TY - JOUR PY - 2021// TI - Burns and fatal acute lung injury ignited by a smartphone charger during non-invasive ventilation for CoViD-19 JO - Surgical Infections A1 - Shah, Shawn L. A1 - Barie, Philip S. A1 - Bronstein, Matthew E. A1 - Chang, Philip H. A1 - Gibson, Cameron J. A1 - Houng, Abraham P. A1 - Kelly, Anton E. A1 - Lee, Christina A1 - Lodescar, Rachelle J. A1 - Mahadev, Srihari A1 - Shou, Jian A1 - Smith, Kira E. A1 - Villegas, Cassandra V. A1 - Winchell, Robert J. A1 - Narayan, Mayur SP - ePub EP - ePub VL - ePub IS - ePub N2 - As the coronavirus disease 2019 (COVID-19) pandemic rages, understanding of disease pathophysiology evolves [1]. Because the primary transmission mode is respiratory droplets, pneumonia is the predominant serious manifestation, requiring oxygen therapy (if not mechanical ventilation) that can be hazardous. We describe a patient with COVID-19 pneumonia who sustained burns and a fatal acute lung injury during oxygen administration by high-flow nasal cannula (HFNC). A 61-year-old man with diabetes mellitus and hypertension presented elsewhere with a four-day history of worsening dry cough and exertional dyspnea. His room-air oxygen saturation (SaO2) was 80% with a respiratory rate of 30 breaths per minute. Oxygen via HFNC was begun (FIO2 0.7, flow rate 60 L/min). A chest radiograph showed bilateral airspace opacities, and reverse transcriptase-polymerase chain reaction (RT-PCR) testing (nasopharyngeal specimen) detected severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). During oxygen therapy, the patient began charging his smartphone, triggering a spark that ignited the oxygen tubing and the patient's hospital gown, resulting in inhalation injury with full- and partial-thickness torso burns comprising 15% total body surface area. After emergent endotracheal intubation, he was transferred to us for specialty burn care...

Language: en

LA - en SN - 1096-2964 UR - http://dx.doi.org/10.1089/sur.2021.121 ID - ref1 ER -