Respir Case Rep. 2024; 13(1): 48-52 | DOI: 10.5505/respircase.2024.15679

Boðulmaya Baðlý Kardiyojenik Olmayan Akciðer Ödeminin Tanýsýnda POCUS'un Faydasý: Olgu Sunumu

Ýsmail Erkan Aydýn, Nalan Kozaci
Alanya Alaaddin Keykubat Üniversitesi, Týp Fakültesi, Acil Týp Anabilim Dalý, Antalya

Boðulma sonucu, nonkardiyojenik pulmoner ödem, akut solunum sýkýntýsý sendromu ve pnömoni gibi solunum komplikasyonlarý sýklýkla görülmektedir. Denizde boðulma sonucu kardiyopulmoner arrest olarak acil servise getirilen 37 yaþýndaki erkek hastanýn özgeçmiþinde ek hastalýk yoktu. Kardiyopulmoner resüsitasyonun 12. dakikasýnda spontan dolaþým geri döndü. Yatak baþý yapýlan nokta bakým ultrasonunda (POCUS) sað akciðer 2. 3. 4. 5. 6 zonda ve sol akciðerde 3. 4. 5. 6. zonda aðýrlýklý olmak üzere multiple ve confluent B çizgileri, plevral çizgide düzensizlik, A çizgilerinde kaybolma, subplevral hypoecoik alan görüldü. POCUS bulgularýna göre ventilatör modu ve ayarlarý düzenlendi. POCUS acil servislerde, boðulmaya baðlý nonkardiyojenik pulmoner ödemin tanýsýnda ve bu hastalarýn yönetiminde güvenle kullanýlabilir.

Anahtar Kelimeler: Boðulma, Nokta bakým ultrasonu, POCUS, Pulmoner ödem.

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Utility of POCUS in the Diagnosis of Drowning-related Noncardiogenic Pulmonary Edema: A Case Report

Ýsmail Erkan Aydýn, Nalan Kozaci
Department of Emergency Medicine, Alanya Alaaddin Keyku-bat University, Facult of Medicine, Antalya, Türkiye

Respiratory complications such as noncardiogenic pulmonary edema, acute respiratory distress syndrome and pneumonia are frequently seen in drowning. No additional disease was noted in the history of a 37-year-old male patient who was brought to the emergency department with cardiopulmonary arrest after drowning at sea. Spontaneous circulation returned following 12 minutes of cardiopulmonary resuscitation. Bedside point-of-care ultrasound (POCUS) revealed multiple and confluent B lines, an irregularity on the pleural line, disappearance in the A-lines, and subpleural hypoechoic areas predominantly in the 2nd, 3rd, 4th and 6th zones of the right lung and the 3rd, 4th and 6th zones of the left lung. The ventilator mode and settings were adjusted according to the POCUS findings, being a safe option in emergency departments for the diagnosis of noncardiogenic pulmonary edema due to drowning and for the management of such patients.

Keywords: Drowning, Point-of-care ultrasonography, POCUS, Pulmonary edema.

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ATIF KOPYALA