ACUTE RESPIRATORY DISTRESS SYNDROME DUE TO ACCIDENTAL CHLORINE INHALATION
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Abstract
ABSTRACT:
Chlorine is a chemical widely used in both homes and industry. Human exposure to toxic levels is almost always involuntary. In most cases, only minor symptoms such as eye and mucosal irritation appear. Severe complications such as pneumonitis, pulmonary edema, severe respiratory failure, and even death may occur in the event of exposure to high concentrations. Acute respiratory distress síndrome secondary to chlorine inhalation is rare in clinical practice. We present a case of a 30-year-old man who suffers accidental inhalation by chlorine and who developed a severe hypoxemic respiratory failure that required treatment with venovenous extracorporeal membrane oxygenation.
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BIBLIOGRAFIA
Chen TF, Wang CH, Hermes GL, Ko WJ (2020) Chlorine inhalation injury with acute respiratory distress syndrome treated by extra-corporeal membrane oxygenation system. Glob J Medical Clin Case Rep 7(1): 005-009. https://doi: 10.17352/2455-5282.000079
Babu RV, Cardenas V, Sharma G. Acute respiratory distress syndrome from chlorine inhalation during a swimming pool accident: a case report and review of the literature. J Intensive Care Med. 2008 Jul-Aug;23(4):275-80. https://doi: 10.1177/0885066608318471. PMID: 18508837.
White CW, Martin JG. Chlorine gas inhalation: human clinical evidence of toxicity and experience in animal models. Proc Am Thorac Soc. 2010 Jul;7(4):257-63. https: //doi: 10.1513/pats.201001-008SM. PMID: 20601629; PMCID: PMC3136961.
Evans RB. Chlorine: state of the art. Lung. 2005 May-Jun;183(3):151-67. https://doi: 10.1007/s00408-004-2530-3. PMID: 16078037.
Zhou T, Song WF, Shang Y, Yao SL, Matalon S. Halogen Inhalation-Induced Lung Injury and Acute Respiratory Distress Syndrome. Chin Med J (Engl). 2018 May 20;131(10):1214-1219. https://doi: 10.4103/0366-6999.231515. PMID: 29722341; PMCID: PMC5956773.
Zellner T, Eyer F. Choking agents and chlorine gas - History, pathophysiology, clinical effects and treatment. Toxicol Lett. 2020 Mar 1;320:73-79. https://doi: 10.1016/j.toxlet.2019.12.005. Epub 2019 Dec 4. PMID: 31811912.
Govier P, Coulson JM. Civilian exposure to chlorine gas: A systematic review. Toxicol Lett. 2018 Sep 1;293:249-252. doi: 10.1016/j.toxlet.2018.01.014. Epub 2018 Jan 20. PMID: 29355691.
Harischandra T, Withanaarachchi K, Piyasiri B, Wickramasuriya H, Piyasiri G, Firmin R. Successful use of extracorporeal membrane oxygenation in acute respiratory distress syndrome following accidental chlorine gas inhalation at a swimming pool. Perfusion. 2020 Sep;35(6):543-545. https://doi: 10.1177/0267659120922013. Epub 2020 May 22. PMID: 32441230.
Yu D, Xiaolin Z, Lei P, Feng L, Lin Z, Jie S. Extracorporeal Membrane Oxygenation for Acute Toxic Inhalations: Case Reports and Literature Review. Front Med (Lausanne). 2021 Sep 29;8:745555.
https://doi: 10.3389/fmed.2021.745555. PMID: 34660650; PMCID: PMC8511675.
Munshi L, Walkey A, Goligher E, Pham T, Uleryk EM, Fan E. Venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome: a systematic review and meta-analysis. Lancet Respir Med. 2019 Feb;7(2):163-172. https://doi: 10.1016/S2213-2600(18)30452-1. Epub 2019 Jan 11. PMID: 3064277