@article{ref1,
title="Successful use of extracorporeal membrane oxygenation in acute respiratory distress syndrome following accidental chlorine gas inhalation at a swimming pool",
journal="Perfusion",
year="2020",
author="Harischandra, Tolusha and Withanaarachchi, Kapilani and Piyasiri, Bhagya and Wickramasuriya, Hesaru and Piyasiri, Gihan and Firmin, Richard",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="While there is evidence to support the use of extracorporeal membrane oxygenation in acute respiratory distress syndrome due to a variety of causes, its use in chlorine gas-induced acute respiratory distress syndrome has not been described in the English medical literature. We present a young girl who had severe acute respiratory distress syndrome following exposure to chlorine gas during the disinfection process at a swimming pool. She failed conventional management and underwent venovenous extracorporeal membrane oxygenation. Despite multiple infections and a pneumothorax, she eventually recovered. Chlorine gas was the first agent of chemical warfare which caused a massive death toll during the First World War. Even today, the chemical is produced in large quantities and the threat of a large-scale leak is ever-present from industrial accidents or terrorist attacks. The criteria to assess and manage chlorine gas-induced acute respiratory distress syndrome are likely to be the same as for other causes of acute respiratory distress syndrome and extracorporeal membrane oxygenation can be used successfully.<p /> <p>Language: en</p>",
language="en",
issn="0267-6591",
doi="10.1177/0267659120922013",
url="http://dx.doi.org/10.1177/0267659120922013"
}