Respiratory Failure Related to Smoking Tainted ("wet" or "fry") Marijuana Cigarettes

[Emily]

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3568288/#r1-14

Tex Heart Inst J. 2013; 40(1): 64?67.
PMCID: PMC3568288
?Smoking Wet?
Respiratory Failure Related to Smoking Tainted Marijuana Cigarettes
Christopher R. Gilbert, DO, Michael Baram, MD, FCCP, and Nicholas C. Cavarocchi, MD, FACS
Departments of Pulmonary and Critical Care Medicine (Drs. Baram and Gilbert) and Cardiothoracic Surgery (Dr. Cavarocchi), Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107

Copyright ? 2013 by the Texas Heart? Institute, Houston

Abstract

Reports have suggested that the use of a dangerously tainted form of marijuana, referred to in the vernacular as ?wet? or ?fry,? has increased. Marijuana cigarettes are dipped into or laced with other substances, typically formaldehyde, phencyclidine, or both. Inhaling smoke from these cigarettes can cause lung injuries.

We report the cases of 2 young adults who presented at our hospital with respiratory failure soon after they had smoked ?wet? marijuana cigarettes. In both patients, progressive hypoxemic respiratory failure necessitated rescue therapy with extracorporeal membrane oxygenation. After lengthy hospitalizations, both patients recovered with only mild pulmonary function abnormalities.

To our knowledge, this is the first 2-patient report of severe respiratory failure and rescue therapy with extracorporeal oxygenation after the smoking of marijuana cigarettes thus tainted. We believe that, in young adults with an unexplained presentation of severe respiratory failure, the possibility of exposure to tainted marijuana cigarettes should be considered.

Full text at link courtesy of Texas Heart Institute. :tiphat: