AIMS: A pilot study in preterm infants to determine the effect of inhaled nitric oxide therapy (INO) on urinary malondialdehyde (MDA),a product of lipid peroxidation and a marker of oxidant/antioxidant activity.

SUBJECTS:Preterm infants < 32 weeks receiving INO therapy(part of randomised controlled study).

METHODS: Estimation of urinary malondialdehyde (MDA) by high performance liquid chromatography. Urine samples were collected before and during INO therapy and at comparable times in control infants.

RESULTS: 11 infants studied - 6 received INO and 5 did not. There were no significant differences between urinary MDA in the INO treatment and control groups prior to treatment and at 6 hours and 24 hours post treatment. However, urinary MDA was lower in the INO treated group at 48 hours(p=0.014 Mann Whitney U test).

CONCLUSION: Inhaled nitric oxide reduces lipid peroxidation in preterm infants with respiratory distress.