{"pk":43950,"title":"Chloramine/Chlorine Injury Treated with Noninvasive Positive Pressure Ventilation: A Report of Two Cases","subtitle":null,"abstract":"<p><strong>Introduction</strong>: Chlorine and chloramine gases are pulmonary irritants that can cause pulmonary edema and acute respiratory distress syndrome (ARDS). We present two cases that show effective treatment with noninvasive positive pressure ventilation (NIPPV).</p>\n<p><strong>Case Reports: Case 1. </strong>A 9-year-old male developed chloramine pneumonitis and ARDS with hypoxia to 78% on room air after urinating in a bucket of sodium hypochlorite. He was placed on<br>NIPPV with improvement in symptoms and discharged on day four. <strong>Case 2. </strong>A 58-year-old male developed chlorine gas pneumonitis with hypoxia to 85% on room air. Point-of-care ultrasound of this patient demonstrated greater than three B-lines in bilateral lower lung fields, which resolved after initiating NIPPV. He ultimately left against medical advice.</p>\n<p><strong>Conclusion</strong>: Noninvasive positive pressure ventilation can be an effective treatment modality for severe lung injury secondary to chlorine or chloramine exposure.</p>","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"chlorine"},{"word":"chloramine"},{"word":"respiratory distress"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5hj4g117","frozenauthors":[{"first_name":"Richard","middle_name":"","last_name":"Fisher","name_suffix":"","institution":"Northwell Health, Division of Medical Toxicology, Department of Emergency Medicine, New Hyde Park, New York; Northwell Health, Department of Emergency Medicine, New Hyde Park, New York","department":""},{"first_name":"Cyrus","middle_name":"E","last_name":"Kuschner","name_suffix":"","institution":"Northwell Health, Division of Medical Toxicology, Department of Emergency Medicine, New Hyde Park, New York; Feinstein Institutes for Medical Research, Northwell Health, New Hyde Park, New York","department":""},{"first_name":"Michael","middle_name":"A","last_name":"Goldstein","name_suffix":"","institution":"Northwell Health, Division of Medical Toxicology, Department of Emergency Medicine, New Hyde Park, New York; Northwell Health, Department of Emergency Medicine, New Hyde Park, New York","department":""},{"first_name":"Soha","middle_name":"","last_name":"Jhaveri","name_suffix":"","institution":"Northwell Health, Department of Emergency Medicine, New Hyde Park, New York","department":""},{"first_name":"Sanjay","middle_name":"","last_name":"Mohan","name_suffix":"","institution":"NYU Grossman Long Island School of Medicine, Department of Emergency Medicine, Mineola, New York","department":""},{"first_name":"Payal","middle_name":"","last_name":"Sud","name_suffix":"","institution":"Northwell Health, Division of Medical Toxicology, Department of Emergency Medicine, New Hyde Park, New York; Northwell Health, Department of Emergency Medicine, New Hyde Park, New York","department":""}],"date_submitted":"2025-02-26T21:14:25.944000Z","date_accepted":"2025-07-01T11:46:26.189000Z","date_published":"2025-09-24T04:25:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/43950/galley/40149/download/"}]}