• Fugui Wang, Fangfang Liu, and Houqing Lu.
• Department of Intensive Care Medicine, Tongling People's Hospital, Anhui Province, P. R. China.
• Medicine (Baltimore). 2024 Jan 19; 103 (3): e36995e36995.

RationaleAccidents involving chlorinated compounds in the context of cleaning are not uncommon. However, improving the treatment success rate for acute respiratory distress syndrome (ARDS) patients caused by chlorine gas presents significant challenges.Patient ConcernsA 28-year-old female was admitted to the intensive care unit after accidental inhalation of chlorine gas resulting in ARDS.DiagnosesThe patient was diagnosed with ARDS attributed to chlorine gas exposure.InterventionsThe intervention involved utilizing a combination of awake self-prone positioning (ASPP) and high-flow nasal oxygen therapy for treatment.OutcomesAfter continuous ASPP and high-flow nasal oxygen therapy, the patient quickly recovered and was transferred out of the intensive care unit on the 6th day without any adverse events.LessonsASPP combined with high-flow nasal oxygen therapy can improve patients' hypoxemia, prevent the need for intubation, avoid rapid deterioration of the condition, reduce treatment complexity, and lower mortality rate.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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