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Cases J. 2008 Aug 18;1(1):102. doi: 10.1186/1757-1626-1-102.

Carbon monoxide poisoning in a patient with carbon dioxide retention: a therapeutic challenge.

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Central Middlesex Hospital, Acton Lane, London, NW10 7NS, UK.


We present the case of a 70 year-old man with carbon monoxide poisoning following a house fire. A significant smoking history and likely underlying chronic lung pathology complicated treatment, as due to symptomatic retention of carbon dioxide we were unable to use high-flow oxygen to facilitate the elimination of carbon monoxide. We suggest that patients with risk factors for obstructive lung disease be monitored extremely carefully during treatment for carbon monoxide toxicity.

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