Use of noninvasive ventilation in severe acute respiratory distress syndrome due to accidental chlorine inhalation: a case report

• DOI: 10.5935/0103-507x.20170015
• Publication Date: 2017-04-13T19:23:43Z
• Authors: Adriano Medina Matos; Rodrigo Ribeiro d...; Mauro Martins Lippi; Rodrigo Ryoji Tak...; Wilson de Oliveir...
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Case Reports; 3. Good health

Acute respiratory distress syndrome is characterized by diffuse inflammatory lung injury and classified as mild, moderate, severe. Clinically, hypoxemia, bilateral opacities in images, decreased pulmonary compliance are observed. Sepsis one of the most prevalent causes this condition (30 - 50%). Among direct acute syndrome, chlorine inhalation an uncommon cause, generating mucosal airway irritation cases. We present a case severe after accidental swimming pool, with noninvasive ventilation used treatment good response case. based on oxygen partial pressure/oxygen inspired fraction ratio <100, although Berlin classification limited considering patients hypoxemia managed exclusively ventilation. The failure rate cases approximately 52% associated higher mortality. possible complications using positive-pressure mechanical include delays orotracheal intubation, which performed poor clinical high support pressure levels, deep inspiratory efforts, tidal volumes excessive transpulmonary pressures, contribute to ventilation-related injury. Despite these complications, some studies have shown decrease rates intubation low severity scores, hemodynamic stability, absence other organ dysfunctions.