Inhaled Nitric Oxide Air Ambulance Transport

Service Highlights:

  • FAA-Authorized Inhaled Nitric Oxide Capability: AirCARE1 voluntarily completed the necessary clinical, operational, hazardous-materials, and aviation processes to incorporate Inhaled Nitric Oxide (iNO) into the company’s FAA-regulated operations. This level of authorization should not be assumed across all air ambulance providers and reflects AirCARE1’s commitment to delivering advanced medical services to high standards of safety, compliance, and patient care.
  • Uninterrupted Therapy Throughout Transport: Our medical crew can continue physician-ordered iNO therapy a patient is receiving at the sending hospital throughout the air medical transport, supporting bedside-to-bedside continuity of care.
  • Specialized Respiratory Support in the Air: For responsive patients, iNO may help improve oxygenation, lower pressure within the pulmonary circulation, support pulmonary stability, and reduce strain on the right side of the heart.
  • Expanded Options for Medically Fragile Patients: Because iNO is not commonly available during air ambulance transport, patients dependent on this therapy may have limited transfer options. AirCARE1’s capability can help qualifying patients reach appropriate specialized care without an unnecessary interruption in treatment.

 

Continuous Inhaled Nitric Oxide Therapy for Medically Complex Patients

AirCARE1 provides inhaled nitric oxide (iNO), during qualifying air ambulance transports when ordered and clinically appropriate. Authorized by the Federal Aviation Administration (FAA) to carry iNO aboard our Learjet 60 aircraft, we can safely and properly continue this highly specialized respiratory therapy throughout our patient’s bedside-to-bedside journey.

For medically fragile patients, uninterrupted treatment can support pulmonary stability, expand transport options that might otherwise be limited, and help them safely reach the specialized care they need.

If you have a patient or family member who requires iNO during transport, you can count on AirCARE1 to provide the specialized equipment, clinical expertise, and careful coordination needed throughout the journey.

What Is Inhaled Nitric Oxide?

Inhaled nitric oxide is a prescription medical gas administered through a specialized breathing or ventilator circuit. It works directly within the lungs by relaxing pulmonary blood vessels and helping improve blood flow to areas receiving ventilation.

For responsive patients, iNO can help:

  • Improve oxygenation
  • Lower pulmonary pressure
  • Support pulmonary stability
  • Reduce strain on the right side of the heart

Every patient is different. The use and continuation of iNO during transport are determined by the patient’s physicians and AirCARE1’s medical team based on the patient’s condition and clinical needs.

Which Patients May Benefit From Inhaled Nitric Oxide Transport?

  • Infants With Pulmonary Hypertension: iNO can be especially important for infants experiencing severe oxygenation failure associated with pulmonary hypertension. In qualifying term and near-term newborns, the therapy may improve oxygenation and reduce the need for extracorporeal membrane oxygenation, or ECMO. Continuing iNO during transport helps support the infant’s oxygenation and pulmonary stability while maintaining continuity between the sending and receiving medical teams.
  • Select Burn and Smoke-Inhalation Patients: iNO may also provide respiratory support for select patients whose burns or smoke-inhalation injuries are complicated by acute respiratory distress syndrome, severe hypoxemia, increased pressure in the pulmonary circulation or other serious respiratory complications. iNO does not treat the burn injury itself. When ordered by a physician, it may be used as a temporary rescue therapy to improve oxygenation and help stabilize the patient during transfer to a specialized burn or critical care facility.
  • Other Medically Complex Patients: Some patients with severe respiratory or pulmonary complications may also require continued iNO therapy during transfer. AirCARE1 reviews each request individually and coordinates with the sending and receiving medical teams to determine whether the patient can be safely transported.

FAA-Authorized Equipment, Procedures, and Training

Providing inhaled nitric oxide in flight requires more than placing a medical gas cylinder aboard an aircraft. Because iNO is transported as a regulated hazardous material, AirCARE1 completed the required clinical, operational, and aviation steps to formally integrate it into our FAA-regulated operating system.

