title: Zinc chloride smoke inhalation: a rare cause of severe acute respiratory distress syndrome.
abstract: Zinc chloride smoke inhalation is a rare cause of slowly progressive and often fatal acute respiratory distress syndrome (ARDS). The conventional treatment includes intravenous N-acetylcysteine, L-3, 4-dehydroproline, methylene blue, and respiratory support according to the lung protective strategy. This report presents the cases of three patients with serious zinc chloride inhalation and ARDS, the last of whom survived after prolonged intensive care, videothoracoscopic excision of emphysema bullae, and recurrent chemical pleurodesis.
authors.affiliation: Department of Surgery, Helsinki University Central Hospital, Finland. Ville.Pettila@Helsinki.fi
authors.forename: V
authors.initials: V
authors.lastname: Pettilä
authors.forename: O
authors.initials: O
authors.lastname: Takkunen
authors.forename: P
authors.initials: P
authors.lastname: Tukiainen
mesh_terms: D000208:Acute Disease; D000328:Adult; D002712:Chlorides / Q000506:poisoning*; D017809:Fatal Outcome; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008889:Military Personnel; D012128:Respiratory Distress Syndrome / Q000139:chemically induced* / Q000473:pathology / Q000628:therapy; D012129:Respiratory Function Tests; D015208:Smoke Inhalation Injury / Q000473:pathology / Q000628:therapy; D017967:Zinc Compounds / Q000506:poisoning*
chemical_list: D002712:Chlorides; D017967:Zinc Compounds; C016837:zinc chloride