Factors that Affect Prognosis and Morbidity in Pediatric Patients with Carbon Monoxide Poisoning

Introduction:Carbonmonoxide poisoning continues to be a major health problem worldwide, especially in developing countries, and constitutes an important part of the patients admitted to the pediatric emergency clinics due to poisoning. The aim of this study was to evaluate the correlation between clinical severity, morbidity, hospital stay, intensive care need, and full systemic effects in patients who were followed up and treated for carbon monoxide poisoning in our pediatric emergency clinic.Methods:The study was performed between January 2013 and 2015. We included patients under 18 years of age who were admitted to the pediatric emergency with carbon monoxide poisoning. Assessments were made prospectively. The epidemiological characteristics, complaints, physical examination and vital findings of all patients were recorded. Carboxyhemoglobin (COHb) level, oxygen saturation, electrocardiography, complete blood count, liver and kidney functions, and cardiac enzymes were studied, and Glasgow Coma scale (GCS) was calculated.Results:The mean length of hospital stay for 232 patients was calculated as 7.08±1 hours and the mean duration of exposure to carbon monoxide gas was 3.17±2.5 hours. Higher COHb levels and cardiotoxicity were detected in patients with a longer duration of exposure and a lower GCS and an increased intensive care need (p<0.01). There was no correlation between COHb levels and clinical severity, GCS, or intensive care unit need. However, it was found that high COHb levels (especially above 30%) increased cardiac injury and neurological symptoms but did not cause a permanent sequela (p<0.05). None of the patients had permanent neurological, cardiac, or renal damage.Conclusion:We found that duration of exposure is the most important and accurate parameter for the evaluation of clinical course and morbidity. In patients with high COHb levels, the effects are more prominent, however, we considered that there was no change in sequelae at long-term follow up

Comparison of video laryngoscopy and direct laryngoscopy for inexperienced pediatric residents

Aim: Recent advances in video technology and fiber optic systems have resulted in the development of new intubation tools and technologies such as video laryngoscopes. It has been shown that as the number of endotracheal intubation attempts with conventional laryngoscopy increases, complications also increase. The aim of this study was to determine the factors affecting the successful use of video laryngoscopy on a child manikin and to compare the success rates of direct laryngoscopy and video laryngoscopy

Evaluation of endoscopy and pathology findings in pediatric patients with chronic dyspeptic complaints

Aim: Upper gastrointestinal system endoscopy findings serve as a basis for starting treatment based on the cause and severity of dyspepsia. Helicobacter pylori (H. pylori) is becoming prevalent in both pediatric and adult patients. We aim to evaluate and discuss the endoscopy and pathology findings in pediatric patients with chronic dyspeptic complaints

Coexistence of COVID-19 and AML-M5: A Pediatric Case Report

Coronavirus disease-2019 (COVID-19) is an infection that firstly reported in China and spread rapidly and caused a pandemic all over the world and still continues to spread. Although lung infection is the main factor affecting mortality, it can creates multisystemic involvement. Even though the clinical course is relatively mild in children, it is more severe in patients who have underlying chronic disease. A 16-year-old patient, who was previously followed up due to Familial Mediterranean Fever, was admitted to the emergency department with cough and respiratory distress, and in the evaluation of the patient, to the best our knowledge, the first case in the literature was diagnosed with pneumonia due to COVID-19 and AML-M5, simultaneously. Even if there are signs of viral infection and laboratory tests suggestive of COVID-19, the changes of hematological parameters should be examined in terms of malignancy