title: Severe acute respiratory distress syndrome caused by unintentional sewing machine lubricant ingestion: A case report.
abstract: Sewing machine oil ingestion is rare but is possible due to its availability at home. Chemically, it belongs to hydrocarbon family which is toxic if aspirated, owing to their physical properties such as high volatility and low viscosity. On the contrary, sewing machine lubricant has high viscosity and low volatility which makes it aspiration less likely. The main danger of hydrocarbon ingestion is chemical pneumonitis which may be as severe as acute respiratory distress syndrome (ARDS). We report a case of a 5-year-old girl with accidental ingestion of sewing machine lubricant oil, who subsequently developed ARDS refractory to mechanical ventilation. There was much improvement with airway pressure release ventilation mode of ventilation, but the child succumbed to death due to pulmonary hemorrhage.
authors.affiliation: Department of Pediatric, PGIMER and Associated Dr. Ram Manohar Lohia Hospital, New Delhi, India.
authors.forename: Sunil
authors.initials: S
authors.lastname: Kishore
authors.affiliation: Department of Pediatric Critical Care, PGIMER and Associated Dr. Ram Manohar Lohia Hospital, New Delhi, India.
authors.forename: Sudha
authors.initials: S
authors.lastname: Chandelia
authors.affiliation: Department of Pediatric, PGIMER and Associated Dr. Ram Manohar Lohia Hospital, New Delhi, India.
authors.forename: Neha
authors.initials: N
authors.lastname: Patharia
authors.affiliation: Department of Pediatric, PGIMER and Associated Dr. Ram Manohar Lohia Hospital, New Delhi, India.
authors.lastname: Swarnim
keywords: Acute respiratory distress syndrome; airway pressure release ventilation; hydrocarbon ingestion; sewing machine lubricant