test, suggesting that a molybdenum catalyst is a viable candidate for a standard formaldehyde generator, particularly for low formaldehyde amount of substance fractions (< 15 μmol/mol).