Eski̇şehi̇r'de Karbonmonoksi̇t Zehi̇rlenmesi̇ne Bağli Ölümleri̇n 20 Yillik Anali̇zi̇

Yetiş, Yeşim; Karbeyaz, Kenan; Güneş, Ayhan

doi:10.30569/adiyamansaglik.401764

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…Çalışmamızda %51,8 etkilenme üç ve üzeri kişinin birlikte etkilenmesi sonucu gelişmiş ve erken başvuru ve uygun tedavi ile hastalar kurtarılabilmiştir. Eskişehir çevresinde adli ölümlerin incelendiği bir çalışmada 7512 adli ölümün 1072 si karbon monoksit zehirlenmesine bağlı olduğu kaydedilmiş %21,4 ü toplu vakalar olarak belirtilmiştir (15). Bu durum toplumsal bir sağlık sorunu olarak karbon monoksitin önemini pekiştirmektedir.…”

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Karbonmonoksit Zehirlenmesinde Hiperbarik Oksijen Tedavisinin Acil Servis İşleyişindeki Yeri

Eraybar

Yüksel

Atmaca

et al. 2021

Anatolian Journal of Emergency Medicine

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Aim:The aim of this study is to investigate the relationship between high carboxyhemoglobin (CoHb) levels and hyperbaricoxygen (HBO) treatment in acute carbonmonoxide (CO) poisoning.Material and Methods: Patients examined due to CO poisoning with a COHb level> 20 were evaluated retrospectively. In accordance to the CoHb levels after the treatment of patients with normobaric oxygen or HBO; duration of emergency stay, indications for HBO treatment, current clinical findings were evaluated.Results: While the CO source was coal stove in 66 cases (60%), 99.1% of the exposures occurred in the home environment. HBO therapy was applied in 20.9% (n: 23) patients. Indications for HBO treatment were syncope in 10 (9.1%) patients, blurred consciousness in 7 (6.4%), and cardiac toxicity in 2 (1.8%). A positive correlation was found between the arrival COHb values of the patients and their length of stay in the emergency room (p = 0,000).Conclusion: CO poisoning is a common emergency. Oxygen therapy with a reservoir mask is the main treatment in the emergency room and provides adequate treatment for the majority of patients. HBO treatment is not available in every center and emergency departments experience difficulties in terms of establishing correct indications. Regardless of COHb level, the patient should be evaluated clinically for HBO indication.

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Section: Bulgularunclassified

Karbonmonoksit Zehirlenmesinde Hiperbarik Oksijen Tedavisinin Acil Servis İşleyişindeki Yeri

Eraybar

Yüksel

Atmaca

et al. 2021

Anatolian Journal of Emergency Medicine

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Çocuk Acile Karbonmonoksit Zehirlenmesi ile Başvuran Hastaların Değerlendirilmesi

Tekeli

Bolat

Ünay

2022

Düzce Tıp Fakültesi Dergisi

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Aim: Carbon monoxide poisoning is one of the significant causes of intoxication and presentation to pediatric emergency departments, especially in winter. The primary aim of this study was to evaluate the demographic characteristics, and clinical and laboratory findings of pediatric patients who presented to the pediatric emergency department with carbon monoxide poisoning, and the secondary aim was to examine the laboratory values of the patients with impaired consciousness. Material and Methods: The demographic and clinical characteristics and laboratory values of 162 patients presented to the pediatric emergency department due to carbon monoxide poisoning between 2017 and 2020 were retrospectively analyzed. The laboratory parameters of the patients with and without symptoms of impaired consciousness were compared. Results: The mean age of the patients was 8.94±5.33 years, and the gender distribution was homogenous. The highest frequency of presentation was during winter. Nausea, vomiting, and headache were the most common symptoms. Fifteen of the patients had impaired consciousness. While the laboratory values of the patients were generally within normal ranges, patients with high carboxyhemoglobin, lactate, and troponin values, and low pH were encountered. The carboxyhemoglobin and lactate levels of patients with impaired consciousness were found to be significantly higher than the patients without impaired consciousness (p<0.001 and p=0.019, respectively). Conclusion: Elevated carboxyhemoglobin and lactate levels were associated with impaired consciousness. Although carboxyhemoglobin levels are important for diagnosis and clinical follow-up, they should not be used as the only marker. High lactate and troponin levels, and low pH should also be taken into account.

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Eski̇şehi̇r'de Karbonmonoksi̇t Zehi̇rlenmesi̇ne Bağli Ölümleri̇n 20 Yillik Anali̇zi̇

Cited by 2 publications

References 10 publications

Karbonmonoksit Zehirlenmesinde Hiperbarik Oksijen Tedavisinin Acil Servis İşleyişindeki Yeri

Karbonmonoksit Zehirlenmesinde Hiperbarik Oksijen Tedavisinin Acil Servis İşleyişindeki Yeri

Çocuk Acile Karbonmonoksit Zehirlenmesi ile Başvuran Hastaların Değerlendirilmesi

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