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Möller JC, Vardag AM, Jonas S, Tegtmeyer FK
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(Poisoning with volatile hydrocarbons) | Title |
Monatsschr Kinderheilkd 1992, 140, 113-116
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| Hydrocarbons, ECMO
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| Background: Volatile crude oil derivates (hydrocarbons) are becoming more and more widely used in homes and during leisure actitivities. This leads to a high rate of intoxications with these products in children (5% of all pediatric intoxications, 25% of all lethal intoxications). Clinical courses, pathophysiology, and therapy of these intoxications are referred and studied.
Methods: Based on a literature review and 3 case reports with different clinical courses, intoxications with volatile hydrocarbons are analyzed.
Results: The inhalation of volatile hydrocarbons causes an ARDS. This explains the high mortality. Early oxygen-treatment with PEEP-ventilation, however, faciliates a favourable outcome without residual defects as we demonstrate in one case. Another patient needs prolonged ventilatory support after a delayed start of therapy. A third patient cannot be saved even with ECMO.
Conclusions: Initial pulmonary symptoms after hydrocarbon intoxication, such as coughing and cyanosis, are signs for a severe course. Immediate hospitalization with repetetive chest x-rays and adequate instant therapy are the only option to induce the high mortality of this intoxication.
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