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KMID : 0604020100250020112
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Korean Journal of Critical Care Medicine
2010 Volume.25 No. 2 p.112 ~ p.117
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Acute Respiratory Distress Syndrome with Chemical Pneumonitis after Aspiration of Activated Charcoal
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Kim Su-Hyun
Song Sook-Hee
Kang Na-Ree
Sohn In
Lee Heon
Lee Yoon-Kyung
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Abstract
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Charcoal has been commonly used for enteral detoxication although it causes few adverse effects. The major causes of morbidity and mortality secondary to activated charcoal therapy are pulmonary aspiration, gastrointestinal complication, and fluid and electrolyte abnormalities. Aspiration of charcoal is associated with pulmonary compromise due to increased microvascular permeability with concomitant lung edema, surfactant depletion, atelectasis, and obliterative bronchiolitis. Herein we report the case of a patient with acute respiratory distress syndrome with chemical pneumonitis after aspiration of activated charcoal in sorbitol with a review of the related literatures.
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KEYWORD
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activated charcoal, ARDS, chemical pneumonitis, human
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