%0 Journal Article
%T Carbon Monoxide Intoxication Treatment in Intensive Care; Retrospective Analysis of the Cases
%A G¨¹l£¿in Ayd£¿n
%J -
%D 2019
%X In this study, we aimed to determine the etiological and demographic characteristics of patients with carbon monoxide intoxication to reveal their relationship with the clinical findings, and to investigate the treatment processes and prognoses of these patients. A total of 63 patients diagnosed with carbon monoxide intoxication and hospitalized in the Department of Anesthesiology and Reanimation Intensive Care Unit between 2014 and 2017. The age avarage of the patients was 44,9. 32 patients were female and 31 patients were male. The avarage duration between exposion and reffering to emergency department was 6.22 hours. Initial COHb value avarage was 27%. Most common exposion to carbonmonoxide was 61,9% winter and common source of exposion was 93,7% heating stove. Avarage GCS at emergency admission was 14.13. Neuropsychiatric symptoms were observed in 79,4%, gastointestinal symptoms were observed in 36,5%, respiratory symptoms were observed in 15,9% and cardiovascular sympt£¿ms were observed in 11,1% of the patients. Two patients required mechanical ventilation, 57 patients required noinvasive mechanical ventilation and 12 patients required hyperbaric oxygen treatment. The avarage of GCS at discharge was 15. Hospital stay duration avarage was 1.71 days. Patients were divided into three groups according to their COHb levels at admission, COHb levels under 10% mild (Group 1), between 11-25% intermediate (Group 2), between 26-45% serious (Group 3) and over 41% very serious (Group 4). There were statistically significant difference between groups in means of ph levels, admission GCS, otologic symptoms, non-invasive mechanical ventilation requirement, SpO2 levels and CK, CK-MB levels. Patient were also divided into two groups according to their GCS scores at admission, Group A (GCS=15) and Group B (<15). There were statistically significant difference between groups in means of COHb levels at admission, cardiovascular symptoms, presence of comorbidities, respiratory symptoms, HBO requirement, CK and troponin levels and mechanical ventilation requirement. Patients who had hyperbaric oxygen treatment (Group I) and who had not hyperbaric oxygen treatment (Group II) were comperatively evaluated. Troponin-I (p=0,015) , CK (P=0,032) levels and mechanical ventilation requirement (p=0,003) were significantly higher but GCS scores (p<0,001) were significantly lower at Group I. At the same time a significant positive corelation between HBO treatment requirement and troponin,CK levels was found. As a result, management of the patients that diagnosed as carbon monoxide
%K Karbonmonoksit intoksikasyonu
%K karboksihemoglobin
%K hiperbarik oksijen tedavisi
%U http://dergipark.org.tr/otd/issue/35590/459264