![](/images/graphics-bg.png)
Zinc Chloride Smoke Inhalation Induced Severe Acute Respiratory Distress Syndrome: First Survival in the United States with Extended Duration (Five Weeks) Therapy with High Dose Corticosteroids in Combination with Lung Protective Ventilation
Joint Authors
Mahboob, Hafiz B.
Richeson III, Robert
McCain, Robert
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-26
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Zinc chloride smoke bomb exposure is frequently seen in military drills, combat exercises, metal industry works, and disaster simulations.
Smoke exposure presents with variety of pulmonary damage based on the intensity of the exposure.
Smoke induced severe acute respiratory distress syndrome (ARDS) is often fatal and there are no standard treatment guidelines.
We report the first survival of smoke induced severe ARDS in the United States (US) with prolonged use of high dose steroids (five weeks) and lung protective ventilation alone.
Previously reported surviving patients in China and Taiwan required extracorporeal membrane oxygenation (ECMO) and other invasive modalities.
We suggest that an extended course of high dose corticosteroids should be considered for the treatment of smoke inhalation related ARDS and should be introduced as early as possible to minimize the morbidity and mortality.
We further suggest that patients with smoke inhalation should be observed in the hospital for at least 48 to 72 hours before discharge, as ARDS can have a delayed onset.
Being vigilant for infectious complications is important due to prolonged steroid treatment regimen.
Patients must also be monitored for critical illness polyneuromyopathy.
Additionally, upper airway injury should be suspected and early evaluation by otorhinolaryngology may be beneficial.
American Psychological Association (APA)
Mahboob, Hafiz B.& Richeson III, Robert& McCain, Robert. 2017. Zinc Chloride Smoke Inhalation Induced Severe Acute Respiratory Distress Syndrome: First Survival in the United States with Extended Duration (Five Weeks) Therapy with High Dose Corticosteroids in Combination with Lung Protective Ventilation. Case Reports in Critical Care،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1144426
Modern Language Association (MLA)
Mahboob, Hafiz B.…[et al.]. Zinc Chloride Smoke Inhalation Induced Severe Acute Respiratory Distress Syndrome: First Survival in the United States with Extended Duration (Five Weeks) Therapy with High Dose Corticosteroids in Combination with Lung Protective Ventilation. Case Reports in Critical Care No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1144426
American Medical Association (AMA)
Mahboob, Hafiz B.& Richeson III, Robert& McCain, Robert. Zinc Chloride Smoke Inhalation Induced Severe Acute Respiratory Distress Syndrome: First Survival in the United States with Extended Duration (Five Weeks) Therapy with High Dose Corticosteroids in Combination with Lung Protective Ventilation. Case Reports in Critical Care. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1144426
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144426