Syncope Associated with Carbon Monoxide Poisoning due to Narghile Smoking

Narghile smoking is a traditional method of tobacco use, and it has been practiced extensively for 400 years. Traditionally, narghile smoking is a matter of culture mainly in Middle East, Asia, and Africa. In recent years, its use as a social activity has increased worldwide, especially among young people. Narghile smoking is an unusual cause of carbon monoxide poisoning. Narghile smoking, compared to cigarette smoking, can result in more smoke exposure and greater levels of carbon monoxide. We present an acute syncope case of a 19-year-old male patient who had carbon monoxide poisoning after narghile smoking.

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Recurrent Carbon Monoxide Poisoning From Cigarette Smoking

The American Journal of the Medical Sciences ◽

10.1097/maj.0b013e3181ef712d ◽

2010 ◽

Vol 340 (5) ◽

pp. 427-428 ◽

Cited By ~ 13

Author(s):

Soumitra Sen ◽

Carrie Peltz ◽

Jennifer Beard ◽

Brian Zeno

Keyword(s):

Carbon Monoxide ◽

Cigarette Smoking ◽

Carbon Monoxide Poisoning

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Carbon monoxide poisoning in narghile (water pipe) tobacco smokers

CJEM ◽

10.2310/8000.2011.110431 ◽

2012 ◽

Vol 14 (01) ◽

pp. 57-59 ◽

Cited By ~ 38

Author(s):

Giovanna La Fauci ◽

Giora Weiser ◽

Ivan P. Steiner ◽

Itai Shavit

Keyword(s):

Carbon Monoxide ◽

Traditional Method ◽

Literature Search ◽

Carbon Monoxide Poisoning ◽

Young Patients ◽

Adolescent Patient ◽

Co Poisoning ◽

Water Pipe ◽

Oxygen Supplementation ◽

Pipe Tobacco

ABSTRACT Narghile (water pipe, hookah, shisha, goza, hubble bubble, argeela) is a traditional method of tobacco use. In recent years, its use has increased worldwide, especially among young people. Narghile smoking, compared to cigarette smoking, can result in more smoke exposure and greater levels of carbon monoxide (CO). We present an acutely confused adolescent patient who had CO poisoning after narghile tobacco smoking. She presented with syncope and a carboxyhemoglobin level of 24% and was treated with hyperbaric oxygen. Five additional cases of CO poisoning after narghile smoking were identified during a literature search, with carboxyhemoglobin levels of 20 to 30%. Each patient was treated with oxygen supplementation and did well clinically. In light of the increasing popularity of narghile smoking, young patients presenting with unexplained confusion or nonspecific neurologic symptoms should be asked specifically about this exposure, followed by carboxyhemoglobin measurement.

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Acute Carbon Monoxide Poisoning Secondary to Cigarette Smoking in a 40‐Year‐Old Man: A Case Report

American Journal on Addictions ◽

10.1111/ajad.12939 ◽

2019 ◽

Vol 28 (5) ◽

pp. 413-415 ◽

Cited By ~ 1

Author(s):

Beth K. Neilsen ◽

Joseph Aloi ◽

Ashish Sharma

Keyword(s):

Carbon Monoxide ◽

Case Report ◽

Cigarette Smoking ◽

Carbon Monoxide Poisoning ◽

Acute Carbon Monoxide Poisoning

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Cigarette Smoking: Nicotine, Carbon Monoxide, and the Physiological Effects on Exercise Responses

Sport Science Review ◽

10.2478/ssr-2013-0001 ◽

2013 ◽

Vol 22 (1-2) ◽

pp. 5-24 ◽

Cited By ~ 5

Author(s):

George L. Hoyt

Keyword(s):

Carbon Monoxide ◽

Cigarette Smoking ◽

Cigarette Smoke ◽

Tobacco Use ◽

Chronic Obstructive ◽

Physiological Effects ◽

Obstructive Pulmonary Disease ◽

Cardiorespiratory Function ◽

Response To Exercise ◽

Fuel Source

Worldwide, tobacco use is considered the leading preventable cause of morbidity and mortality. The most common form of tobacco use is cigarette smoking. Smoking increases a person’s risk for diseases such as heart disease, cancer, and chronic obstructive pulmonary disease. Associated with these increased risks for disease is a shortened lifespan in smokers. Research has also shown that cigarette smoking alters the body’s response to exercise. Nicotine and carbon monoxide are two compounds in cigarette smoke that may affect cardiorespiratory function, thereby modifying the body’s exercise response. Additionally, research has shown that compared to nonsmokers, smokers demonstrate a greater reliance on glucose as a fuel source during exercise. A focus of this review is on the cigarette smoke compounds nicotine and carbon monoxide and the mechanisms by which these compounds affect the human body. Also addressed are the physiological effects of cigarette smoking on exercise tolerance, aerobic capacity, and substrate utilization.

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Non-Invasive CPAP Ventilation in Acute Carbon Monoxide Poisoning

Prehospital and Disaster Medicine ◽

10.1017/s1049023x19004485 ◽

2019 ◽

Vol 34 (04) ◽

pp. 454-455 ◽

Cited By ~ 3

Author(s):

Hasan Idil ◽

Orkun Unek

Keyword(s):

Carbon Monoxide ◽

Male Patient ◽

Oxygen Therapy ◽

Carbon Monoxide Poisoning ◽

Symptomatic Relief ◽

Co Poisoning ◽

Non Invasive ◽

Cpap Ventilation ◽

History Of

AbstractOxygen is the main treatment of carbon monoxide (CO) poisoning. In two simultaneous cases, the efficacy of conventional and continuous positive airway pressure (CPAP)-administered oxygen therapy was compared. A 63-year-old man and his 58-year-old wife were brought to the emergency department with complaints of dizziness, headache, and nausea. The man had a history of congestive heart failure and additionally had shortness of breath. Initial carboxyhemoglobin (COHb) values were 26% in the male patient and 24% in his wife. For the female patient, oxygen therapy was performed with a reservoir balloon mask; a CPAP device was used for the male patient. The COHb levels decreased below five percent after approximately two hours in the male patient and at the end of five hours in his wife. In follow-up, symptomatic relief was achieved in both patients and no additional complications were observed. According to our experience, CPAP ventilation can be a new and effective method for oxygen therapy in CO poisoning.

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