The program includes:

  • Specialized delivery and monitoring equipment
  • Backup equipment and supplies
  • Hazardous-materials handling and documentation
  • Aircraft-specific loading and operating procedures
  • Medical and operational personnel training
  • Coordination between clinical and aviation teams
  • Emergency and contingency procedures

Taking these additional steps reflects AirCARE1’s commitment to introducing advanced medical capabilities through the proper regulatory channels and maintaining high standards of safety, compliance, and patient care.

Extending Hospital-Level Care Into the Air

Patients receiving inhaled nitric oxide are often medically fragile and dependent on advanced respiratory support. AirCARE1 extends the therapy established at the hospital into the aircraft, helping avoid an unnecessary interruption during transfer.

Our medical team works closely with the sending and receiving facilities to understand the patient’s condition, prepare the required equipment, transition the therapy, continuously monitor the patient, and provide a detailed clinical handoff upon arrival.

By safely integrating a capability not commonly available in air ambulance transport, AirCARE1 can help more medically complex patients reach the specialized care they need.

Why Choose AirCARE1 for a Complex Medical Transport?

AirCARE1 combines advanced clinical capabilities with FAA-regulated operations, meticulous flight planning, experienced medical professionals, and compassionate bedside-to-bedside care.

Every mission is individually evaluated and coordinated around the patient’s medical condition. Our team manages the clinical, aviation, and logistical details so patients, families, and healthcare providers have a knowledgeable partner supporting them throughout the process.

Our Transport Approach Includes:

  • Bedside-to-bedside coordination
  • Experienced critical care medical professionals
  • Medically configured Learjet 60 aircraft
  • Continuous in-flight monitoring
  • Collaboration with sending and receiving medical teams
  • Specialized equipment and backup systems
  • Individualized medical transport planning
  • Compassionate and holistic patient support

Request an iNO Air Ambulance Transport

AirCARE1’s Communications team is available 24 hours a day to review medically complex transport requests. Our flight coordination and medical teams will gather the patient’s clinical information, consult with the appropriate providers, and determine whether iNO air ambulance transport is appropriate. Please call us at 877.752.5906 or Request a Quote below.

Frequently Asked Questions

Yes. AirCARE1 is FAA authorized to carry inhaled nitric oxide aboard its Learjet 60 air ambulance aircraft and can continue the therapy during qualifying transport when it is ordered and clinically appropriate.

Inhaled nitric oxide is transported as a regulated hazardous material. FAA authorization confirms that AirCARE1 has safely incorporated the therapy into its regulated operations and met the applicable standards for training, documentation, handling, and operational control, providing greater protection for patients and added peace of mind for families and referring medical teams.

No. iNO is a specialized capability that is not commonly available aboard air ambulance aircraft. AirCARE1 has also completed the applicable FAA authorization process rather than approaching it solely as an onboard medical service.

Maintaining iNO during transport supports continuity of care and may help preserve oxygenation and pulmonary stability for patients who depend on the therapy.

No. The therapy must be ordered by an appropriate physician. AirCARE1 reviews the patient’s clinical information and works with the sending and receiving medical teams to determine whether the transport can be safely completed.

Select burn or smoke-inhalation patients may receive iNO when serious respiratory complications are present and the therapy has been ordered by the treating physician. iNO supports respiratory management; it does not treat the burn injury itself.

Yes. AirCARE1 coordinates the patient’s journey from the sending bedside to the receiving facility, including ground ambulance arrangements, aircraft transportation, medical care, and clinical handoff.

