Hydrogen Sulfide Poisoning: Management and Complications

Author:

Gregorakos L.1,Dimopoulos G.1,Liberi S.1,Antipas G.1

Affiliation:

1. ICU Department of Respiratory Insufficiency, Athens Chest Hospital, Athens, Greece

Abstract

Hydrogen sulfide poisoning is a rare but devastating injury. Four of 8 cases of toxic inhalation of hydrogen sulfide are presented with special attention to the life-threatening complications. Four patients died at the scene of the accident and the remaining 4 had been hospitalized in the Intensive Care Unit (ICU). One patient died in the hospital from cardiogenic pulmonary edema and circulatory failure (pulmonary wedge pressure > 30 mmHg) and 3 patients left the hospital in good health although they presented serious complications. One of them left the hospital with a temporary pacemaker, and 1 of the 2 others died after two months owing to myocardial infarction. The authors discuss in detail the clinical features of this condition and emphasize the need for urgent and appro priate therapy as well as the need for safe environmental conditions.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

Reference17 articles.

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2. Criteria for a Recommended Standard. Occupational Exposure to Hydrogen Sulfide . Cincinnati: National Institute for Occupational Safety and Health. 1977, p 149.

3. Rom WN: Environmental and Occupational Medicine: Boston: Little Brown, 1983, p 281.

4. Health Implication of Occupational Exposures to Hydrogen Sulfide

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