PEDIATRICS Vol. 98 No. 5 November 1996, pp. 961-963
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Pepper-Spray-induced Respiratory Failure Treated With Extracorporeal Membrane Oxygenation

Deborah F. Billmire MD1, Charles Vinocur MD1, Maureen Ginda RRT1, Nancy B. Robinson MD2, Howard Panitch MD2, Helena Friss MD2, David Rubenstein MD2, and James F. Wiley MD2

1 Department of Surgery, St Christopher's Hospital for Children, Temple University School of Medicine, Philadelphia, PA 19134
2 Department of Pediatrics, St Christopher's Hospital for Children, Temple University School of Medicine, Philadelphia, PA 19134

Self-defense sprays have been available to the general public since the 1970s. They are easily obtained and over 6 million spray units were sold in the United States in 1993 alone. The intent of these sprays is to cause skin and mucosal irritation without producing serious injury. We describe the accidental exposure to pepper-gas spray of an infant who experienced immediate life-threatening respiratory distress followed by progressive deterioration. Ultimately, he required extracorporeal membrane oxygenation (ECMO) for survival. The decision to place the infant on ECMO was made more difficult by the lack of information about potential reversibility with this rare toxic cause of respiratory failure.

Submitted on October 25, 1995
Accepted on January 23, 1996




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