Request a Quote

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    Kari Hazen profile picture
    Kari Hazen
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    Amazing staff that clearly explains options and listens to customers. Thank you so much for clarifying all of our questions during a difficult time.
    Posted on Google Google
    Brett Johnston profile picture
    Brett Johnston
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    My wife had a terrible bike accident in the mountains. Had no idea how I would get my wife moved from the mountains back to home for a much needed surgery. From the moment Valerie answered the first call from me, to Daniel and Rachel answering so many questions. Then Tom and Todd showed up to get my wife from point to point via airlift. I cannot tell you all I went through to get to the point to have to call AirCARE1, but once I did they took over and solved a difficult problem for me. I am sorry if you have to ever do this, but if you do, I wouldn’t hesitate to use them.
    Posted on Google Google
    Uri Ravel profile picture
    Uri Ravel
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    I wish to convey my deep appreciation to Debbie Rehn, the nurse who accompanied me, for the professional services she provided during my travel to Israel. Debbie was devoted, knowledgeable, and very attentive to my considerable physical and emotional needs. Debbie demonstrated a highly caring and professional approach to the patient under her care, and this reassured me and my husband that I was under the best care possible for the duration of our international travel. Thank you, Valerie, for your excellent coordination of the complex arrangements that had to be completed in preparation for our flight. It was a difficult period for us, and your devotion to our travel needs helped us to succeed in our objectives. To Valeria and Debbie, thank you for being there to help us through a difficult and challenging time.
    Posted on Google Google
    Jim Guiffre profile picture
    Jim Guiffre
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    Imagine getting the phone call telling you your 10 year old grandson has been bitten by a shark off the coast of Mexico. Not even knowing the details about the extensive damage that he had suffered, our immediate instinct was that we needed to get him back home ASAP. It’s Friday afternoon. Where do we even start? An internet search and one phone call to AirCare1 proved to be a Godsend. Dan, the flight operations manager on duty, was so calm and reassuring about explaining the process of arranging the flight. I must have called him 15 times because I would always think of one more question. When he explained to me that we needed to get the Mexican hospital to agree to release Dillon and Children’s Hospital in Denver needed to agree to accept him before we could book the flight, my only thought was how am I ever going to do that? As it turned out, I didn’t have to do that. The team at AirCare1 did it all.. We got word the next morning the hospitals were in agreement, the ambulance in Mexico to pick him up and the ambulance in Colorado to deliver him were both booked, and the flight crew was ready. Sunday was Dillon-Day, Dillon was coming home! The medical personnel met the ambulance at the Cancun airport, picked Dillon up at the hospital and were with him every minute until he was delivered to Children’s. How reassuring. Even more reassuring was the communication from the team on the day of the flight, keeping us informed of the progress of the crew all day long, from takeoff at 6 am in Phoenix to arrival at Children’s Hospital that night, the communication was outstanding! Probably the biggest attribute of the team at AirCare1 was each team member was absolutely invested in getting Dillon home. Dan, by his demeaner, took a huge burden off our shoulders. By patiently and calmly explaining the process, we knew exactly what was necessary to get the plan in place. Camber and Doug, the pilots, executed their mission flawlessly including cutting into the weather delay they experienced leaving Mexico to get Dillon home ASAP.. Jen, the flight nurse and Ryan, the paramedic, took such unbelievable care of Dillon. They got him comfortable, inspected his wounds, and prepared him for the planned triage in Denver. Both were so attentive the whole time they were with him. What an incredible team Dillon had. Everyone’s goal and focus was on him. Our family will be forever grateful to everyone at AirCare1 for their expertise and commitment to Dillon and our family. Thank you all!! You are the best!! Jim & Terrie Guiffre
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    Sheila Alverson profile picture
    Sheila Alverson
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    Amazing experience from getting a quote online very quickly, to answering all my questions and concerns. Everything from beginning to the arrival was timely. Personal call informing me when my family member was safely on the plane and in the air and when they landed and he was transported safely to the hospital. I was convinced customer care and support was a thing of the past. It isn’t with this company.
    Posted on Google Google
    Katherine West profile picture
    Katherine West
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    When I purchased air evac insurance I never imagined actually using it, but I couldn't have asked for a more wonderful experience than with AirCARE1! Natalie, Jenn and my pilots got me home quickly, comfortably and with attentive care. THANK YOU!!
    Posted on Google Google
    Debora Bridges profile picture
    Debora Bridges
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    We are so grateful to everyone at Air Care 1 for their professionalism and kindness in helping us get our dad out of Jamaica and back to Scottsdale—in less than 48 hrs. From the initial phone call and immediate action, to the thorough paperwork, contacting doctors, hospitals and the financial process, , everything was streamlined and efficient. Throughout the flight, they kept us updated on the condition of our dad through phone calls, emails and text messages as well as flight status every step of the way. Landing right on time, the ground ambulance was fully prepared and equipped. They even followed up with us after he checked into the hospital and a few days later. This company exceeded our expectations. The highly trained professionals ranged from Valerie at the front desk to the flight paramedic Natalie, the two pilots and Chris who drove the ground ambulance. Emotions were high and our family can’t be more grateful for this team who truly helped to save his life.
    Posted on Google Google
    Tino Rios profile picture
    Tino Rios
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    The process, team, and overall experience was amazing and made a horrible situation that much easier!
    Posted on Google Google
    Marilyn Taylor profile picture
    Marilyn Taylor
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    I could not have been more satisfied with AirCARE1. We needed them to transfer my husband from Puerto Vallarta, Mexico.They came down the same day. The flight crew was awesome from start to finish. They really cared
    Posted on Google Google
    Barbara Meadows profile picture
    Barbara Meadows
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    From the administration to flight operations to the entire crew our experience with AirCARE1 was exceptional! They were professional and understanding during one of the most difficult times in my and my mother's lives. The air crew was so very caring and ensured that my mother was in the best of hands and cared for me as well! We had a very smooth flight at the hands of the professional and friendly pilots. I cannot express my thanks to Randy and Jenn for ensuring my mother's medical care was top notch. I would recommend AirCARE1 to anyone! Thank you all so much! Barb Meadows and my mom Elizabeth.

