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    Hydrothorax caused by catheter malposition misdiagnosed via using plain radiography
    (2017) Ergul, Ayse Betul; Ozcan, Alper; Altuner Torun, Yasemin
    We report the case of a child with hydrothorax caused by the misidentification of catheter malposition using plain radiography. A 9-month-old girl underwent central venous catheterization via the right subclavian vein. Catheter tip was evaluated mistakenly as in the right atrium by plain radiography. The catheter was retracted 2 cm and 1/3 normal saline infusion was initiated at 15 ml/hr. The patient became hypoxemic at the 20th hour of fluid infusion. On radiography, the right lung was completely opaque and the catheter tip was positioned in the right lung. Bedside sonography revealed a massive pleural effusion in the right lung and the catheter tip in the right pleural space. The catheter was removed and the pleural effusion was drained via chest tube. The location of the catheter tip should be determined by an accurate technique before infusing fluid. Plain radiography can be misleading for the detection of malposition.
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    Phenotype frequencies of blood group systems and alloantibodies to red blood cells in blood transfusion recipients in Kayseri (Turkey)
    (2017) Altuner Torun, Yasemin; Kaynar, Leylagül; Karakukcu, Cigdem; Yay, Mehmet; Ergul, Ayse Betul; Turanoglu, Cem; Cetin, Mustafa; Eser, Bülent
    Aim: In this study, we aimed to asses the antigen and phenotype frequencies of various blood groups among recipients of erythrocyte suspensions in Kayseri. Material and Methods: The study was conducted as retrospective, cross sectional and multicenter study. In all, 48750 blood recipients old typed in terms of the ABO, Rh, MNS, Duffy, Lewis, P, Kell, Lutheran, and Kidd systems were subjected to erythrocyte phenotyping using a gel centrifugation method within the age group of 18-60 years. Results: Of the ABO blood group, A was most frequent (44%) followed by O, B, and AB (30.3%, 16.2%, and 6.5%, respectively). The frequencies of Rh antigens were 88% D-positive and 12% D-negative. Alloantibodies were detected by screening in 196 (0.4%) of 48,750 patients, and decreased in the order anti-E (62%), -C (43%), -D (42%), -C (11%), -c (11%), -e (8%), -M (7%), -Fy a (5%), -Jk a (5%), -Kp a (4%), -Le a (3%), -Jk b (2%) ,-S (2%), -Le b (1%), and -P (1%). The most frequently detected alloantibodies were anti-E (31.6%) and -K (21.9%). Conclusion: Knowledge of the phenotypic frequencies of red blood cell antigens allows the creation of banks of appropriate antigennegative blood, thus preventing transfusion reactions in patients requiring multiple transfusions or who express alloantibodies.
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    Succesful treatment of extravasation injury with topical heparinoid in a pediatric patient
    (2017) Ozcan, Alper; Ergul, Ayse Betul; Akbiyik, Demet; Altuner Torun, Yasemin