Citation

Mende L, Schulz A, Wedel T, Pero B, Fischer R, Schwarz C, Pracht K. Intensiv- und Notfallbehandlung 2016; 41(1): 26-33.

Copyright

(Copyright © 2016, Dustri-Verlag)

DOI

10.5414/IBX00463

PMID

unavailable

Abstract

We report about the rare combination of an CO-intoxication, a severe cerebral edema and a spontaneus mediastinal emphysema in an 18-year-old man due to an suicide attempt. Caused by the fast decrease of the CO-Hb-concentration we decided to treat the patient with a conservative invasive ventilation strategy with high-flow oxygen concentration. Within the next 24 hours, the patient developed a further increase of the mediastinal emphysema with need for a mediastinoscopy and development of an adult respiratory distress syndrome due to the initial aspiration syndrome. On day 8, the patient was successfully weaned from the ventilator and was transferred to a rehabilitation facility. © 2016 Dustri-Verlag Dr. Karl Feistle.

Language: de

Keywords

adult; human; male; case report; suicide attempt; carbon monoxide intoxication; brain edema; artificial ventilation; adult respiratory distress syndrome; Article; rehabilitation care; pneumomediastinum; pulmonary aspiration; Adult respiratory distress syndrome (ARDS); Cerebral edema; CO-intoxication; mediastinoscopy; Spontaneus mediastinal emphysema