Author/Editor     Sinkovič, Andreja
Title     Sodobni pristop k zdravljenju težke akutne zastrupitve z ogljikovim monoksidom
Translated title     Contemporary treatment of acute severe carbon monoxide poisoning
Type     članek
Source     In: Križman I, editor. Interna medicina 2006: novosti in aktualnosti. Zbornik predavanj strokovnega sestanka Združenja internistov SZD, 2006 sep 29-30; Ljubljana. Ljubljana: Združenje internistov SZD,
Publication year     2006
Volume     str. 123-5
Language     slo
Abstract     Carbon monoxide (CO) poisoning is an important cause of mortality and late neurological sequelae such as memory loss, personality changes, psychosis, dementia, etc. In severe cases with coma and/or haemodynamic instability, irrespective of carboxyhemoglobin (COHb) level hyperbaric oxygen (HBO) therapy effectively prevents permanent neurological deficits . We also present two cases of severe CO poisoning with coma and shock syndrome, initially treated with normobaric oxygenation with 100% oxygen, later succssfully with HBO therapy. We concluded, that in severe CO poisoning, normobaric oxygen therapy and resuscitation by fluids, inotropic agents and catecholamines is essential for survival, but additional HBO therapy prevents major neurological sequelae.
Descriptors     CARBON MONOXIDE POISONING
HYPERBARIC OXYGENATION