Severe lung injury following inhalation of nitric acid fumes

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. S...

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Bibliographic Details
Published in:Indian journal of critical care medicine 2005-10, Vol.9 (4), p.244-247
Main Authors: Pillai, Lalitha, Ambike, Dhananjay, Husainy, Saifuddin, Vishwasrao, Sunil, Pataskar, Satish, Kulkarni, Suprashant
Format: Article
Language:English
Subjects:
Acute respiratory distress syndrome
Causes of
Lung diseases
Risk factors
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Summary: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.
ISSN:0972-5229
1998-359X
DOI:10.4103/0972-5229.19766