Abstract:

Sionide is historically known as a powerful poisonous that is rapidly effective, even in small doses, causing fatal consequences. This is the case in the last 10 years of S.B.U. Reactive Education and Research Hospital Anesthesiology and Rehabilitation Intensive Care for Cyanide Intoxication 5 events that we accept; monitoring and treatment in Intensive Care is evaluated with the aim of creating recommendations in the literature for the prevention of deaths associated with Cyanide Intoxication. Tools and Methods: S.B.U. Reactive Education Research Hospital Non-Enterprise Ethics Council approved after the March 2012 to March 2023 due to cyanide intoxication, we conducted a retrospective observational electronic case note examination of patients accused of anesthesiology intensely. Results: In the last 11 years, four of our intensive care facts have been in a total of five incidents that have been diagnosed with cianide poisoning due to one of the occupational exposures. There was a change in oxygen need in all cases. After exposure to all cases, resuscitation, decontamination and antidote treatment were applied. In the first case, an abnormal discovery was not found in the laboratory examinations except the CRP height. In the second case, antidot therapy was applied for the second time due to troponin height. In the third case, the height of a moderate tropon was determined. In the fourth case, no abnormal findings were found in routine examinations. The fifth phenomenon was taken for the purposes of the oral sianide after hypoxia associated with multiple organ insufficiency and shock table. The result: Syanide poisoning is not a common condition. The risk of mortality is high. Early diagnosis, timely start of appropriate treatment affects mortality and morbidity. In our cases, the diagnosis was early, the treatment began in the right time. We believe that early application after antidote transport and exposure reduces mortality and morbidity.

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