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Pediatrik Zehirlenmelerde Yoğun Bakım Yönetimi

Year 2020, Volume: 1 Issue: özel sayı, 6 - 13, 15.06.2020

Abstract

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

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
Year 2020, Volume: 1 Issue: özel sayı, 6 - 13, 15.06.2020

Abstract

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
There are 17 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Research Articles
Authors

Mehmet Semih Demirtaş

Publication Date June 15, 2020
Submission Date February 3, 2020
Acceptance Date February 5, 2020
Published in Issue Year 2020 Volume: 1 Issue: özel sayı

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