To the Editor

Abstract

Thank you for the opportunity to respond to the letter you received from Drs. Lieshout and Vroom about our report published in CHEST (July 2004). We appreciate the critique of Drs. Lieshout and Vroom, who suggest that the use of a mobile ICU equipped with a more sophisticated ICU ventilator might be preferable to our use of inhaled prostacyclin to enable the interhospital helicopter transport of a very hypoxemic patient. We feel that our use of prostacyclin is a superior approach in our health system for multiple reasons.