Mehmet Acikgoz

Reliability of spot-check transcutaneous hemoglobin measurement in children.

This study investigated the correlation between spot‐check transcutaneous hemoglobin (Hb) and simultaneously measured venous Hb in children.

Severe Carbamazepine Intoxication in Children: Analysis of a 40-Case Series

Background We compared the factors that might impact the severity and the prognosis of carbamazepine (CBZ) intoxication in children, as well as the efficacy levels of the treatment options. Material/Methods Demographic information and clinical and laboratory findings for 40 patients were evaluated retrospectively. Predictive parameters for the development of serious complications were studied. Results Median age of patients was 14 years; 65% of the patients were female. The most common pathological clinical finding and laboratory abnormality were inability to awaken the patient and hyperglycemia (45% and 60%, respectively). The incidences of convulsion, coma, and respiratory failure were 14 (35%), 10 (25%), and 3 (7.5%), respectively. The Glasgow Coma Scale (GCS) scores and pH levels at emergency service admission were significantly lower in the severe intoxication group and the ICU admission group, and body temperature and serum glucose and lactate levels were significantly higher in these groups. A significantly negative correlation was found between the serum CBZ level and the GCS score, but the serum CBZ level was found to be significantly positively correlated with the lactate level. Conclusions According to our study, the GCS score at admission to hospital, the serum CBZ, glucose, pH, and lactate levels, and body temperature might be useful in predicting serious CBZ intoxication and prognosis in pediatric cases. We conclude that invasive treatment methods, such as hemodialysis or albumin-enhanced continuous venovenous hemodialysis, should be used in patients who do not respond to supportive treatment.

A university experience in foreign body aspiration

Atakan Comba, Özlem Yüce, Ahmet Güzel, Mehmet Açıkgöz, Mithat Günaydın, Ayhan Gazi Kalaycı Ondokuz Mayıs Üniversitesi Tıp Fakültesi Çocuk Gastroenteroloji Hepatoloji ve Beslenme Bilim Dalı, Samsun, Türkiye Ondokuz Mayıs Üniversitesi Tıp Fakültesi Çocuk Acil Bilim Dalı, Samsun, Türkiye Ondokuz Mayıs Üniversitesi Tıp Fakültesi Çocuk Cerrahisi ve Ürolojisi Anabilim Dalı, Samsun, Türkiye A University Experience in Foreign Body Aspiration