Respiratory complications following hydrocarbon aspiration in children

Pediatric Pulmonology
Evanthia A MakrygianniAthanasios G Kaditis

Abstract

Accidental hydrocarbon ingestion may lead to aspiration and chemical pneumonitis in children. In this review article, the clinical course of hydrocarbon pneumonitis, chest radiographic abnormalities, complications, and treatment interventions are summarized. Most children remain asymptomatic and without complications following ingestion of a hydrocarbon. In approximately 15% of ingestions, aspiration pneumonitis occurs and evolves over the first 6-8 hr presenting with fever, tachypnea, hypoxemia, and tachycardia. A symptom zenith is reached within 48 hr followed by progressive improvement. Up to 5% of pneumonitis cases progress rapidly to acute respiratory failure. Chest radiographic abnormalities develop by 4-8 hr after ingestion, but they are not always predictive of clinical pneumonitis. Patients with history of hydrocarbon ingestion should be monitored for 6-8 hr in the emergency department and a chest radiogram should be obtained at the end of the observation period. Spontaneous or induced emesis and gastric lavage have been related to aspiration pneumonitis. Children who are symptomatic are admitted to the hospital for cardiorespiratory status monitoring and supportive care. Approximately 90% of hospitalized patients have...Continue Reading

References

Jan 1, 1975·American Journal of Diseases of Children·P S BergesonH W Lipow
Oct 1, 1975·The Journal of Pediatrics·L Bratton, J E Haddow
Nov 1, 1975·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·V J Harris, R Brown
Jan 1, 1991·Annals of Tropical Paediatrics·A A DudinB A Libdeh
Aug 1, 1990·American Journal of Diseases of Children·A J ScalzoM W Thompson
Apr 1, 1989·Annals of Emergency Medicine·M P BrookJ A Mueller
Apr 1, 1986·Critical Care Medicine·A R ZuckerL D Wood
Sep 1, 1987·Pediatric Emergency Care·M S Victoria, B S Nangia
Nov 1, 1987·Pediatric Annals·J M Arena
Aug 1, 1988·Annals of Emergency Medicine·B MachadoW R Snodgrass
Jun 1, 1985·Pediatric Emergency Care·S Reyes de la RochaE Fox
Mar 13, 1972·JAMA : the Journal of the American Medical Association·R W SteeleH M Mark
Mar 1, 1982·Annals of Tropical Paediatrics·M A St John
Jun 1, 1984·European Journal of Pediatrics·A TalS M Scharf
Jul 1, 1982·Southern Medical Journal·K H Karlson
Jan 1, 1996·Journal of Toxicology. Clinical Toxicology·P A Chyka
Mar 1, 1997·Annals of Tropical Paediatrics·R P Reed, F M Conradie
Apr 16, 1998·European Radiology·A BrayP Marano
Jan 30, 1999·Annals of Tropical Paediatrics·K SimmankA Tomkins
May 18, 2001·Intensive Care Medicine·J Fraser, Q Mok
Apr 3, 2002·Human & Experimental Toxicology·F K Seymour, J A Henry
May 7, 2002·Tropical Doctor·F Abu-Ekteish
Jun 27, 2003·Wilderness & Environmental Medicine·Matityahu LifshitzRafael Gorodischer
Sep 23, 2003·The Journal of Thoracic and Cardiovascular Surgery·Daniel J DiBardinoJ A Goss
Jul 15, 2004·European Radiology·David FaconMarie-France Bellin
Apr 26, 2005·Wiener klinische Wochenschrift·Gabriela H ThalhammerMaximilian S Zach
Jul 22, 2005·Journal of Pediatric Surgery·Mustafa ImamoğluHaluk Sarihan
Jul 26, 2005·American Journal of Therapeutics·Fuat Gurkan, Mehmet Bosnak
Mar 28, 2006·The Annals of Thoracic Surgery·En-Ting Wu, Jin-Shing Chen
Apr 10, 2007·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Tiffany G MabeKathy A Short
Apr 25, 2007·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Mei-Ching YuFan Lee
Dec 20, 2007·British Journal of Hospital Medicine·Azian Abd AzizAzhar Mahmud
Mar 18, 2008·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·UNKNOWN WHO EMRO Pediatric Hydrocarbon Study Group, Cairo, EgyptA Youssef
Mar 28, 2008·Tropical Medicine & International Health : TM & IH·T LangS Akech
Dec 4, 2008·Nigerian Journal of Medicine : Journal of the National Association of Resident Doctors of Nigeria·R O Belonwu, S I Adeleke
May 13, 2011·Nephron. Clinical Practice·Robert Mactier
Jun 1, 2011·Pediatrics·Christopher W Mastropietro, Kevin Valentine
Jul 5, 2011·Tropical Doctor·C VenkateshS Mahadevan
Feb 5, 2013·Toxicology in Vitro : an International Journal Published in Association with BIBRA·S SchneiderM Geiser
May 8, 2013·Pediatrics·Heath A JolliffLara B McKenzie
Sep 27, 2013·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·S SheikhJ G Schier

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Citations

Aug 9, 2018·Journal of Veterinary Emergency and Critical Care·Thomas D Greensmith, Stefano Cortellini
Nov 27, 2019·Indian Journal of Pediatrics·Mounika V ReddyArun K Baranwal
Apr 21, 2018·Journal of Pharmacy Practice·Saibal DasSandhiya Selvarajan
Feb 6, 2020·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Surjeet KumarSuresh K Angurana
Sep 22, 2018·The American Journal of Emergency Medicine·Christopher SommerKevin Poel

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