Endoscopic Endotracheal Intubation for ERCP In the Era of COVID: An Approach To Minimize Risk of Transmission of Infectious Diseases

Timothy Angelotti
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Abstract

Inhalational lung injuries caused by heat, smoke, or chemical irritants are described as causing pulmonary toxicity, ranging from upper airway symptoms to acute respiratory distress syndrome. We are reporting a case of a 25 years old man with accidental massive cement dust inhalation, who developed diffuse lung injury and hypoxic respiratory failure along with skin and mucosal injuries. Management of such cases is challenging in the absence of clinical guidelines. This patient responded well to steroids, antibiotics and supportive care. To the best of our knowledge, effects of acute massive cement dust inhalation have not been reported in English literature so far.
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新冠肺炎时代内镜下ERCP气管插管:降低传染病传播风险的途径
由热、烟或化学刺激物引起的吸入性肺损伤被描述为引起肺毒性,从上呼吸道症状到急性呼吸窘迫综合征。我们报告一例25岁男性意外吸入大量水泥粉尘,并发弥漫性肺损伤和低氧性呼吸衰竭,并伴有皮肤和粘膜损伤。在缺乏临床指南的情况下,此类病例的管理具有挑战性。该患者对类固醇、抗生素和支持性护理反应良好。据我们所知,急性大量水泥粉尘吸入对人体的影响在英文文献中尚未见报道。
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