Benefits of extracorporeal membrane oxygenation for hydrocarbon pneumonitis

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Objective: To review the therapeutic benefits of extracorporeal membrane oxygenation for the management of hydrocarbon pneumonitis. Methods: A search of the medical literature was conducted through Medline and the bibliographies of relevant articles and a search of patient databases maintained by the Extracorporeal Life Support Organization and the American Association of Poison Control Centers was performed. All articles and case reports on the use of extracorporeal membrane oxygenation in patients with hydrocarbon pneumonitis were selected. The data were abstracted without judgments about study design. Results: There is some evidence that pulmonary parenchymal tissue can recover from hydrocarbon pneumonitis, but the degree of injury and recovery are variable. In the Extracorporeal Life Support Organization Registry 19 children with hydrocarbon pneumonitis were treated with extracorporeal membrane oxygenation during 1985 to 1994 and 68% survived compared to the 52% overall survival of 883 pediatric cases who had a diagnosis of a respiratory condition. A review of the American Association of Poison Control Centers data for 1993 and 1994 identified five cases of hydrocarbon pneumonitis in which extracorporeal membrane oxygenation was used and two survived. There are two full case descriptions in the literature with both children surviving, but one child developed persistent moderate left hemiparesis and seizure activity. Conclusions: The need for extracorporeal membrane oxygenation is rare owing to the generally good outcome of most cases of hydrocarbon ingestions and pneumonitis. Only with further research on the nature and clinical course of severe hydrocarbon pneumonitis, refinement of extracorporeal membrane oxygenation criteria, and evaluation of alternative therapies, will the benefits of extracorporeal membrane oxygenation be better defined.

Original languageEnglish (US)
Pages (from-to)357-363
Number of pages7
JournalClinical Toxicology
Volume34
Issue number4
DOIs
StatePublished - Dec 1 1996

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Extracorporeal Membrane Oxygenation
Oxygenation
Hydrocarbons
Pneumonia
Membranes
Poisons
Poison Control Centers
Pediatrics
Bibliographies
Bibliography
Paresis
Complementary Therapies
Tissue
Registries
Recovery
Seizures
Eating
Databases
Lung
Survival

All Science Journal Classification (ASJC) codes

  • Toxicology

Cite this

Benefits of extracorporeal membrane oxygenation for hydrocarbon pneumonitis. / Chyka, Peter.

In: Clinical Toxicology, Vol. 34, No. 4, 01.12.1996, p. 357-363.

Research output: Contribution to journalArticle

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