Narghile (Hookah) Smoking and Carboxyhemoglobin Levels

Uyanik, Bunyamin; Arslan, Engin Deniz; Akay, Huriye; Erçelik, Elif; Tez, Mesut

doi:10.1016/j.jemermed.2009.05.032

Cited by 23 publications

(22 citation statements)

References 3 publications

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“…7 Since then, four more cases were reported in France, 8 Singapore, 9 and Turkey. 10,11 Our case is the first report of this entity in an adolescent (Table 1).…”

Section: Case Reportmentioning

confidence: 74%

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Carbon monoxide poisoning in narghile (water pipe) tobacco smokers

Fauci

Weiser

Steiner

et al. 2012

CJEM

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Narghile (water pipe, hookah, shisha, goza, hubble bubble, argeela) is a traditional method of tobacco use. In recent years, its use has increased worldwide, especially among young people. Narghile smoking, compared to cigarette smoking, can result in more smoke exposure and greater levels of carbon monoxide (CO). We present an acutely confused adolescent patient who had CO poisoning after narghile tobacco smoking. She presented with syncope and a carboxyhemoglobin level of 24% and was treated with hyperbaric oxygen. Five additional cases of CO poisoning after narghile smoking were identified during a literature search, with carboxyhemoglobin levels of 20 to 30%. Each patient was treated with oxygen supplementation and did well clinically. In light of the increasing popularity of narghile smoking, young patients presenting with unexplained confusion or nonspecific neurologic symptoms should be asked specifically about this exposure, followed by carboxyhemoglobin measurement.

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“…7 Since then, four more cases were reported in France, 8 Singapore, 9 and Turkey. 10,11 Our case is the first report of this entity in an adolescent (Table 1).…”

Section: Case Reportmentioning

confidence: 74%

“…[7][8][9][10][11] The first case was reported in Saudi Arabia in 2000. 7 Since then, four more cases were reported in France, 8 Singapore, 9 and Turkey.…”

Section: Case Reportmentioning

confidence: 99%

Carbon monoxide poisoning in narghile (water pipe) tobacco smokers

Fauci

Weiser

Steiner

et al. 2012

CJEM

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“…Bazı genç içicilerde nargilenin sigaradan daha az zararlı olduğu inanışı vardır, bunun sebebi koku ve tadının daha çekici olması da olabilir. 1,5 Ek olarak nargilenin kullanıldığı ortamların sigaraya göre daha az zararlı olduğu hissi de uyandırabilmektedir. Nargile içimine bağlı CO intoksikasyonu olguları-ki genelde yirmili yaşlardadır-özellikle kış aylarında, baş ağrısı, bulantı ve baş dönmesi şikâyeti ile acil servislere başvururlar.…”

Section: Discussionunclassified

“…Nargile içicilerinin sigara içicilerine göre CO, nikotin ve ağır metallere daha yüksek konsantrasyonda maruz olmaları, her içimde daha geniş volümde içmeleri ve daha uzun süre maruz kalmaları sebebiyledir. 1,3,4 Öğrencilerle ilgili yapılan bir çalışmada, nargile içiminden daha çok nargile dumanına maruziyetin söz konusu olduğu tespit edilmiştir. 2 Nargile kullanımı sonrasında yaşanan CO intoksikasyonunun soba tütmesi veya doğalgaz kaynaklı olan CO intoksikasyonundan farkı yoktur.…”

Section: Discussionunclassified

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Carbonmonoxide Intoxication After Narghile Smoking: Two Case Presentations

Baykan¹,

Durukan²,

Salt³

et al. 2017

Ankara Medical Journal

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ÖzNargile son 400 yılda özellikle yaşlılar tarafından, 1980'lerden sonra da gençler tarafından yaygın olarak kullanılmıştır. Nargile içicilerinde karbonmonoksit (CO) intoksikasyonu nadir izlenir. Bu sunumda, 21 ve 20 yaşlarında olan ve nargile içimi sonrasında CO intoksikasyonu sonucu bayılma ile gelen iki kadın hasta irdelenmiştir. Acil servise baygın halde getirilen hastaların karboksihemoglobin seviyeleri sırasıyla 26.5 ve 21,4 olarak ölçülmüştür. Nargile kullanımı son yıllarda, özellikle genç popülasyonda artmıştır. Bu artışa bağlı olarak, halsizlik, yorgunluk, bayılma gibi nonspesifik şikayetler ile CO intoksikasyonu oranı da artmaktadır. Acil servise başvuran nonspesifik şikayetleri olan özellikle genç hastalarda nargile kullanımı/maruziyeti derinlemesine sorgulanmalı ve bu konuda uyanık olunmalıdır. Anahtar kelimeler: Nargile, intoksikasyon, karbon monoksit Abstract Narghile has been used commonly by the elderly in the last 400 years and also by younger population since 1980's. Carbon monoxide poisoning in narghile smokers is very rare. In this presentation, two female patients aged 20 and 21 years old and who have exhibited carbon monoxide poisoning after narghile smoking were evaluated. They were presented to the emergency department due to syncope and their carboxyhemoglobin levels were measured as 26.5 and 21.4, respectively. Narghile smoking has become very popular especially in the young population in recent years. Carbon monoxide poisoning rates with nonspecific symptoms like lassitude, fatigue and fainting has also increased together with this increase. Narghile use/exposure should be questioned carefully especially in young patients admitted to the emergency department with nonspecific symptoms.

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Smoking

Fromme

2023

Indoor Air Quality

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Narghile (Hookah) Smoking and Carboxyhemoglobin Levels

Cited by 23 publications

References 3 publications

Carbon monoxide poisoning in narghile (water pipe) tobacco smokers

Carbon monoxide poisoning in narghile (water pipe) tobacco smokers

Carbonmonoxide Intoxication After Narghile Smoking: Two Case Presentations

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