I'm not sure what's going to happen with nitric oxide in premies. I suspect that eventually it will be shown to be beneficial in at least some subset of premies. But the thing that gets me about nitric oxide is its cost. It starts at $3,ooo dollars per day, with a maximum charge of $12,000 over 30 days. Even in NICU's, used to stratospheric charges, that's a significant chunk of change. If nitric oxide babies go home earlier than others then some of that cost can be recouped, but still....$3000 per day?
I have mixed feelings about drug companies these days. They fund and make possible some very large and good studies, such as the ones that studied artificial surfactant, studies that may not have been done otherwise. But they charge outrageous prices for new drugs, as well as do dirty tricks to keep patents from expiring, and run misleading ads and the like. I know they need to regain some of the costs involved in drug development, and I know the companies' executives primarily answer to the stockholders, but profits in the hundreds of millions of dollars when some people can't afford drugs - and when HIV drugs are out of reach for some in developing countries because of their cost - is well, um, well, scandalous.
This is a big subject, and I am hardly the first to complain about it, so I'll stop here. But doesn't it bug you, too?
P.S. I wish I could say it's good to be back from vacation, but frankly, I'd rather still be lying on a sunny beach.