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Aktif kömür tedavisine bağlı akciğer aspirasyonu

Year 2009, Volume: 16 Issue: 2, 29 - 31, 30.06.2009

Abstract

Akut zehirlenmelerde koruyucu hava yolu reflekslerinin kaybı nedeniyle akciğer aspirasyonu görülebilir. Aspire edilen aktif kömür havayolu obstrüksiyonu nedeniyle solunum sıkıntısı yaratabilir.
Biz de akut zehirlenme nedeniyle acil serviste nazogastrik yolu ile aktif kömür verilen, nakil esnasında nazogastrik sondası çıkan ve aktif kömür aspirasyonuna bağlı 'aspirasyon pnömonisi - kimyasal pnömonit' gelişen olgumuzu sunacağız.
Anahtar kelimeler: Akut zehirlenme; aktif kömür, aspirasyon pnömonisi.

Abstract

Pulmonary aspiration during treatment by activated charcoal

Pulmonary aspiration may be seen in acute intoxication because of loss of protective airway reflexes. Activated charcoal which is aspirated can cause respiratory distress obstruction of the airway.
We will present our a case with “aspiration pnömonia-chemical pnömonitis'' due to aspiration of activated charcoal” which is given by nasogastric way in emergency service and gone out of nasogastric tube during transferring.
Key words: Acute intoxication; activated charcoal, aspiration pnömonia.

References

  • Andiran N, Sarikayalar F. Pattern of acute poisonings in childhood in Ankara: what has changed in twenty years? Turk J Pediatr 2004;46:147-52.
  • Tufekci IB, Curgunlu A, Sirin F. Characteristics of acute adult poisoning cases admitted to a university hospital in Istanbul. Hum Exp Toxicol 2004;23:347- 51.
  • Burns MM. Activated charcoal as the sole intervention for treatment after childhood poisoning. Curr Opin Pediatr 2000;12:166-71.
  • Dorrington CL, Johnson DW, Brant R. Multiple Dose Activated Charcoal Complication Study Group. Ann Emerg Med 2003;41(3):370-7.
  • Nesher E, Schreiber L, Werbin N. Dis Colon Rectum 2006;49(4):527-9.
  • Green JP, McCauley W. CJEM 2006;8(5):358-60.
  • Osterhoudt KC, Alpern ER, Durbin D, Nadel F, Henretig FM. Pediatr Emerg Care 2004;20(8):493-8.
  • Sood BP, Sodhi KS, Khandelwal N, Suri S. J Emerg Med 2002;22(3):293.
  • Litovitz TL, Klein-Schwartz W, Caravati EM, Youniss J, Crouch B, Lee S.1998 annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med 1999;17:435- 87.
  • Arnold TC, Willis BH, Xiao F, Conrad SA, Carden DL. Aspiration of activated charcoal elicits an increase in lung microvascular permeability. J Toxicol Clin Toxicol 1999;37:9-16.
  • Dorrington CL, Johnson DW, Brant R; Multiple Dose Activated Charcoal Complication Study Group. Ann Emerg Med 2003;41(3):370-7.
  • Hack JB, Gilliland MG, Meggs WJ. Ann Emerg Med 2006;48(5):522-31.
  • Godambe SA, Mack JW, Chung DS, Lindeman R, Lillehei CW, Colin AA. Pediatr Pulmonol 2003;35(6):490-3.
  • Harris CR, Filandrinos D. Accidental administration of activated charcoal into the lung: aspiration by proxy. Ann Emerg Med 1993;22:1470-3.
  • Golej J, Boigner H, Burda G, Hermon M, Trittenwein G. Severe respiratory failure following charcoal application in a toddler. Resuscitation 2001;49:315-8.
  • Graff GR, Stark J, Berkenbosch JW, Holcomb GW 3rd, Garola RE. Pediatrics 2002;109(5):959-61.
  • George DL, McLeod R, Weinstein RA. Contaminated commercial charcoal as a source of fungi in the respiratory tract. Infect Control Hosp Epidemiol 1991;12:732-4.
  • Lee AG, Wagner FM, Chen MF, Serrick C, Giaid A, Shennib H. A novel charcoal-induced model of obliterative bronchiolitis-like lesions: implications of chronic nonspecific airway inflammation in the development of posttransplantation obliterative bronchiolitis. J Thorac Cardiovasc Surg 1998;115:822- 7.
Year 2009, Volume: 16 Issue: 2, 29 - 31, 30.06.2009

