Massive Anhydrous Ammonia Injury Leading to Lung Transplantation

Pirjavec, Aleksandra; Ković, Ivor; Lulić, Ileana; Župan, Željko

doi:10.1097/ta.0b013e31817fd93f

Cited by 10 publications

(2 citation statements)

References 20 publications

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“…28 On the basis of several scriptures in the Old Testament, JWs do not accept transfusions of blood or blood products. 7 The case detailed the hospital course of a patient who received a double-lung transplant and died 21 months after his transplant secondary to chronic rejection of the allograft. [30][31][32] Our patient's medical providers accepted his beliefs and worked with him to develop a treatment plan that would be congruent with his religion and allow him to safely undergo a double-lung transplant.…”

Section: Discussionmentioning

confidence: 99%

Management and Sequelae of a 41-Year-Old Jehovah’s Witness With Severe Anhydrous Ammonia Inhalation Injury

Ortiz-Pujols

Jones

Short

et al. 2014

Journal of Burn Care & Research

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Anhydrous ammonia is a commonly used chemicals that are found in fertilizer, refrigeration, and in other occupational environments. Lung damage because of inhalation of ammonia can be devastating, producing debilitating lung disease and can ultimately lead to death. This is the case of a 41-year-old male, previously healthy, Jehovah's Witness, who was working at a poultry plant facility when an explosion occurred exposing him to toxic levels of anhydrous ammonia. Our patient developed end-stage lung disease after sustaining a severe ammonia inhalation injury. Despite aggressive pulmonary rehabilitation, the patient continued to deteriorate, and his only option for a chance at improved quality of life was a double-lung transplant. To our knowledge, this is the first report of a bloodless lung transplantation for inhalational lung injury in the literature. Further study is needed to better understand the effects of ammonia on lung physiology in order to better manage and treat patients who develop acute and chronic lung complications after exposure.

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Section: Discussionmentioning

confidence: 99%

Management and Sequelae of a 41-Year-Old Jehovah’s Witness With Severe Anhydrous Ammonia Inhalation Injury

Ortiz-Pujols

Jones

Short

et al. 2014

Journal of Burn Care & Research

View full text Add to dashboard Cite

show abstract

“…As an important chemical, anhydrous ammonia is widely used in the refrigeration, fertilizer, and explosive industries [1]. It is a colorless gas with a pungent odor at room temperature.…”

Section: Introductionmentioning

confidence: 99%