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    Posted on Google Google
    Kari Hazen profile picture
    Kari Hazen
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    Amazing staff that clearly explains options and listens to customers. Thank you so much for clarifying all of our questions during a difficult time.
    Posted on Google Google
    Brett Johnston profile picture
    Brett Johnston
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    My wife had a terrible bike accident in the mountains. Had no idea how I would get my wife moved from the mountains back to home for a much needed surgery. From the moment Valerie answered the first call from me, to Daniel and Rachel answering so many questions. Then Tom and Todd showed up to get my wife from point to point via airlift. I cannot tell you all I went through to get to the point to have to call AirCARE1, but once I did they took over and solved a difficult problem for me. I am sorry if you have to ever do this, but if you do, I wouldn’t hesitate to use them.
    Posted on Google Google
    Uri Ravel profile picture
    Uri Ravel
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    I wish to convey my deep appreciation to Debbie Rehn, the nurse who accompanied me, for the professional services she provided during my travel to Israel. Debbie was devoted, knowledgeable, and very attentive to my considerable physical and emotional needs. Debbie demonstrated a highly caring and professional approach to the patient under her care, and this reassured me and my husband that I was under the best care possible for the duration of our international travel. Thank you, Valerie, for your excellent coordination of the complex arrangements that had to be completed in preparation for our flight. It was a difficult period for us, and your devotion to our travel needs helped us to succeed in our objectives. To Valeria and Debbie, thank you for being there to help us through a difficult and challenging time.
    Posted on Google Google
    Jim Guiffre profile picture
    Jim Guiffre
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    Imagine getting the phone call telling you your 10 year old grandson has been bitten by a shark off the coast of Mexico. Not even knowing the details about the extensive damage that he had suffered, our immediate instinct was that we needed to get him back home ASAP. It’s Friday afternoon. Where do we even start? An internet search and one phone call to AirCare1 proved to be a Godsend. Dan, the flight operations manager on duty, was so calm and reassuring about explaining the process of arranging the flight. I must have called him 15 times because I would always think of one more question. When he explained to me that we needed to get the Mexican hospital to agree to release Dillon and Children’s Hospital in Denver needed to agree to accept him before we could book the flight, my only thought was how am I ever going to do that? As it turned out, I didn’t have to do that. The team at AirCare1 did it all.. We got word the next morning the hospitals were in agreement, the ambulance in Mexico to pick him up and the ambulance in Colorado to deliver him were both booked, and the flight crew was ready. Sunday was Dillon-Day, Dillon was coming home! The medical personnel met the ambulance at the Cancun airport, picked Dillon up at the hospital and were with him every minute until he was delivered to Children’s. How reassuring. Even more reassuring was the communication from the team on the day of the flight, keeping us informed of the progress of the crew all day long, from takeoff at 6 am in Phoenix to arrival at Children’s Hospital that night, the communication was outstanding! Probably the biggest attribute of the team at AirCare1 was each team member was absolutely invested in getting Dillon home. Dan, by his demeaner, took a huge burden off our shoulders. By patiently and calmly explaining the process, we knew exactly what was necessary to get the plan in place. Camber and Doug, the pilots, executed