Document Detail


Complications of chlorine inhalation in a pediatric chemical burn patient: a case report.
MedLine Citation:
PMID:  22665132     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The majority of burn injuries in the pediatric population occur at home, and a significant proportion are the result of exposure to household cleaning products. A common injury-causing agent is bleach, which has the potential to release chlorine gas, a potent respiratory irritant that leads to the added risk of inhalation injury. The survival of pediatric patients with chemical burns is extremely high, and the 3 strongest predictors of mortality are large burn size, age <48 months, and the presence of inhalation injury. The authors present a rare case of a pediatric fatality from a chemical bleach burn that resulted in acute respiratory distress syndrome as well as hemodynamic and pulmonary instability that required extracorporeal membrane oxygenation. The authors critically appraised the management of this patient to determine the possible effect certain events had on the unexpected and poor outcome of this patient, including fluid resuscitation, the effect of the chemical inhalation injury, sedation, and the need for invasive extracorporeal membrane oxygenation life support.
Authors:
Harshdeep Singh Mangat; Tara Lynn Stewart; Lionel Dibden; Edward E Tredget
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of burn care & research : official publication of the American Burn Association     Volume:  33     ISSN:  1559-0488     ISO Abbreviation:  J Burn Care Res     Publication Date:    2012 Jul-Aug
Date Detail:
Created Date:  2012-07-09     Completed Date:  2012-12-19     Revised Date:  2013-03-22    
Medline Journal Info:
Nlm Unique ID:  101262774     Medline TA:  J Burn Care Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e216-21     Citation Subset:  IM    
Affiliation:
Wound Healing Research Group, Department of Surgery, Division of Plastic Surgery,University of Alberta, Edmonton, Canada.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Home*
Burns, Chemical / complications*,  diagnosis,  therapy
Burns, Inhalation / complications*,  diagnosis,  therapy
Child, Preschool
Chlorine / adverse effects*
Disease Progression
Extracorporeal Membrane Oxygenation / methods
Fatal Outcome
Heart Arrest / etiology,  therapy
Humans
Injury Severity Score
Male
Respiratory Distress Syndrome, Adult / etiology*,  physiopathology,  therapy
Chemical
Reg. No./Substance:
7782-50-5/Chlorine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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