Silver Nitrate Aspiration: A Potentially Life-Threatening Complication

Bekkers, Stijn; Rijken, Johannes A.; Daniëls, Hans; Rinkel, Rico N. P. M.; Hendrickx, Jan-Jaap; Eerenstein, Simone E. J.

doi:10.1164/rccm.201603-0625im

Cited by 6 publications

(4 citation statements)

References 3 publications

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“…It is generally considered a safe therapy and if overapplication occurs, saline solution can be used to neutralize its effects 7 . Nevertheless, adverse effects of inadvertent aspiration or ingestion of AgNO 3 has been described 7,8 . It is a rare complication and there are no published standards of care to prevent AgNO 3 aspiration or ingestion 7,8 .…”

Section: Discussionmentioning

confidence: 99%

“…Due to its mild tissue destruction properties, it is hypothesized that use of AgNO 3 may help disrupt the epithelial layer of the stomal tract and formation of an eschar layer, allowing for apposition of the dermal layers required for closure of the stomal tract. It is generally considered a safe therapy and if overapplication occurs, saline solution can be used to neutralize its effects 7 . Nevertheless, adverse effects of inadvertent aspiration or ingestion of AgNO 3 has been described 7,8 .…”

Section: Discussionmentioning

confidence: 99%

“…Silver nitrate (AgNO 3 ) is a widely available caustic substance that is commonly utilized as a hemostatic and wound management agent. 7 , 8 Due to its mild tissue destruction properties, it is hypothesized that use of AgNO 3 may help disrupt the epithelial layer of the stomal tract and formation of an eschar layer, allowing for apposition of the dermal layers required for closure of the stomal tract. It is generally considered a safe therapy and if overapplication occurs, saline solution can be used to neutralize its effects.…”

Section: Discussionmentioning

confidence: 99%

“… 7 Nevertheless, adverse effects of inadvertent aspiration or ingestion of AgNO 3 has been described. 7 , 8 It is a rare complication and there are no published standards of care to prevent AgNO 3 aspiration or ingestion. 7 , 8 The single episode of hemoptysis experienced by our patient is a potential warning sign, and a reminder that caution should be taken to ensure that excess AgNO 3 liquid does not inadvertently enter the airway during application.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Silver nitrate therapy for persistent tracheocutaneous fistula following prolonged tracheostomy and invasive ventilation: A case report

Sweeney

Chao

Ridgers

et al. 2022

Respirology Case Reports

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We report the case of a man with severe Guillain-Barré syndrome who developed a persistent tracheocutaneous fistula (TCF) following prolonged tracheostomy and mechanical ventilation. Following tracheostomy decannulation, the TCF had a deleterious effect on non-invasive positive pressure ventilation efficacy and ability to effectively clear airway secretions due to air leaking from the patent stoma. This case highlights a non-surgical approach to TCF management that is not well-described in the literature and presents an alternative management option for cohorts of patients in which the risk associated with surgical interventions may be undesirable.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%