their mission flawlessly including cutting into the weather delay they experienced leaving Mexico to get Dillon home ASAP.. Jen, the flight nurse and Ryan, the paramedic, took such unbelievable care of Dillon. They got him comfortable, inspected his wounds, and prepared him for the planned triage in Denver. Both were so attentive the whole time they were with him. What an incredible team Dillon had. Everyone’s goal and focus was on him. Our family will be forever grateful to everyone at AirCare1 for their expertise and commitment to Dillon and our family. Thank you all!! You are the best!! Jim & Terrie Guiffre
    Posted on Google Google
    Sheila Alverson profile picture
    Sheila Alverson
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    Amazing experience from getting a quote online very quickly, to answering all my questions and concerns. Everything from beginning to the arrival was timely. Personal call informing me when my family member was safely on the plane and in the air and when they landed and he was transported safely to the hospital. I was convinced customer care and support was a thing of the past. It isn’t with this company.
    Posted on Google Google
    Katherine West profile picture
    Katherine West
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    When I purchased air evac insurance I never imagined actually using it, but I couldn't have asked for a more wonderful experience than with AirCARE1! Natalie, Jenn and my pilots got me home quickly, comfortably and with attentive care. THANK YOU!!
    Posted on Google Google
    Debora Bridges profile picture
    Debora Bridges
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    We are so grateful to everyone at Air Care 1 for their professionalism and kindness in helping us get our dad out of Jamaica and back to Scottsdale—in less than 48 hrs. From the initial phone call and immediate action, to the thorough paperwork, contacting doctors, hospitals and the financial process, , everything was streamlined and efficient. Throughout the flight, they kept us updated on the condition of our dad through phone calls, emails and text messages as well as flight status every step of the way. Landing right on time, the ground ambulance was fully prepared and equipped. They even followed up with us after he checked into the hospital and a few days later. This company exceeded our expectations. The highly trained professionals ranged from Valerie at the front desk to the flight paramedic Natalie, the two pilots and Chris who drove the ground ambulance. Emotions were high and our family can’t be more grateful for this team who truly helped to save his life.
    Posted on Google Google
    Tino Rios profile picture
    Tino Rios
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    The process, team, and overall experience was amazing and made a horrible situation that much easier!
    Posted on Google Google
    Marilyn Taylor profile picture
    Marilyn Taylor
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    I could not have been more satisfied with AirCARE1. We needed them to transfer my husband from Puerto Vallarta, Mexico.They came down the same day. The flight crew was awesome from start to finish. They really cared
    Posted on Google Google
    Barbara Meadows profile picture
    Barbara Meadows
    Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
    From the administration to flight operations to the entire crew our experience with AirCARE1 was exceptional! They were professional and understanding during one of the most difficult times in my and my mother's lives. The air crew was so very caring and ensured that my mother was in the best of hands and cared for me as well! We had a very smooth flight at the hands of the professional and friendly pilots. I cannot express my thanks to Randy and Jenn for ensuring my mother's medical care was top notch. I would recommend AirCARE1 to anyone! Thank you all so much! Barb Meadows and my mom Elizabeth.

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