title: Severe Acute Respiratory Failure due to Inhalation of Baby Powder and Successfully Treated with Venous-Venous Extracorporeal Membrane Oxygenation.
abstract: Accidental inhalation of powder is a potential problem for infants. The clinical effects of inhaling powder depend on the powder contents, degree of aspiration, and the child's underlying systemic response. We present a case of accidental inhalation of rice starch powder in a 17-month-old girl, which led to severe acute respiratory distress syndrome responsive to conventional treatment, ultimately requiring venous-venous extracorporeal membrane oxygenation.
authors.affiliation: From the *ICU Department, ISMETT-UPMC, Palermo, Italy; †Pediatric Anesthesia, ISMETT-UPMC, Palermo, Italy; ‡Department of Pneumology, ISMETT-UPMC, Palermo, Italy; §Department of Surgery, ISMETT-UPMC, Palermo, Italy; ‖Department of Cardiothoracic Surgery, ISMETT-UPMC, Palermo, Italy; and ¶Department of Anesthesia and Critical Care, ISMETT- UPMC, Palermo, Italy.
authors.forename: Giovanna
authors.initials: G
authors.lastname: Panarello
authors.forename: Giovanna
authors.initials: G
authors.lastname: Occhipinti
authors.forename: Marcello
authors.initials: M
authors.lastname: Piazza
authors.forename: Guido
authors.initials: G
authors.lastname: Capitanio
authors.forename: Patrizio
authors.initials: P
authors.lastname: Vitulo
authors.forename: Bruno
authors.initials: B
authors.lastname: Gridelli
authors.forename: Michele
authors.initials: M
authors.lastname: Pilato
authors.forename: Antonio
authors.initials: A
authors.lastname: Arcadipane
mesh_terms: D000280:Administration, Inhalation; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D011208:Powders / Q000009:adverse effects*; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy*
chemical_list: D011208:Powders