Delayed upper airway obstruction. A life-threatening complication of Dettol poisoning.
Dettol liquid is a commonly used household disinfectant and although it is labelled nonpoisonous, serious respiratory complications have been reported in up to 8% of cases of Dettol ingestion. We report a case in which the delayed onset of upper airway obstruction was treated with emergency awake, fibreoptic guided nasotracheal intubation. Based on information available in published cases and on our own experience, we suggest that patients who have ingested large volumes of Dettol, have a history of vomiting or unprotected lavage, or have evidence of ongoing oropharyngeal inflammation, are at high risk of this complication. They should be closely observed for at least 48 h after ingestion and the facilities and staff required for emergency airway management should be immediately available.
Joynt
G M
GM
Department of Anaesthesia and Intensive Care, Chinese University of Hong Kong, Prince of Wales Hospital, Sha Tin, New Territories, Hong Kong.
Ho
K M
KM
Gomersall
C D
CD
D000368:Aged; D000402:Airway Obstruction / Q000139:chemically induced* / Q000628:therapy; D004202:Disinfectants / Q000506:poisoning*; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal; D013997:Time Factors; D014992:Xylenes / Q000506:poisoning*
D004202:Disinfectants; D014992:Xylenes; C007027:chloroxylenol