Open AccessChlorine gas inhalation manifesting with severe acute respiratory distress syndrome successfully treated by high-volume hemofiltration
Author(s) -
Liang Wang,
Dingqian Wu,
Jianqiang Wang
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000011708
Subject(s) - medicine , inhalation , respiratory distress , anesthesia , hypoxemia , acute respiratory distress , respiratory failure , emergency department , hemofiltration , mechanical ventilation , intensive care medicine , surgery , lung , hemodialysis , psychiatry
Rationale: There have been occasional reports of respiratory dysfunction associated with acute chlorine gas inhalation. However, management of acute chlorine-related inhalation injury is largely empirical, supportive, and sometimes challenging. Patient concerns: A 43-year-old man was transferred to the emergency department because of accidental chlorine inhalation and rapidly progressive dyspnea. Diagnoses: The patient was diagnosed with acute respiratory distress syndrome due to chlorine gas exposure. Interventions: Because this patient had failed on conventional treatments including mechanical ventilation and high-dose intravenous corticosteroid therapy, we applied high-volume hemofiltration (HVHF). Outcomes: The patient recovered quickly after four sessions of HVHF and was discharged uneventfully on day 28. Lessons: HVHF is a potential method for improvement of chlorine-induced acute respiratory failure and worsening hypoxemia.