[Hyperbaric oxygen for carbon monoxide poisoning: case report of severe poisoning due to exhaust fumes].
After rescue and transport a patient with severe carbon monoxide poisoning (CO-Hb concentration 82%) was treated by hyperbaric oxygen (HBO) therapy in a pressure chamber. During decompression the patient suffered cardiac arrest due to massive acidosis, hyperpotassaemia, haemoconcentration and elevated CO-Hb level. After successful resuscitation and cardiopulmonary diagnostics, HBO therapy was continued for prophylactic treatment of delayed neurological sequelae. Three months after completing treatment and discharge from hospital there were no neurological sequelae.
Erdmann
M
M
Zentrum für Anästhesie und Intensivmedizin, Druckkammerzentrum, BG-Unfallklinik Murnau, Prof.-Küntscher-Str. 8, 82418, Murnau, Deutschland. martin.erdmann@bgu-murnau.de
Schöppenthau
H
H
Büttner
J
J
D000138:Acidosis / Q000209:etiology; D000399:Air Pressure; D001784:Blood Gas Analysis; D002249:Carbon Monoxide Poisoning / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D002263:Carboxyhemoglobin / Q000378:metabolism; D006323:Heart Arrest / Q000209:etiology; D006801:Humans; D006931:Hyperbaric Oxygenation; D006947:Hyperkalemia / Q000209:etiology; D014057:Tomography, X-Ray Computed; D001335:Vehicle Emissions
D001335:Vehicle Emissions; D002263:Carboxyhemoglobin