Accidental aspiration of a solid tablet of sodium hypochlorite

Article Article scientifique Rapport de cas Accidental aspiration of a solid tablet of sodium hypochlorite eng 2018-06-21 author Boonekamp Caroline Department of General Internal Medicine, Geneva University Hospitals, Geneva, Switzerland. 659613 author Voruz François Jean Albert Department of Otolaryngology and Head and Neck Surgery, Geneva University Hospitals, Geneva, Switzerland. 927844 author Fehlmann Christophe 0000-0002-4163-0338 Department of General Internal Medicine, Geneva University Hospitals, Geneva, Switzerland.,Emergency departement, Geneva University Hospitals, Geneva, Switzerland. 633754 bcr-2018-224213 10.1136/bcr-2018-224213 29930183 1757-790X PMC6020962 https://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-224213 <p>Sodium hypochlorite is a corrosive, highly alkaline (pka=7.52) household product. Ingestion of sodium hydroxide liquid is common, showing toxicity on the oesophagus and stomach. Nevertheless, cases of sodium hydroxide ingestions in pellet are rare and the management of them is unknown. We report the case of a 65-year-old man who accidentally swallowed a bleach tablet of 3.5 g. Six hours later, the patient developed an aphonia associated with dysponea stage IV, motivating a nasofibroscopy showing glottis and supraglottic necrosis and oedema for which the patient received intravenous steroids, was intubated and then underwent a tracheotomy. After 2 weeks under tracheotomy, local evolution was favourable allowing a removal of the cannula and a return back home.</p> Ear, nose and throat/otolaryngology Poisoning Resuscitation Dewey 616.8 Dewey 616 Dewey 617 61 Département des neurosciences cliniques 226 56 Département de médecine 221 63 Département d'anesthésiologie, pharmacologie, soins intensifs et urgences 229 false BMJ case reports 2018 529d94cb-7ace-4662-aaed-e0b02b220cc1 Article (Published version) Public 2018_BOONEKAMP_-_Accidental_aspirat.pdf 542502 application/pdf CC BY-NC-4.0 After correction de880c6d3c15e96118bc7fa8ca8a3020f68e79f7e24a2b551528186eafae45f4 f68e445c-a590-4e8a-8444-6ef65287eb18 Corrigendum Public bcr-2018-224213corr1.full.pdf 110153 application/pdf CC BY-NC-4.0 097f54e7e496834ffe995871ab03eebbd39380feb95acc5cc510fa61981ac9ec The substance ingested by the patient described in the case report was sodium hypochlorite (Bleach, pKa=7.52) and not sodium hydroxide (Caustic soda, pKa=14.8). 10.1136/bcr-2018-224213corr1 30121563 openAccess Faculté de médecine / Section de médecine clinique / Département des neurosciences cliniques Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département d'anesthésiologie, pharmacologie, soins intensifs et urgences

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Les voies veineuses périphériques - une voie simple mais pas sans conséquences		2021	509	3
Accidental aspiration of a solid tablet of sodium hypochlorite	BMJ case reports	2018	74	121

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Boonekamp, Caroline