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Entrez �'t�b�ed <br />Page 1 of 2 <br />A aas� �4bE �ee�,�i� €�iu�y aB �rmr� <br />� � � +� x�ca � �*aFiv�C }�I�.,� F�r.�i!b a1y� fQGEi! <br />.. .__ . . . . . L�Rl�� �� <br />�r�wr.�u��n��, per <br />All databases PubMeci Nucleotlde Protein Genome StruGku�e pM�M PMC ,Jaurnals �oof <br />. ... . v � <br />SearCh � ����,� ,,, ��' for �i nh�f��ion, c�nce�ta dusl ��: �f � � <br />. :{ ,. „ , <br />Limits Previewllndex History Clipboard Details <br />About Entrez Performin our ori inal search inhalation �oncrete dust, in PubMed <br />NCBI Tnnlbar Note: gY g � � <br />will retrieve 12 citations. <br />Text Version <br />—.�� � <br />U1S�J1�� ��''� ..' �c�t}�R � : ��YL Ex}� � �C.ry�..�4......�,� <br />........ . . <br />Entrez PubMed � ........... ... ............. <br />O IpIIFAQ All: T F��wie�w: 0�.�' <br />Tutorials <br />New�€voteworthy � 1; ,��,sthesial Intensivmed Not�'a.11nn�d Sc��nerzi�sr. 1997 RelatedArticles, <br />E-Utilities <br />Jan;32(1):56-60. �inks <br />PubMed Services <br />Journals Database <br />MeSH Database <br />Single Cttation Matcher <br />Batch Citation Matcher <br />Clinical Queries <br />Special Queries <br />Li n kQut <br />My NCBI <br />Related Resources <br />Order pocuments <br />NLM Mobile <br />NLM Catalog <br />NLM Gateway <br />TOXNET <br />Consumer Health <br />Clinical Alerts <br />ClinicalTriais.gov <br />PubMed Central <br />[Acute respiratory insufficiency after inhaling concrete dust--a � <br />case report] <br />[Article in German] <br />Morin AM, ��hri��er Ka�er M, von Sch�adei F,, �uh�yda A. <br />Universitatsklinikfur Anasthesiologie, Universitatsl�linikum UI�� <br />Inhalation of inorganic, inert dusts, like concrete dust, has generally not <br />, f been considered dangerous. Very rarely alterations following chronic <br />exposures can be observed, such as airflow 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 a�ker 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 />aspiratedvia the tubus. The chest radiograph after admission demonstrated <br />cloudy, shadowed areas with emphasis on both lower lung fields. As <br />pulmonary �tar�et�aa� did not improve inspiie 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 />bronchoscopicaspiration 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 he extubated on the fifth day. The final chest radiograph <br />indicated no residuum apart from a very small shadowed area on the right <br />ang;le between heart and diaphragm. CONCLUSION: The inhalation of � <br />h�r:�r wu�w•. n�bi �] m r�ih.��r �ntre����«Ty f�gi''�it�t3=l��� ri ���€� L�=Pw���r1���:1 i�l _ ui ��� l... 5�� 9 r�D�]� <br />