Acute cement dust poisoning: Rigid bronchoscopy and mechanical insufflation-exsufflation as an effective and novel treatment for its management

Nestor Ivan Quiroga, Cristina Palliser, Estrella Caballeria,Irene Bello

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY(2024)

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摘要
This clinical case shows the repercussions of acute exposure to cement dust in the respiratory tract and other mucous membranes. Following a cement dust pipe explosion, the patient endured a severe inhalation of dust. A combination of rigid bronchoscopy and a mechanical insufflation-exsufflation system was employed to remove cement debris from the airways. Respiratory physiotherapy sessions were implemented for effective secretion clearance, contributing to a successful short-term recovery. While this remains an isolated case, the unconventional techniques employed provide valuable insights for potential similar scenarios in the future. Cement dust, in contact with water, hydrates in a strong alkaline and exothermic reaction.
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关键词
Cement dust,Airway treatment,Dust intoxication,Mechanical insufflation-exsufflation
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