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Carbon Monoxide Poisoning

Viren Kaul, MD, Ahmed Agameya, MBBCh and Anthony W. Gray, Jr., MD, FCCP, FCCM Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Carbon monoxide (CO) is an odorless, tasteless, colorless gas that has the potential to cause sudden illness and death if inhaled.

  • CO is produced by combustion of carbon-containing co...

DIAGNOSIS

  • Acute CO poisoning: inhalation of air with high concentrations of CO, usually after a single occasion, leading to a spectrum of nonspecific symptoms ranging from headaches, nausea, malaise, ...

TREATMENT

GENERAL MEASURES

  • Prompt removal from the CO source

  • Supportive care as necessary

  • Intubation and mechanical ventilation may be necessary for severe intoxication, if patient is not able to protect...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • All patients treated for acute CO poisoning should be seen in follow-up in 1 to 2 months after discharge (2). Patients should undergo neuropsychological testing i...

REFERENCES

1
1 Weaver LK. Clinical practice. Carbon monoxide poisoning. N Engl J Med.  2009;360(12):1217–1225. {L-End} {L-End} [View Abstract on OvidMedline]
2
2 Hampson NB, Piantadosi CA, Thom S...

ADDITIONAL READING

CODES

ICD10

  • T58.91XA Toxic effect of carb monx from unsp source, acc, init

  • T58.8X1A Toxic effect of carb monx from oth source, accidental, init

  • T58.01XA Toxic effect of carb monx from mtr veh exhaust, ac...

CLINICAL PEARLS

  • If there is a concern for CO poisoning, remove individuals from the source and deliver 100% oxygen by high-flow face mask or endotracheal tube.

  • During pregnancy, there is disproportiona...

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