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Review
. 2021 Apr;70(4):327-332.
doi: 10.1007/s00101-021-00920-z. Epub 2021 Feb 16.

[Commercial soda lime ingestion during a dive]

[Article in German]
Mark Michael  1 , Noemi Freise  2 , Verena Keitel  2 , Andreas Schaper  3 , Christian Plettenberg  4 , Sven Dreyer  5 , Michael Bernhard  6
Affiliations
Review

[Commercial soda lime ingestion during a dive]

[Article in German]
Mark Michael et al. Anaesthesist. 2021 Apr.

Erratum in

  • [Erratum to: Commercial soda lime ingestion during a dive].
    Michael M, Freise N, Keitel V, Schaper A, Plettenberg C, Dreyer S, Bernhard M. Michael M, et al. Anaesthesist. 2021 Jun;70(6):548. doi: 10.1007/s00101-021-00981-0. Anaesthesist. 2021. PMID: 34114071 Free PMC article. German. No abstract available.

Abstract
in English, German

Breathing lime is used in closed circuit and semi-closed circuit rebreathers (CCR/SCR) for technical diving. Similar to the use in anesthesia systems, the lime usually contains hydroxycarbamide, which can react to caustic soda under the influence of water. The ingestion of components of the soda lime can lead to burns of the esophageal mucosa with the formation of colliquation necrosis and the danger of esophageal perforation. Early endoscopy is essential in this case to assess the consequences of ingestion.

Atemkalk wird in Kreislauftauchgeräten beim technischen Tauchen („Rebreathern“) verwendet. Vergleichbar mit einem Narkosekreislaufgerät dient bei einem halb- bzw. geschlossenen Atemsystem der Kalk der Kohlendioxidabsorbtion. Der Atemkalk enthält meist Kalziumhydroxid, das unter Wassereinwirkung zu Natronlauge reagieren kann. Bei der Ingestion bzw. Aspiration von Bestandteilen des Atemkalks kann es zu Verätzungen mit der Bildung von Kolliquationsnekrosen kommen. Eine frühzeitige Endo- bzw. ggf. Bronchoskopie ist hier zur Abschätzung von Folgeschäden essenziell.

Keywords: Colliquation necrosis; Ingestion; Inhalation trauma; Rebreather; Scrub.

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References

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