Could NCM-3S be Used in the Intubation Decision of Patients Showing Toxicity Findings After Synthetic Cannabinoid Abuse?

Abstract

Objectives: We aimed to evaluate the need for endotracheal intubation of patients with NCM scoring system we developed by using findings of examinations, vital parameters, and results of blood gas tests of the patients coming to the emergency room with acute toxicity caused by synthetic cannabinoid. Method: Information regarding the 140 patients (out of all 319905 patients coming to the ER in 1 year) between the ages of 15-65, showing findings of acute toxicity caused by synthetic cannabinoid, such as complaints at first admission, sex, demographic characteristics, vital signs, examination findings, results of performed imaging and lab tests, administered treatments, information on the service in which the patients stay or are referred are all retrospectively reviewed. The ones who need intubation are evaluated under risky patient group (RPG) while the ones that have been discharged from the ER are evaluated as non-risk group (NRPG). Findings: When the intubation need of the patients is reviewed, it has been seen that there is statistically significant difference in the respiratory rate measured in the ER, systolic blood pressure, O2 saturation, Glasgow coma score, PCO2 values and pulse rate of patients in the risk group. NCM-3S scoring has been created to evaluate the intubation need of patients showing acute toxicity of synthetic cannabinoid. Conclusion: It has been concluded that NCM-3S score, which we created using pulse rate, systolic blood pressure, respiratory rate, fingertip oxygen saturation, mental state and PCO2 values of patients showing signs of acute toxicity of synthetic cannabinoid in the ER, can be used in projecting the intubation need of patients. Keywords: Synthetic cannabinoid, emergency service, symptom and findings

Keywords

• Synthetic cannabinoid,emergency service,symptom and findings

Abstract

Amaç: Acil servise sentetik kannabinoid akut toksisitesi ile başvuranlarda; muayene bulguları, vital parametreleri ve kan gazı test sonuçlarına göre geliştirdiğimiz NCM skorlama sistemi ile hastaların endotrakeal entübasyon ihtiyacını değerlendirmeyi amaçladık.
Metod: Acil servise 1 yıl boyunca başvuran 319905 hastadan sentetik kannabinoid akut toksisite bulguları gösteren 15- 65 yaş aralığındaki 140 hastanın başvuru şikayetleri, cinsiyeti, demografik özellikleri, vital bulguları, muayene bulguları, yapılmış olan görüntüleme ve laboratuar testleri, uygulanan tedavi, yattığı veya sevk edildiği bölüm bilgileri retrospektif olarak incelendi. Entübasyon ihtiyacı olan hastalar riskli hasta grubu olarak, acil servisden taburcu olan hastalar riskli olmayan grup olarak değerlendirildi.
Bulgular: Hastaların entübasyon ihtiyacını değerlendirmek için Riskli hasta grubunda acil serviste ölçülen solunum sayısı, sistolik kan basıncı, saturasyon O2, Glaskow koma skoru, PCO2 değeri ve nabız dakika sayısında istatistiksel olarak anlamlı fark tespit edildi. Sentetik kannabinoid akut toksisitesi gösteren hastaların entübasyon ihtiyacını değerlendirmek için NCM-3S skorlaması oluşturuldu.
Sonuç: Acil serviste Sentetik kannabinoid akut toksisite bulguları gösteren hastalarda ölçülen nabız dakika sayısının, sistolik kan basıncının, solunum sayısının, parmak ucu sat O2 değerinin, mental durumunun, PCO2 değeri ile oluşturduğumuz NCM-3S skorunun hastaların entübasyon ihtiyacını öngörmede kullanılabileceği sonucuna varılmıştır.. 

Keywords

• Sentetik kannabinoid,acil servis,semptom ve bulgular

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