Skip to main content
×
×
Home

Hyperbaric oxygen therapy in the management of two cases of hydrogen sulfide toxicity from liquid manure

  • Richard Belley (a1), Nicolas Bernard (a1), Mario Côté (a1), Francois Paquet (a1) and Julien Poitras (a2)...
Abstract

Hydrogen sulfide is a potent lethal gas. Supportive care, nitrite therapy and hyperbaric oxygen are the treatment modalities reported in the literature in cases of hydrogen sulfide exposure. We describe an industrial exposure in which 6 workers inhaled high concentrations of hydrogen sulfide when they entered a closed spreader tank partially filled with liquid swine manure. Five of the 6 lost consciousness, and 2 were agitated and poorly responsive on arrival to the emergency department despite having already received high-flow oxygen for nearly 1 hour. These 2 patients received nitrite therapy followed by orotracheal intubation and hyperbaric oxygen. All patients were discharged home without sequelae after short stays in hospital. The emergency management of hydrogen sulfide exposure is briefly reviewed.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Hyperbaric oxygen therapy in the management of two cases of hydrogen sulfide toxicity from liquid manure
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Hyperbaric oxygen therapy in the management of two cases of hydrogen sulfide toxicity from liquid manure
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Hyperbaric oxygen therapy in the management of two cases of hydrogen sulfide toxicity from liquid manure
      Available formats
      ×
Copyright
Corresponding author
Emergency Department and Hyperbaric Facility, Centre Hospitalier Affilié de l’Hôtel Dieu de Lévis, 143 rue Wolfe, Lévis QC G6V3Z1
References
Hide All
1.Reiffenstein, RJ, Hulbert, WC, Roth, SH. Toxicology of hydrogen sulfide. Annu Rev Pharmacol Toxicol 1992;3:109–34.
2.Burnett, WW, King, EG, Grace, M, Hall, WF. Hydrogen sulphide poisoning: review of a 5 years experience. CMAJ 1977;117(3):1277–80.
3.Tvedt, B, Skyberg, K, Aaserud, O, Hobbesland, A, Mathiesen, T. Brain damage caused by hydrogen sulfide: a follow up study of six patients. Am J Ind Med 1991;20:91101.
4.Tvedt, B, Edland, A, Skyberg, K, Forberg, O. Delayed neuropsychiatric sequelae after acute hydrogen sulfide poisoning: affection of motor function, memory, vision and hearing [published erratum appears in Acta Neurol Scand 1992;85(5):376]. Acta Neurol Scand 1991;84(4):348–51.
5.Legris, M, Tanguay, F, Labrecque, R. Rapport d’expertise produit pour la CSST Chaudière Appalaches sur l’échantillonnage de gaz de fermentation lors d’une simulation des conditions environnementales de l’accident survenu le 19 mai 2004 à l’entreprise Camionnage Fernand Marcoux. 2004 sept.
6.Cadet, F, Roy, C. Rapport d’enquête de la Commision de Santé et Sécurité au Travail (CSST) sur l’accident de travail survenu à un employeur, un travailleur et à 3 sauveteus le 19 mai 2004 à l’entreprise Camionnage Fernand Marcous Inc. 2005 fév. Dossier d’intervention DP14040699, No rapport RAP0254910.
7.Donham, KJ, Knapp, LW, Monson, R, Gustafson, K. Acute expo-sure to gases from liquid manure. J Occup Med 1982;2:142–5.
8.U.S Environmental Protection Agency. Toxicological review of hydrogen sulfide (CAS no. 7783–06–4): in support of summary information on the integrated risk. Available at: http://30.epa.gov/iris/subst/0061.htm (accessed 2005 June 8).
9.Gunn, B, Wong, R. Noxious gas exposure in the outback: Two cases of hydrogen sulfide toxicity [review]. Emerg Med (Fremantle) 2001;13(2):240–6.
