Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report
Abstract Background Inhalation injury from smoke or chemical products and carbon monoxide poisoning are major causes of death in burn patients from fire accidents. Respiratory tract injuries from inhalation injury and carbon monoxide poisoning can lead to acute respiratory distress syndrome and cyto...
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BMC
2021-09-01
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Series: | Journal of Medical Case Reports |
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Online Access: | https://doi.org/10.1186/s13256-021-03023-w |
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author | Ji Hoon Jang Hang Jea Jang Hyun-Kuk Kim Jin Han Park Hyo-Jung Kim Kyeong Min Jo Woon Heo Se Hun Kim Tae-Hoon No Jae Ha Lee |
author_facet | Ji Hoon Jang Hang Jea Jang Hyun-Kuk Kim Jin Han Park Hyo-Jung Kim Kyeong Min Jo Woon Heo Se Hun Kim Tae-Hoon No Jae Ha Lee |
author_sort | Ji Hoon Jang |
collection | DOAJ |
description | Abstract Background Inhalation injury from smoke or chemical products and carbon monoxide poisoning are major causes of death in burn patients from fire accidents. Respiratory tract injuries from inhalation injury and carbon monoxide poisoning can lead to acute respiratory distress syndrome and cytokine storm syndrome. In the case of acute respiratory failure needing mechanical ventilation accompanied by cytokine storm, mortality is high and immediate adequate treatment at the emergency department is very important. Case presentation This report describes a case of acute respiratory distress syndrome and cytokine storm followed by carbon monoxide poisoning in a 34-year-old Korean male patient who was in a house fire, and was successfully treated by extracorporeal membrane oxygenation and direct hemoperfusion with polymyxin B-immobilized fiber column at emergency department. Conclusions To prevent mortality in acute respiratory distress syndrome with cytokine storm from inhalation injury and to promote a better prognosis, we suggest that early implication of extracorporeal membranous oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column even at the emergency department should be considered. |
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id | doaj.art-29f04b8dfb0d4e1883becb5986f90d42 |
institution | Directory Open Access Journal |
issn | 1752-1947 |
language | English |
last_indexed | 2024-12-17T05:18:46Z |
publishDate | 2021-09-01 |
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series | Journal of Medical Case Reports |
spelling | doaj.art-29f04b8dfb0d4e1883becb5986f90d422022-12-21T22:02:01ZengBMCJournal of Medical Case Reports1752-19472021-09-011511510.1186/s13256-021-03023-wAcute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case reportJi Hoon Jang0Hang Jea Jang1Hyun-Kuk Kim2Jin Han Park3Hyo-Jung Kim4Kyeong Min Jo5Woon Heo6Se Hun Kim7Tae-Hoon No8Jae Ha Lee9Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Thoracic and Cardiovascular surgery, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Anesthesiology and Pain medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Internal Medicine, Seoul ST. Mary’s Hospital, The Catholic University of KoreaDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineAbstract Background Inhalation injury from smoke or chemical products and carbon monoxide poisoning are major causes of death in burn patients from fire accidents. Respiratory tract injuries from inhalation injury and carbon monoxide poisoning can lead to acute respiratory distress syndrome and cytokine storm syndrome. In the case of acute respiratory failure needing mechanical ventilation accompanied by cytokine storm, mortality is high and immediate adequate treatment at the emergency department is very important. Case presentation This report describes a case of acute respiratory distress syndrome and cytokine storm followed by carbon monoxide poisoning in a 34-year-old Korean male patient who was in a house fire, and was successfully treated by extracorporeal membrane oxygenation and direct hemoperfusion with polymyxin B-immobilized fiber column at emergency department. Conclusions To prevent mortality in acute respiratory distress syndrome with cytokine storm from inhalation injury and to promote a better prognosis, we suggest that early implication of extracorporeal membranous oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column even at the emergency department should be considered.https://doi.org/10.1186/s13256-021-03023-wCarbon monoxide poisoningSmoke inhalation injuryAcute respiratory distress syndrome |
spellingShingle | Ji Hoon Jang Hang Jea Jang Hyun-Kuk Kim Jin Han Park Hyo-Jung Kim Kyeong Min Jo Woon Heo Se Hun Kim Tae-Hoon No Jae Ha Lee Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report Journal of Medical Case Reports Carbon monoxide poisoning Smoke inhalation injury Acute respiratory distress syndrome |
title | Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report |
title_full | Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report |
title_fullStr | Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report |
title_full_unstemmed | Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report |
title_short | Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report |
title_sort | acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin b immobilized fiber column a case report |
topic | Carbon monoxide poisoning Smoke inhalation injury Acute respiratory distress syndrome |
url | https://doi.org/10.1186/s13256-021-03023-w |
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