ĐÁNH GIÁ SỰ BIẾN ĐỔI VÀ VAI TRÒ TIÊN LƯỢNG CỦA NỒNG ĐỘ SpCO VÀO VIỆN TRÊN BỆNH NHÂN BỎNG HÔ HẤP
Main Article Content
Abstract
Objectives: To assess the correlation of SpCO concentration at hospital admission with emergency methods and respiratory index of inhalation injury patients. To evaluate the prognostic role of SpCO concentration in mortality of inhalation injury patients. Methods: Prospective study describing longitudinal follow-up of 76 respiratory burn patients diagnosed with carbon monoxide (CO) poisoning using SpCO meter. Results: The average SpCO index upon admission in respiratory burn patients with poisoning was 15.7 ± 4.14%. Respiratory indexes of poisoned patients include SpO2 97.04 ± 3.5%, paO2 194.8 ± 127.4 mmHg. There was no difference in mortality in inhalation injury patients and CO poisoning (p=0.21). Conclusion: Inhalation injury patients have respiratory indexs that do not indicate hypoxia due to CO poisoning. SpCO index is not a risk factor affecting mortality in inhalation injury patients when treated according to protocol.
Article Details
Keywords
Ngộ độc carbon monoxide, Bỏng hô hấp
References
2. Feiner JR, Rollins MD, Sall JW, et al. Accuracy of carboxyhemoglobin detection by pulse co-oximetry during hypoxemia. Anesthesia & Analgesia. 2013; 117(4):847-858.
3. Mattiuzzi C and Lippi G. Worldwide epidemiology of carbon monoxide poisoning. Hum Exp Toxicol. 2020; 39(4):387-392.
4. Mehta SR, Das S, and Singh SK. Carbon monoxide poisoning. Medical Journal Armed forces India. 2007; 63(4):362-365.
5. Moon JM, Chun BJ, and Cho YS. Is an increased PaO2 in a normobaric state safe in acute CO poisoning? Basic Clin Pharma Tox. 2020; 126(5): 448-457.
6. Wise B and Levine Z. Inhalation injury. Canadian Family Physician. 2015; 61(1):47-49.
7. Nguyễn Như Lâm và cộng sự. Các yếu tố ảnh hưởng đến tử vong và vai trò tiên lượng của chỉ số rBAUX đối với bệnh nhân bỏng hô hấp. Tạp chí Y học Quân sự. 2021; (352):27-30.
8. Mackutwa EN, Khainga SO, Ndung’u JM, et al. Assessment of carbon monoxide inhalational poisoning in flame burned patients at a Kenyan National Hospital. Burns Open. 2021; 5(2):81-84.