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Non-Invasive CPAP Ventilation in Acute Carbon Monoxide Poisoning

Published online by Cambridge University Press:  26 June 2019

Hasan Idil Open the ORCID record for Hasan Idil [Opens in a new window]  and
Orkun Unek
Hasan Idil*
Affiliation:
Attending Physician of Emergency Medicine, University of Health Sciences, Tepecik Training and Research Hospital, Izmir, Turkey
Orkun Unek
Affiliation:
Attending Physician of Emergency Medicine, University of Health Sciences, Tepecik Training and Research Hospital, Izmir, Turkey
*
Correspondence: Hasan Idil, MD University of Health Sciences Tepecik Training and Research Hospital Department of Emergency Medicine Gaziler Caddesi, Yenisehir, 35120, Izmir, Turkey E-mail: hsnidil@gmail.com
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Abstract

Oxygen is the main treatment of carbon monoxide (CO) poisoning. In two simultaneous cases, the efficacy of conventional and continuous positive airway pressure (CPAP)-administered oxygen therapy was compared. A 63-year-old man and his 58-year-old wife were brought to the emergency department with complaints of dizziness, headache, and nausea. The man had a history of congestive heart failure and additionally had shortness of breath. Initial carboxyhemoglobin (COHb) values were 26% in the male patient and 24% in his wife. For the female patient, oxygen therapy was performed with a reservoir balloon mask; a CPAP device was used for the male patient. The COHb levels decreased below five percent after approximately two hours in the male patient and at the end of five hours in his wife. In follow-up, symptomatic relief was achieved in both patients and no additional complications were observed. According to our experience, CPAP ventilation can be a new and effective method for oxygen therapy in CO poisoning.

Keywords

CO poisoningCPAPoxygen therapy
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 34 , Issue 4 , August 2019 , pp. 454 - 455
Copyright
© World Association for Disaster and Emergency Medicine 2019 

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