Pediatrik Zehirlenmelerde Yoğun Bakım Yönetimi

Mehmet Semih Demirtaş

Pediatrik Zehirlenmelerde Yoğun Bakım Yönetimi

Öz

Zehirlenme dünya çapında görülen yaygın bir tıbbi acil durumdur ve özellikle çocuklarda özel tanı ve tedavi problemleri ortaya çıkarabilmektedir. Zehirlenme olgularının yaklaşık üçte ikisini çocukluk yaş grubu oluşturmaktadır ki bununda %80’ ini 5 yaş altındaki çocuklar oluşturur (1). Diğer grup ise 14-18 yaş arası adölesan grup oluşturmaktadır. Gelişmiş ülkelerde çocuk ölümlerinin %2’si; gelişmekte olan ülkelerde %5’den fazlası zehirlenmeler sonucu görülür. Başlangıçta asemptomatik zehirlenen bir hastanın daha sonra kliniğinde bozulma görülebileceği unutulmamalıdır

Anahtar Kelimeler

References

1. Lee J, Fan NA, Yao TC, Hsia SH, Lee EP, Huang JL, et al. Clinical spectrum of acute poisoning in children admitted to the pediatric emergency department. Pediatrics and Neonatology. 2018:1-9. DOI: 0.1016/j.pedneo.2018.04.001
2. Even KM, Armsby CC, Bateman ST. Poisonings requiring admission to the pediatric intensive care unit: A 5-year review. Clinical Toxicology (Philadelphia, PA);52(5):519-524. DOI: 10.3109/15563650.2014.909601.
3. Nazan Ülgen Tekerek, Adem Dursun, Başak Nur Akyıldız. Çocuk Yoğun Bakım Ünitesinde Takip Edilen Zehirlenme Olgularının Geriye Dönük Değerlendirilmesi. J Pediatr Emerg Intensive Care Med 2016; 3: 21-26
4. McKay CA. Toxin-induced respiratory distress. Emergency Medicine Clinics of North America. 2014;32(1):127-147. DOI: 10.1016/j.emc.2013.09.003
5. Madden MA. Pediatric toxicology: Emerging trends. Journal of Pediatric. Intensive Care. 2015;4:103-110. DOI: 10.1055/s-0035-1556753
6. Kirk MA. Use of the intensive care unit. In: Nelson LS, Lewin NA, Howland MA, Hoffman RS, Goldfrank LR, Flomenbaum NE, editors. Goldfrank's Toxicologic Emergencies. New York: McGraw Hill Medical; 2011. pp. 148-154
7. de Lange DW. Treatment of acute respiratory distress syndrome in the poisoned patient. In: Brent J, Burkhart K, Dargan P,Hatten B, Megarbane B, Palmer R, White J, editors. Critical Care Toxicology. Diagnosis and Management of the Critically Poisoned Patient. 2nd ed. Switzerland: Springer International Publishing AG; 2017. pp. 359-384
8. Ahmad J, Ahmed K, Gattoo IA, Mir MY, Maqbool M, Baba AR. Non traumatic coma in children: A prospective observational study. International Journal of Contemporary Pediatrics. 2015;2(2):77-84. DOI: 10.5455/2349-3291.ijcp20150504

9. McKay CA. Toxin-induced respiratory distress. Emergency Medicine Clinics of North America. 2014;32(1):127-147. DOI: 10.1016/j. emc.2013.09.003
10. Gorguner M, Akgun M. Acute inhalation injury. Eurasian Journal of Medicine. 2010;42:28-35. DOI: 10.5152/ eajm.2010.09
11. Joshi P, Ross MP. Intensive care pediatric poisoning cases. In: Brent J, Burkhart K, Dargan P,Hatten B, Megarbane B, Palmer R, White J, editors. Critical Care Toxicology. Diagnosis and Management of the Critically Poisoned Patient. 2nd ed. Switzerland: Springer International Publishing AG; 2017. pp. 205-222
12. Konca C, Yildizdas RD, Sari MY, Yükselmis U, Horoz OO, Yilmaz HL. Evaluation of children poisoned with calcium channel blocker or beta blocker drugs. Turkish Archives of Pediatrics. 2013;48:138-144. DOI: 10.4274/tpa.133.
13. Karturi SP, Gudmundsson H, Akhtar M, Jahangir A, Choudhuri I. Spectrum of cardiac manifestations from aconitine poisoning. HeartRhythm Case Reports. 2016;2(5):415-420. DOI: 10.1016/j.hrcr.2016.05.007
14. De Paepe P, Lemoyne S, Buylaet W. Disorders of consciousness induced by intoxication. Neurologic Clinics. 2012;30:359-384. DOI: 10.1016/j. ncl.2011.10.003
15. Finkelstein Y, Hutson R, Freedman SB, Wax P, Brent J. Drug-induced seizures in children and adolescents presenting for emergency care: Current and emerging trends. Clinical Toxicology. 2013;51:761-766
16. Bauchman TE, Ferris ME. Management of toxic ingestion with the use of renal replacement therapy. Pediatric Nephrology. 2011;26(4):535-541. DOI: 10.1007/ s00467-010-1654-3
17. Gugelmann H, Benowitz N. Cardiac conduction and rate disturbances. In: Brent J, Burkhart K, Dargan P, Hatten B, Megarbane B, Palmer R, White J, editors. Critical Care Toxicology. Diagnosis and Management of the Critically Poisoned Patient. 2nd ed. Switzerland: Springer International Publishing AG; 2017. pp. 475- 508

Details

Primary Language

Turkish

Subjects

Clinical Sciences

Journal Section

Conference Paper

Authors

Mehmet Semih Demirtaş ^*
Türkiye

Publication Date

June 15, 2020

Submission Date

February 3, 2020

Acceptance Date

February 5, 2020

Published in Issue

Year 2020 Volume: 1 Number: özel sayı

IZ

https://izlik.org/JA82UE97TH

Cite

RIS / Bibtex