10.Kage, S, Kashimura, S, Ikeda, H, Kudo, K, Ikeda, N. Fatal and nonfatal poisoning by hydrogen sulfide at an industrial waste site. J Forensic Sci 2002;47(3):652–5.
11.Green, FH, Scheurch, S, De Sanctis, GT, Wallace, JA, Cheng, S, Prior, M. Effects of hydrogen sulphide exposure on surface properties of lung surfactant. J Appl Physiol 1991;70(5):1943–9.
12.Rogers, RE, Ferrin, J. Effect of hydrogen sulphide on bacterial inactivation in the rat lung. Arch Environ Health 1981;36(5):261–4.
13.Gregorakos, L, Dimopoulos, G, Liberi, S, Antipas, G. Hydrogen sulfide poisoning: management and complications. Angiology 1995;46(12):1123–31.
14.Hall, AH, Rumack, BH. Hydrogen sulfide poisoning: an antidotal role for sodium nitrite? Vet Hum Toxicol 1997;39(3):152–4.
15.Smith, RP, Kruszyna, R, Kruszyna, H. Management of acute sulfide poisoning. Effects of oxygen, thiosulfate, and nitrite. Arch Environ Health 1976;31(3):166–9.
16.Smith, RP. Sulfide poisoning. J Toxicol Clin Toxicol 1997;35(3):305–6.
17.Smith, RP, Gosselin, RE. Hydrogen sulphide poisoning. J Occup Med 1979;21(2):93–7.
18.Smilkstein, MJ, Bronstein, AC, Pickett, HM, Rumack, BH. Hyperbaric oxygen therapy for severe hydrogen sulfide poisoning. J Emerg Med 1985;3(1):2730.
20.Thom, SR. Effect of hyperoxia on neutrophil adhesion. Undersea Hyperb Med 2004;31(1):123–31.
21.Kindwall, EP. The physiologic effects of hyperbaric oxygenation. In: Kindwall, EP, Whelan, HT, editors. Hyperbaric medicine practice, rev ed. Flagstaff (AZ): Best Publishing Company; 2002. p. 2136.
22.Tomaszewski, CA, Thom, SR. Use of hyperbaric oxygen in toxicology. Emerg Med Clin North Am 1994;12(2):437–59.
19.Takano, T,Miyazaki, Y, Nashimoto, I, Kobayashi, K. Effect of hyperbaric oxygen on cyanide intoxication: in situ changes in in-tracellular oxidation reduction. Undersea Biomed Res 1980;7(3):191–7.
23.Weaver, LK, Hopkins, RO, Chan, KJ, Churchill, S, Elliott, CG, Clemmer, TP, et al.Hyperbaric oxygen for acute monoxide poisoning. N Engl J Med. 2002;347(14):1057–67.
24.Whitcraft, DD 3rd, Bailey, TD, Hart, GB. Hydrogen sulfide poisoning treated with hyperbaric oxygen. J Emerg Med 1985;3(1):23–5.
25.Pontani, BA, Warriner, RA, Newman, RK. Delayed neurologic sequelae after hydrogen sulfide poisoning treated with hyperbaric oxygen therapy: a case report. Proceeding of the Undersea and Hyperbaric Medical Society Annual Scientific Meeting; 1998 May 19–26 Seattle, USA. Undersea Hyperb Med 1998;25:S10.
26.Goldenberg, I, Shoshani, O, Mushkat, YBentur, Y, Melamed, Y, Shupak, A. [Hyperbaric oxygen for hydrogen sulfide poisoning.] Harefuah 1994;127(9):300–2, 360.
27.Smilkstein, MJ, Bronstein, AC, Pickett, HM, Rumack, BH. Hyperbaric oxygen therapy for severe hydrogen sulfide poisoning. J Emerg Med 1985;3(1):2730.
28.Hsu, P, Li, HW, Lin, YT. Acute hydrogen sulfide poisoning treated with hyperbaric oxygen. J Hyperbaric Med 1987;2(4):215–21.
29.Al-Mahasneh, QM, Cohle, SD, Haas, E. Lack of response to hyperbaric oxygen in a fatal case of hydrogen sulfide poisoning: a case report. Vet Hum Toxicol 1989;31(4):353.
30.Bitterman, N, Talmi, Y,Lerman, A, Melamed, Y, Melamed, Y, Taitelman, U. The effect of hyperbaric oxygen on acute experimental sulfide poisoning in the rat. Toxic Appl Pharmacol 1986;84:325–8.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Canadian Journal of Emergency Medicine
  • ISSN: -
  • EISSN: 1481-8035
  • URL: /core/journals/canadian-journal-of-emergency-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 49 *
Loading metrics...

Abstract views

Total abstract views: 160 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 20th September 2018. This data will be updated every 24 hours.