Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Intossicazione da monossido di carbonio

Carbon monoxide poisoning

Flavio Quarantiello, Federica Gallicola, Laura Timpone

UOC di Pediatria e Adolescentologia, AO “G. Rummo”, Benevento

Febbraio 2019 - pagg. 83 -90

Abstract
Carbon monoxide (CO) poisoning is one of the main causes of poisoning and death due to intoxication in nowadays society because of the characteristics of this gas, which make it unidentifiable in the environment, and of the many possible sources of production (heating systems, motor vehicles and fires). It is important to recognise the symptoms associated with exposure to CO to be able to take action in the shortest time possible and effectively, thus avoiding complications not only in the short but also in the long term. The present article reports the recommendations for a prompt diagnosis and a correct management of carbon monoxide poisoning, paying particular attention to possible long-term sequelae.
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Bibliografia
1. Centers for Disease Control and Prevention (CDC). Nonfatal, unintentional, non-firerelated carbon monoxide exposures - United States, 2004-2006. MMWR Morb Mortal Wkly Rep 2008;57(33):896-9. 2. Istituto Superiore di Sanità. Problematiche relative all’inquinamento indoor: attuale situazione in Italia. Istituto Superiore di Sanità. Atti del workshop. Roma, 25 giugno 2012. 3. Weaver LK. Carbon monoxide poisoning. N Engl J Med 2009;360(12):1217-25. 4. Gozubuyuk AA, Dag H, Kacar A, Karakurt Y, Arica V. Epidemiology, pathophysiology, clinical evaluation, and treatment of carbon monoxide poisoning in child, infant, and fetus. North Clin Istanb 2017;4(1):100-7. 5. Hampson NB, Piantadosi CA, Thom SR, Weaver LK. Practice recommendations in the diagnosis, management, and prevention of carbon monoxide poisoning. Am J Respir Crit Care Med 2012;186(11):1095-101. 6. Hampson NB, Dunn SL; UHMCS/CDC CO Poisoning Surveillance Group. Symptoms of carbon monoxide poisoning do not correlate with the initial carboxyhemoglobin level. Undersea Hyperb Med 2012;39(2):657- 65. 7. Damlapinar R, Arikan FI, Sahin S, Dallar Y. Lactate level is more significant than carboxihemoglobin level in determining prognosis of carbon monoxide intoxication of childhood. Pediatr Emerg Care 2016;32(6): 377-83. 8. Teksam O, Gumus P, Bayrakci B, Erdogan I, Kale G. Acute cardiac effects of carbon monoxide poisoning in children. Eur J Emerg Med 2010;17(4):192-6. 9. Moher D, Schulz KF, Altman D. The CONSORT statement: revisited reccomandations for improving the quality of reports of parallel- group randomized trials. Lancet 2001;357 (9263):1191-4. 10. Weaver LK, Hopkins RO, Chan KJ, et al. Hyperbaric oxygen for acute carbon monoxide poisoning. N Engl J Med 2002;347:1057- 67. 11. Gussow L. Carbon monoxide, poisoning. In: Schaider JJ, Hayden SR, Wolfe RE, Barkin RM, Rosen P (eds). 5-minute Emergency Medicine consult. 2nd ed. Lippincott Williams and Wilkins, 2003, pag.178-9. 12. Philips SD, Dart RC. Carbon monoxide. In: Dart RC, Kuffner EK (eds). 5-minute Toxicology consult. 1st ed. Lippincott Williams and Wilkins, 2000, pag. 304-7. 13. Locatelli CA, Lonati D, Giampreti A, et al.; SIMEUP. Linee guida su intossicazione da monossido di carbonio in età pediatrica. 2017. http://www.simeup.it/wp-content/ uploads/2017/05/Linee-guida-su-intossicazione- da-CO.pdf. 14. Mordacci M, Vezzani G. Linee guida SIMSI/SIAARTI/ANCIP per il trattamento con ossigeno iperbarico della intossicazione acuta da CO. Medicina subacquea e iperbarica 2007;2:42-4. 15. Petrolini V, Bigi S, Vecchio S, et al. Il monossido di carbonio: “killer silenzioso” e “grande imitatore”. Emergency Care Journal 2008;4(2):20-5. 16. Cho CH, Chiu NC, Ho CS, Peng CC. Carbon monoxide poisoning in children. Pediatr Neonatol 2008;49(4):121-5. 17. Yarar C, Yakut A, Akin A, Yildiz B, Dinleyici EC. Analysis of the features of acute carbon monoxide poisoning and hyperbaric oxygen therapy in children. Turk J Pediatr 2008;50(3):235-41. 18. Moon JM, Chun BJ, Shin MH, Lee SD. Serum N-terminal proBNP, not troponin I, at presentation predicts long term neurologic outcome in acute charcoal burning carbon monoxide intoxication. Clin Toxicol (Phila) 2018;56(6):412-20.

Corrispondenza: flavio.quarantiello@gmail.com