medigraphic.com
SPANISH

Revista Cubana de Pediatría

ISSN 1561-3119 (Electronic)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2022, Number 4

<< Back Next >>

Rev Cubana Pediatr 2022; 94 (4)

Burn from smoke inhalation and carbon monoxide poisoning in pediatric patients

Vallejo CS, Mejia SW, Carvajal DD, Molano TM
Full text How to cite this article

Language: Spanish
References: 19
Page: 1-15
PDF size: 287.60 Kb.


Key words:

gas poisoning, carbon monoxide, inhalation exposure, carboxyhemoglobin (CO-Hgb).

ABSTRACT

Introduction: Carbon monoxide is one of the largest pollutants in the Earth's atmosphere, its toxicity is well known to humans. The producing sources responsible for approximately 80% of carbon monoxide emissions are motor vehicles that use gasoline or diesel as fuel, industrial processes that use carbon compounds and fire inside homes. Its acute toxic effects including death have been studied extensively, but its potential long-term adverse effects have not been studied.
Objective: To describe the behavior of acute carbon monoxide poisoning in pediatric patients, their diagnosis and treatment.
Case presentation: 11-year-old patient suffering from acute carbon monoxide poisoning. He is admitted to the University Hospital from the first level of medical care as a vital emergency. Multisystem alterations caused by lesions associated with the inhalation of smoke and toxic gases in enclosed spaces are stabilized and identified. Its correct treatment is determined.
Conclusions: The most pertinent way to reduce morbidity and mortality in patients such as the one presented is based on two pillars: correct identification and correct management for each poisoning. The application of these two aspects can achieve a protective factor. There is underreporting of the occurrence of cases of carbon monoxide poisoning that are not treated in health services and those that cause immediate death, so their detection, diagnosis and timely treatment is important.


REFERENCES

  1. Guía de Prevención, Diagnóstico, Tratamiento y Vigilancia Epidemiológica de las Intoxicaciones por Monóxido de Carbono. Buenos Aires: Gobierno, Bancos de Salud; 2016 [acceso 02/05/2022]. Disponible en: https://bancos.salud.gob.ar/sites/default/files/2020-10/06-2016-guia-intoxicaciones-monoxido.pdf1.

  2. Díaz M, Crapanzanoa G, Cabrerizo S, Aichelea C, Deurtiagab A, Vallejos Y. Intoxicación masiva con monóxido de carbono: Puesta al día a partir de un caso. Arch Argentinos Pediatr. 2017;115(1):76-8. DOI: http://dx.doi.org/10.5546/aap.2017.76

  3. Peralta H. Lesiones por inhalación de humo. Rev HospItal B. Aires. 2005 [acceso 02/05/2022];25(2):43. Disponible en: https://www1.hospitalitaliano.org.ar/multimedia/archivos/noticias_attachs/47/documentos/10453_2005-2.43-49.pdf3.

  4. Finucane BT, Santora AH, editors. Principles of Airway Management. Third ed. New York: Springer-Verlag; 2003.

  5. Jones SW, Williams FN, Cairns BA, Cartotto R. Inhalation Injury: Pathophysiology, Diagnosis, and Treatment. Clin Plast Surg. 2017;44(3):505-11. DOI: 10.1016/j.cps.2017.02.009

  6. Thompson P. Effect on mortality of inhalation injury. J Trauma 1985 [acceso 10/10/2020];26:163-165. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3944839/6.

  7. Borak J, Diller WF. Phosgene exposure: mechanisms of injury and treatment strategies. J Occup Environ Med 2001 [acceso 10/10/2020];43(2):110-9. Disponible en: https://www.researchgate.net/publication/12103210_Phosgene_Exposure_Mechanisms_of_Injury_and_Treatment_Strategies7.

  8. Fein A, Leff A, Hopewell PC. Pathophysiology and management of the complications resulting from fire and the inhaled products of combustion: review of the literature. Crit Care Med. 1980;8(2):94-8. DOI: 10.1097/00003246-198002000-00008

  9. Tomaszewski C. Carbon Monoxide. In: Ford MD, editor. Clinical Toxicology. Philadelphia, PA: WB Saunders Co; 2001.p:657-65.

  10. Weaver LK. Carbon Monoxide Poisoning. Crit Care Clin 1999 [acceso 10/10/2020;15(2):298-317. Disponible en: https://pubmed.ncbi.nlm.nih.gov/10331130/10.

  11. Yen D, Tsai J, Wang LM. The clinical experience of acute cyanide poisoning. Am J Emerg Med. 1995 [acceso 10/10/2020];13(5):524-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/7662055/11.

  12. WorldCat. Marx:Rosen´s Emergency Medicine: Concepts and Clinical Practice. 5th ed. Airway Walls RM. Philadelphia, PA: Mosby, Inc.; 2006 [acceso 10/10/2022]. Disponible en: https://www.worldcat.org/title/rosens-emergency-medicine-concepts-and-clinical-practice/oclc/48907487112.

  13. Goldfrank LR, Flomenbaum NE, Lewin NA, Weisman R, Howland MA, Hoffman R, editors. Goldfrank's Toxicologic Emergencies. 6th ed. Stamford: Appleton & Lange;1998. p. 1539-49.

  14. Jones J, McMullen MJ, Dougherty J. Toxic smoke inhalation: Cyanide poisoning in fire victims. Am J Emerg Med. 1987;5(4):318-21.

  15. Houeto P, Hoffman JR, Imbert M, Levillain P, Baud FJ. Relation of blood cyanide to plasma cyanocobalamin concentration after a fixed dose of hydroxocobalamin in cyanide poisoning. Lancet. 1995;346(8975):605-8. DOI: 10.1016/s0140-6736(95)91437-4

  16. Peterson JE, Stewart RD. Predicting the carboxyhemoglobin levels resulting from carbon monoxide exposures. J Appl Physiol. 1975;39(4):633-8

  17. Damín C, Alonso ML.Guía de Prevención, Diagnóstico, Tratamiento y Vigilancia Epidemiológica de las Intoxicaciones por Monóxido de Carbono. Edición 2019. Buenos Aires: Hospital Naval; 2019 [acceso 02/05/2022]. Disponible en: https://www.fmed.uba.ar/sites/default/files/2019-08/Gui%CC%81a%20CO%202018_Final.pdf17.

  18. Marinero Noval C, Bonilla Diez D, Rodríguez Pérez LM. A propósito de un caso: síncope de repetición como debut de una intoxicación por monóxido de carbono (CO) mantenida. Atención Prim Bás. 2021;3(3). DOI: https://doi.org/10.1016/j.appr.2021.100093

  19. Bolaños Morera P, Chacón Araya C. Intoxicacion por monoxido de carbono. Med Legal Costa Rica. 2017 [acceso 02/05/2022];34(1):137-46. Disponible en: http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S140900152017000100137&lng=en&tlng=es19.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Cubana Pediatr. 2022;94