Normal carboxyhaemoglobin level in carbon monoxide poisoning treated with hyperbaric oxygen therapy

Scott A. Helgeson, Michael Wilson, Pramod K. Guru

Research output: Contribution to journalArticle

Abstract

Throughout the world both intentional and inadvertent exposure to carbon monoxide (CO) remains an important public health issue. While CO poisoning can be lethal, the morbidity is predominantly due to nervous system injury. A previously healthy 22-year-old woman was found unconscious at home by her sister. Her parents were found dead in the house with a recent history of a dysfunctional furnace. She was presumed to have CO poisoning despite an initial carboxyhaemoglobin level of 2.5%. Patient had both clinical and radiological evidence of neurological damage. However, with multiple sessions of hyperbaric oxygen (HBO) therapy she recovered to a near normal functional status. There is no consensus that exists among treating physicians about the role of hyperbaric oxygen in management of neurological injury. The case described here has significant neurological damage related to CO exposure but improved after HBO therapy.

Original languageEnglish (US)
Article number221174
JournalBMJ Case Reports
Volume2017
DOIs
StatePublished - Jan 1 2017

Fingerprint

Carboxyhemoglobin
Carbon Monoxide Poisoning
Hyperbaric Oxygenation
Carbon Monoxide
Nervous System Trauma
Physician's Role
Siblings
Consensus
Public Health
Parents
Oxygen
Morbidity
Wounds and Injuries
Unconscious (Psychology)

Keywords

  • adult intensive care
  • poisoning
  • stroke
  • toxicology

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Normal carboxyhaemoglobin level in carbon monoxide poisoning treated with hyperbaric oxygen therapy. / Helgeson, Scott A.; Wilson, Michael; Guru, Pramod K.

In: BMJ Case Reports, Vol. 2017, 221174, 01.01.2017.

Research output: Contribution to journalArticle

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