{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:40:10Z","timestamp":1756370410610,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,2,21]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>We present a case of a man in his early 50s, who developed severe respiratory distress following exposure to airbag fumes after a road traffic accident. Despite initial treatment for lower respiratory tract infection, his condition worsened, necessitating intensive care unit admission and mechanical ventilation (MV). Subsequent investigations ruled out infections, autoimmune causes and lung contusion, leading to a diagnosis of chemical pneumonitis secondary to sodium azide exposure. Treatment with pulse steroids and prone positioning during MV resulted in significant clinical improvement. The patient was successfully extubated and discharged after 23 days with complete resolution of respiratory symptoms. This case underscores the importance of considering chemical pneumonitis in patients presenting with respiratory distress following airbag deployment and highlights the effective management strategies that contributed to the patient\u2019s recovery.<\/jats:p>","DOI":"10.1136\/bcr-2024-264319","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T08:06:17Z","timestamp":1741853177000},"page":"e264319","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Airbag ARDS: airbag fumes exposure leading to ARDS"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6971-1236","authenticated-orcid":false,"given":"Venkat Raman","family":"Kola","sequence":"first","affiliation":[{"name":"Critical Care Medicine, Yashoda Group of Hospitals, Hyderabad, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Venkata Nagarjuna","family":"Maturu","sequence":"additional","affiliation":[{"name":"Pulmonary Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab and Haryana, India"},{"name":"Pulmonary Medicine, Yashoda Hospital Hitech City Hyderabad, Hyderabad, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nithin","family":"Pinninti","sequence":"additional","affiliation":[{"name":"Critical Care Medicine, Yashoda Group of Hospitals, Hyderabad, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0390-9954","authenticated-orcid":false,"given":"Sai Sreeharshita","family":"Malla","sequence":"additional","affiliation":[{"name":"Indian Institute of Public Health Hyderabad, Hyderabad, Telangana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,3,13]]},"reference":[{"unstructured":"Ferguson SA , Lund AK , Greene MA . Driver fatalities in 1985-1994 air bag cars. 1995.","key":"2025082801272730000_18.3.e264319.1"},{"unstructured":"Kahane CJ . Fatality Reduction by Air Bags: Analyses of Accident Data through Early 1996. 1996.","key":"2025082801272730000_18.3.e264319.2"},{"doi-asserted-by":"publisher","key":"2025082801272730000_18.3.e264319.3","DOI":"10.1136\/bmj.324.7346.1119"},{"key":"2025082801272730000_18.3.e264319.4","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1017\/S1481803500015542","article-title":"Airbag pneumonitis: a report and discussion of a new clinical entity","volume":"9","author":"Caudle","year":"2007","journal-title":"CJEM"},{"key":"2025082801272730000_18.3.e264319.5","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.injury.2005.11.001","article-title":"Lung injury after airbag deployment: Airbag lung","volume":"37","author":"Almeida","year":"2006","journal-title":"Injury Extra"},{"doi-asserted-by":"publisher","key":"2025082801272730000_18.3.e264319.6","DOI":"10.1080\/10915810305109"},{"unstructured":"Centers for Disease Control and Prevention . Facts about sodium azide. Available: http:\/\/www.bt.cdc.gov\/agent\/sodiumazide\/basics\/facts.asp [Accessed 06 Nov 2023].","key":"2025082801272730000_18.3.e264319.7"},{"doi-asserted-by":"publisher","key":"2025082801272730000_18.3.e264319.8","DOI":"10.1016\/S0733-8627(03)00011-7"},{"key":"2025082801272730000_18.3.e264319.9","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1080\/15563650.2021.1906888","article-title":"Sodium azide poisoning: a narrative review","volume":"59","author":"Tat","year":"2021","journal-title":"Clin Toxicol (Phila)"},{"key":"2025082801272730000_18.3.e264319.10","first-page":"979","article-title":"Supraglottic and subglottic airway injury due to deployment and rupture of an automobile airbag","volume":"63","author":"Epperly","year":"1997","journal-title":"Am Surg"},{"key":"2025082801272730000_18.3.e264319.11","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1164\/ajrccm.150.2.8049823","article-title":"Acute pulmonary response of asthmatics to aerosols and gases generated by airbag deployment","volume":"150","author":"Gross","year":"1994","journal-title":"Am J Respir Crit Care Med"},{"key":"2025082801272730000_18.3.e264319.12","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1097\/00005373-199504000-00010","article-title":"Mechanism of Induction of Asthmatic Attacks Initiated by the Inhalation of Particles Generated by Airbag System Deployment","volume":"38","author":"Gross","year":"1995","journal-title":"J Trauma"},{"key":"2025082801272730000_18.3.e264319.13","doi-asserted-by":"crossref","DOI":"10.1155\/2010\/498569","article-title":"Airbag pneumonitis","volume":"2010","author":"Govindarajan","year":"2010","journal-title":"Case Rep Med"},{"unstructured":"Lu K , Zhang M , Belok SH , et al . A particular problem: airbag deployment causing chemical pneumonitis. American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX; May 2019 doi:10.1164\/ajrccm-conference.2019.199.1_MeetingAbstracts.A1806 Available: https:\/\/www.atsjournals.org\/doi\/book\/10.1164\/ajrccm-conference.2019.A49","key":"2025082801272730000_18.3.e264319.14"},{"key":"2025082801272730000_18.3.e264319.15","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/S1081-1206(10)61250-1","article-title":"Airbag asthma: a case report and review of the literature","volume":"96","author":"Hambrook","year":"2006","journal-title":"Ann Allergy Asthma Immunol"},{"key":"2025082801272730000_18.3.e264319.16","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1007\/BF00377871","article-title":"Reactive airway dysfunction syndrome due to sodium azide inhalation","volume":"68","author":"Weiss","year":"1996","journal-title":"Int Arch Occup Environ Health"},{"doi-asserted-by":"publisher","key":"2025082801272730000_18.3.e264319.17","DOI":"10.1378\/chest.114.2.624"},{"doi-asserted-by":"publisher","key":"2025082801272730000_18.3.e264319.18","DOI":"10.1093\/occmed\/41.1.45"},{"doi-asserted-by":"publisher","key":"2025082801272730000_18.3.e264319.19","DOI":"10.1136\/oem.49.3.213"},{"doi-asserted-by":"publisher","key":"2025082801272730000_18.3.e264319.20","DOI":"10.1056\/NEJMoa1214103"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-264319","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:27:36Z","timestamp":1756369656000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-264319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":20,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3,13]]},"published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1136\/bcr-2024-264319"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-264319","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,3]]}}}