Abstract

References

  • Andiran N, Sarikayalar F. Pattern of acute poisonings in childhood in Ankara: what has changed in twenty years? Turk J Pediatr 2004;46:147-52.
  • Tufekci IB, Curgunlu A, Sirin F. Characteristics of acute adult poisoning cases admitted to a university hospital in Istanbul. Hum Exp Toxicol 2004;23:347- 51.
  • Burns MM. Activated charcoal as the sole intervention for treatment after childhood poisoning. Curr Opin Pediatr 2000;12:166-71.
  • Dorrington CL, Johnson DW, Brant R. Multiple Dose Activated Charcoal Complication Study Group. Ann Emerg Med 2003;41(3):370-7.
  • Nesher E, Schreiber L, Werbin N. Dis Colon Rectum 2006;49(4):527-9.
  • Green JP, McCauley W. CJEM 2006;8(5):358-60.
  • Osterhoudt KC, Alpern ER, Durbin D, Nadel F, Henretig FM. Pediatr Emerg Care 2004;20(8):493-8.
  • Sood BP, Sodhi KS, Khandelwal N, Suri S. J Emerg Med 2002;22(3):293.
  • Litovitz TL, Klein-Schwartz W, Caravati EM, Youniss J, Crouch B, Lee S.1998 annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med 1999;17:435- 87.
  • Arnold TC, Willis BH, Xiao F, Conrad SA, Carden DL. Aspiration of activated charcoal elicits an increase in lung microvascular permeability. J Toxicol Clin Toxicol 1999;37:9-16.
  • Dorrington CL, Johnson DW, Brant R; Multiple Dose Activated Charcoal Complication Study Group. Ann Emerg Med 2003;41(3):370-7.
  • Hack JB, Gilliland MG, Meggs WJ. Ann Emerg Med 2006;48(5):522-31.
  • Godambe SA, Mack JW, Chung DS, Lindeman R, Lillehei CW, Colin AA. Pediatr Pulmonol 2003;35(6):490-3.
  • Harris CR, Filandrinos D. Accidental administration of activated charcoal into the lung: aspiration by proxy. Ann Emerg Med 1993;22:1470-3.
  • Golej J, Boigner H, Burda G, Hermon M, Trittenwein G. Severe respiratory failure following charcoal application in a toddler. Resuscitation 2001;49:315-8.
  • Graff GR, Stark J, Berkenbosch JW, Holcomb GW 3rd, Garola RE. Pediatrics 2002;109(5):959-61.
  • George DL, McLeod R, Weinstein RA. Contaminated commercial charcoal as a source of fungi in the respiratory tract. Infect Control Hosp Epidemiol 1991;12:732-4.
  • Lee AG, Wagner FM, Chen MF, Serrick C, Giaid A, Shennib H. A novel charcoal-induced model of obliterative bronchiolitis-like lesions: implications of chronic nonspecific airway inflammation in the development of posttransplantation obliterative bronchiolitis. J Thorac Cardiovasc Surg 1998;115:822- 7.
There are 18 citations in total.

Details

Primary Language Turkish
Journal Section Case Reports
Authors

Füsun Eroğlu

Lütfi Yavuz This is me

Mehmet Topal This is me

Sinem Sarı Ak This is me

Berit Gökçe Ceylan This is me

Publication Date June 30, 2009
Submission Date October 30, 2009
Published in Issue Year 2009 Volume: 16 Issue: 2

Cite

Vancouver Eroğlu F, Yavuz L, Topal M, Sarı Ak S, Ceylan BG. Aktif kömür tedavisine bağlı akciğer aspirasyonu. Med J SDU. 2009;16(2):29-31.

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