scholarly journals Chlorine gas inhalation manifesting with severe acute respiratory distress syndrome successfully treated by high-volume hemofiltration

Medicine ◽  
2018 ◽  
Vol 97 (30) ◽  
pp. e11708 ◽  
Author(s):  
Lian Wang ◽  
Dingqian Wu ◽  
Jianqiang Wang
2020 ◽  
pp. 1-3
Author(s):  
Gonzalo Ramírez-Guerrero ◽  
Vicente Torres Cifuentes ◽  
Romyna Baghetti Hernández ◽  
Francisco Villagrán Cortés ◽  
Simón Rojas Doll ◽  
...  

We present the case of a patient who suffered from acute respiratory distress syndrome caused by pneumonia associated with COVID-19 and cytokine release syndrome. This patient received a high-volume hemofiltration plus adsorption, solving the hemodynamic deterioration, pulmonary infiltrates, and gas exchange. Our clinical case proposes that the extracorporeal therapies can have a role in the management of severe COVID-19.


Perfusion ◽  
2020 ◽  
Vol 35 (6) ◽  
pp. 543-545 ◽  
Author(s):  
Tolusha Harischandra ◽  
Kapilani Withanaarachchi ◽  
Bhagya Piyasiri ◽  
Hesaru Wickramasuriya ◽  
Gihan Piyasiri ◽  
...  

While there is evidence to support the use of extracorporeal membrane oxygenation in acute respiratory distress syndrome due to a variety of causes, its use in chlorine gas–induced acute respiratory distress syndrome has not been described in the English medical literature. We present a young girl who had severe acute respiratory distress syndrome following exposure to chlorine gas during the disinfection process at a swimming pool. She failed conventional management and underwent venovenous extracorporeal membrane oxygenation. Despite multiple infections and a pneumothorax, she eventually recovered. Chlorine gas was the first agent of chemical warfare which caused a massive death toll during the First World War. Even today, the chemical is produced in large quantities and the threat of a large-scale leak is ever-present from industrial accidents or terrorist attacks. The criteria to assess and manage chlorine gas–induced acute respiratory distress syndrome are likely to be the same as for other causes of acute respiratory distress syndrome and extracorporeal membrane oxygenation can be used successfully.


2005 ◽  
Vol 59 (2) ◽  
pp. 520
Author(s):  
L C Cancio ◽  
A l Batchinsky ◽  
D K Martini ◽  
B S Jordan ◽  
E J Dick ◽  
...  

2006 ◽  
Vol 60 (5) ◽  
pp. 944-957 ◽  
Author(s):  
Andriy I. Batchinsky ◽  
David K. Martini ◽  
Bryan S. Jordan ◽  
Edward J. Dick ◽  
James Fudge ◽  
...  

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