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<br />Entrez PubMed <br /> <br /> <br />Page 1 of2 <br /> <br />'p b <br />.."U'.. <br /> <br />A :;('T",<ir~ Qftb~ N~i(j~ml Lik<h'1''J!' I\ilw.iiclne <br />Im<1 f.1<:;<;o ;\ii1l!1md. :1n:stitutm Dfl-ie.3;lth My NeBI <br />[Sign In] [Re(Jis <br /> <br /> <br />OMIM <br /> <br />PMC Journals <br /> <br />~_g.\~it':.:1 <br /> <br />Bool <br /> <br />All Databases PubMed Nucleotide Protein Genome Structure <br /> <br />Search tp.~.b.ly1'~~H .. .HHHH",,~,,~i1. for lin..h.~I~ti.()n..\Hc.()n..C;r~t'~"~~'~~H <br /> <br />About Entrez <br />NCBI Toolbar <br /> <br />Text Version <br /> <br />Entrez PubMed <br />Overview <br />Help I FAQ <br />Tutorials <br />New/Noteworthy <br />E-Utilities <br /> <br />PubMed Services <br />Journals Database <br />MeSH Database <br />Single Citation Matcher <br />Batch Citation Matcher <br />Clinical Queries <br />Special Queries <br />LinkOut <br />My NCBI <br /> <br />Related Resources <br />Order Documents <br />NLM Mobile <br />NLM Catalog <br />NLM Gateway <br />TOXNET <br />Consumer Health <br />Clinical Alerts <br />ClinicalTrials.gov <br />PubMed Central <br /> <br />': ,_~,).,: .,......," .-"1."'- -'../,~. <br /> <br />Limits Preview/lndex History Clipboard Details <br /> <br />Note: Performing your original search, inhalation, concrete dust, in PubMed <br />will retrieve 12 citations. <br /> <br />Display 1.p'-~~~r~.~tH <br />.(:~ ~~:~ <br />All: 1 Review: 0 <br /> <br />1 Show 120 ....{.t.L~~.S...o...rt.....b..y........ ......liB.!..I.s...e...n...d....t..o........,lr;[.. <br />H&ft" . HHHH ..."M .", ~ ,,~~ <br /> <br />:', <br />.............., <br />::;;S:p, <br />.:.::;<.~,,) <br /> <br />r 1: Anasthesiol lntensivmed Notfallmed Schmerzther. 1997 <br />Jan;32(1):56-60. <br /> <br />Related Articles, <br />Links <br /> <br />[Acute respiratory insufficiency after inhaling concrete dust--a V <br />case report) <br /> <br />[Article in German] <br /> <br />Morin AM, Zahringer J, Kasper M, yon Schmadel E, Suhayda A. <br /> <br />Universitatsklinik fur Anasthesiologie, Universitatsklinikum Ulm. <br /> <br />tInhalation of inorganic, inert dusts, like concrete dust, has generally not <br />/ been considered dangerous. Very rarely alterations following chronic <br />exposures can be observed, such as airt10w obstruction and increased <br />mucous secretion. Acute reactions in terms of acute respiratory failure have <br />not been described so far. CASE REPORT: The present case report <br />introduces a 54-year old male patient who developed acute respiratory <br />failure after sawing a concrete block for several hours without wearing a <br />face mask. Save for a chronic obstructive pulmonary disease he was <br />unremarkable for his past medical history. When the emergency physician <br />arrived, oxyhaemoglobin saturation was only 54%. Severely obstructed <br />breathing sounds and coarse bubbling rales over both lungs were audible. <br />After endotracheal intubation, a great deal of white viscous mucus could be <br />aspirated via the tubus. The chest radiograph after admission demonstrated <br />cloudy, shadowed areas with emphasis on both lower lung fields. As <br />pulmonary function did not improve in spite of drug therapy with <br />prednisolone, theophylline, fenoterol, n-acetylcysteine and respiration <br />therapy with 100% oxygen concentration, the patient was treated daily with <br />bronchoscopic aspiration of the mucus. Only on the fourth day, after an <br />additional ten hours in prone position, the lung function improved. The <br />patient could be extubated on the fifth day. The final chest radiograph <br />indicated no residuum apart from a very small shadowed area on the right <br />angle between heart and diaphragm. CONCLUSION: The inhalation of t/ <br /> <br />http://www.ncbi.nlm.nih.gov/entrez/query .fcgi ?cmd=Retrieve&db=PubMed&list_ uids=91... 5/21/2006 <br />