Canan Akman

By Ozgur Karcioglu and Canan Akman

Part of the book: Contemporary Approach to Trauma and Emergency Surgery

By Özgür Karcıoğlu, Canan Akman and Neslihan Ergün Süzer

Part of the book: Up-to-Date Approach to Blood Gas Analysis

By Canan Akman, Neslihan Ergün Süzer and Özgür Karcıoğlu

Intoxication with methanol and other toxic alcohols remains a major public health issue in most parts of the world. Recognition of pathological mechanisms and outcomes that can be encountered following methanol intake is necessary for all healthcare providers. Symptoms begin as early as half an hour and if there is no treatment, progress to decompensate metabolic acidosis within 12 hours. Seizures, acidosis, hypoglycemia, and blindness often complicate the picture. Acute kidney injury requires emergency hemodialysis. General and fundoscopic examination, biochemistry, and arterial blood gas analysis comprise the main diagnostic arsenal. Intravenous sodium bicarbonate, correction of electrolyte imbalance, ethanol, folate/leucovorin, and hemodialysis are crucial agents for effective treatment in selected patients with specific indications. The basic steps in the management are initiated in the prehospital area, emergency department, and intensive care unit and should be closely monitored for the prevention of long-term sequelae. This chapter is intended to summarize the clinical presentation and emergency management of these cases within the framework of basic physiological and biochemical events that follow toxic alcohol consumption including methanol.

Part of the book: Up-to-Date Approach to Blood Gas Analysis

By Canan Akman, Göksu Afacan Ozturk, Feride Sinem Akgun, Bilgen Ozkaya and Ozgur Karcıoglu

Cellular and humoral immune impairments develop following a disruption in systemic defense, which can be primary or acquired. Infectious and non-infectious lung problems may develop in immunosuppressed patients (ISP). Pneumonia is frequently seen in patients whose local or systemic defense mechanisms are impaired for any reason. In addition to treating lung diseases, the correct management of comorbid and underlying diseases is essential in these patients. A thorough understanding of the importance of bacterial pneumonia in ISP will be valuable for the correct diagnosis and management. Pseudomonas aeruginosa is a gram-negative bacterial agent that causes nosocomial pneumonia and various infections in ISP, as well as in those with structural lung disease. Preventive measures, including vaccination practices against viruses and Streptococcal disease, impacted the morbidity and mortality. This chapter aimed to systematically summarize and review current data on the diagnosis and management of pneumonia and related processes in ISP.

Part of the book: Current Approach to Acute and Emergency Infections

By Canan Akman, Göksu Afacan Ozturk and Ozgur Karcıoglu

Part of the book: Current Approach to Acute and Emergency Infections