Chlorine gas inhalation manifesting with severe acute respiratory distress syndrome successfully treated by high-volume hemofiltration: A case report.
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Resumo
BACKGROUND
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.
UNASSIGNED
A 43-year-old man was transferred to the emergency department because of accidental chlorine inhalation and rapidly progressive dyspnea.
UNASSIGNED
The patient was diagnosed with acute respiratory distress syndrome due to chlorine gas exposure.
METHODS
Because this patient had failed on conventional treatments including mechanical ventilation and high-dose intravenous corticosteroid therapy, we applied high-volume hemofiltration (HVHF).
RESULTS
The patient recovered quickly after four sessions of HVHF and was discharged uneventfully on day 28.
CONCLUSIONS
HVHF is a potential method for improvement of chlorine-induced acute respiratory failure and worsening hypoxemia.
