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Carbone monoxide , a silent killer
Carbon
monoxide (CO) is a tasteless, nonirritating, odorless, and colorless gaseous
substance. The main source of CO production is the combustion of fuels.
Exposure at the workplace occurs in blast-furnace operations in the steel
industry and when gasoline- or propane-powered forklifts, chain-saws, or other
machines are used in confined spaces, such as companies, tunnels and mines.
Environmental exposure to CO can occur while traveling in motor vehicles;
visiting urban locations with heavily traveled roads; or cooking and heating
with domestic gas, kerosene, coal, or wood; as well as in fires and by
environmental tobacco smoke.
Furthermore,
Carbone monoxide has 200 times more affinity for haemoglobin than oxygen. Then,
Carbone monoxide when inhaled combines with haemoglobin to form
carboxyhaemoglobin.
Hb + CO → COHb
As
result, oxygen-carrying capacity of haemoglobin decreases and the blood becomes
oxygen-deficient. This leads to suffocation and even death depending upon the
concentration of CO in the blood.
References:
1. Benignus,
V.A., M.J. Hazucha, M.V. Smith, and P.A. Bromberg. 1994. Prediction of
carboxyhemoglobin formation due to transient exposure to carbon monoxide. J.
Appl. Physiol. 76(4):1739-1745.
2. Bruce,
M.C., and E.N. Bruce. 2006. Analysis of factors that influence rates of carbon
monoxide uptake, distribution, and washout from blood and extravascular tissues
using a multicompartment model. J. Appl. Physiol. 100(4):1171-1180.
3. Hampson
NB, Bodwin D. Toxic CO-ingestions in intentional carbon monoxide poisoning. J
Emerg Med 2013; 44:625–630.
4. Goldbaum
LR, Orellano T, Dergal E. Mechanism of the toxic action of carbon monoxide. Ann
Clin Lab Sci 1976;6:372–376.
5. Turner
M, Hamilton-Farrell MR, Clark RJ. Carbon monoxide poisoning: an update. J Accid
Emerg Med 1999; 16:92–96.