Indian Journal of Critical Care Medicine
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
Vol. 9, No. 4, 2005, pp. 244-247
Bioline Code: cm05037
Full paper language: English
Document type: Research Article
Document available free of charge
Indian Journal of Critical Care Medicine, Vol. 9, No. 4, 2005, pp. 244-247
© Copyright 2005 Indian Journal of Critical Care Medicine.
Severe lung injury following inhalation of nitric acid fumes|
Pillai LalithaV, Ambike DhananjayP, Husainy Saifuddin, Vishwasrao Sunil, Pataskar Satish, Kulkarni SuprashantD
Objective: We present a rare case of survival following inhalation of nitric acid fumes and its decomposition products, which resulted in severe pulmonary edema and Acute Respiratory Distress Syndrome (ARDS). Successful outcome followed ventilatory support and use of steroids.
Design: Case report.
Setting: Tertiary-level medical intensive care unit.
Patient: A single case of inhalation of nitric oxide fumes.
Intervention: Ventilatory support and addition of steroids.
Measurement and main results: Improvement and discharge.
Conclusion: Inhalation of nitric acid fumes and its decomposition gases such as nitrogen dioxide results in delayed onset of severe pulmonary edema deteriorating into ARDS. Intensive respiratory management, ventilatory support, and steroids can help in survival.
ARDS, Barotraumas, Delayed pulmonary edema, Nitric acid inhalation, Steroids
Alternative site location: http://www.ijccm.org/