Carbon Monoxide Poisoning Effectively Treated with High-flow Nasal Cannula

Carbon monoxide (CO) poisoning is typically treated by administration of oxygen via non-rebreather mask (NRB). High-flow nasal cannula (HFNC) is an alternative to NRB in a variety of disease states. We report a case of the novel use of HFNC in the treatment of acute CO poisoning. A 29-year-old man p...

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Main Authors: Patrick Lee, Steven D. Salhanick
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2020-02-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/54p5v2g4
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author Patrick Lee
Steven D. Salhanick
author_facet Patrick Lee
Steven D. Salhanick
author_sort Patrick Lee
collection DOAJ
description Carbon monoxide (CO) poisoning is typically treated by administration of oxygen via non-rebreather mask (NRB). High-flow nasal cannula (HFNC) is an alternative to NRB in a variety of disease states. We report a case of the novel use of HFNC in the treatment of acute CO poisoning. A 29-year-old man presented with a carboxyhemoglobin (COHb) level of 29.8%. He was treated with HFNC, and COHb levels declined to 5.4% in 230 minutes. Given several theoretical advantages of HFNC relative to NRB, HFNC is a potential option for use in the treatment of CO poisoning.
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spelling doaj.art-fc9c3c8a6d124e2fb71f4dad341a31502022-12-22T01:08:46ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2020-02-014110.5811/cpcem.2019.9.43618cpcem-04-42Carbon Monoxide Poisoning Effectively Treated with High-flow Nasal CannulaPatrick Lee0Steven D. Salhanick1Southern New Hampshire Medical Center, Department of Emergency Medicine, Nashua, New HampshireMassachusetts/Rhode Island Center for Poison Control and Information, Staff Toxicologist, Boston, MassachusettsCarbon monoxide (CO) poisoning is typically treated by administration of oxygen via non-rebreather mask (NRB). High-flow nasal cannula (HFNC) is an alternative to NRB in a variety of disease states. We report a case of the novel use of HFNC in the treatment of acute CO poisoning. A 29-year-old man presented with a carboxyhemoglobin (COHb) level of 29.8%. He was treated with HFNC, and COHb levels declined to 5.4% in 230 minutes. Given several theoretical advantages of HFNC relative to NRB, HFNC is a potential option for use in the treatment of CO poisoning.https://escholarship.org/uc/item/54p5v2g4
spellingShingle Patrick Lee
Steven D. Salhanick
Carbon Monoxide Poisoning Effectively Treated with High-flow Nasal Cannula
Clinical Practice and Cases in Emergency Medicine
title Carbon Monoxide Poisoning Effectively Treated with High-flow Nasal Cannula
title_full Carbon Monoxide Poisoning Effectively Treated with High-flow Nasal Cannula
title_fullStr Carbon Monoxide Poisoning Effectively Treated with High-flow Nasal Cannula
title_full_unstemmed Carbon Monoxide Poisoning Effectively Treated with High-flow Nasal Cannula
title_short Carbon Monoxide Poisoning Effectively Treated with High-flow Nasal Cannula
title_sort carbon monoxide poisoning effectively treated with high flow nasal cannula
url https://escholarship.org/uc/item/54p5v2g4
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AT stevendsalhanick carbonmonoxidepoisoningeffectivelytreatedwithhighflownasalcannula