Near Drowning and Adult Respiratory Distress Syndrome

Buggia, Micheal; Canham, Louisa; Tibbles, Carrie; Landry, Alden

doi:10.1016/j.jemermed.2014.01.014

Cited by 8 publications

(7 citation statements)

References 20 publications

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Patients suffering from near-drowning or drowning events may show rapid decompensation after an apparently normal presentation and unremarkable chest X-ray findings. 1 Aspiration of fluid into the lungs impairs pulmonary surfactant and interferes with alveolar function and can result in inflammation, edema, impaired gas exchange, and ultimately acute respiratory distress syndrome (ARDS). 2 Pneumonia is typically rare after a near-drowning event; however, early-onset pneumonia can occur as a result of chemical and microbiological contaminants in the water or as a result of aspirating gastric contents.

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mentioning

confidence: 99%

Fulminant Invasive Pulmonary Aspergillosis After a Near-Drowning Accident in an Immunocompetent Patient

et al. 2014

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confidence: 99%

Fulminant Invasive Pulmonary Aspergillosis After a Near-Drowning Accident in an Immunocompetent Patient

et al. 2014

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“…Aspiration of 1-3 ml/kg body weight of either salt or fresh water compromises the integrity of pulmonary surfactant leading to: alveolar collapse, atelectasis, noncardiogenic pulmonary edema, intrapulmonary shunting and ventilation-perfusion mismatch (V/Q), resulting in acute respiratory distress syndrome (ARDS). Profound hypoxia and metabolic and respiratory acidoses lead to cardiovascular collapse, neurologic damage and ultimately death [6]. Pulmonary compromise can develop insidiously or rapidly.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies concluded that use of NIV may be safe in selected patients who are observed carefully [7]. Furthermore,pulmonary edema in drowning cases recovers faster and NIV could be a successful treatment [6]. Non-invasive ventilation can improve respiratory distress through: decreasing the work of breathing, reversing hypoventilation, increasing functional residual capacity, maintaining upper airway patency, recruitment of atelectatic regions and reducing V/Q mismatch.…”

Section: Discussionmentioning

confidence: 99%

Drowning induced acute respiratory failure: A case report

Houari¹,

Abderrahim²,

Boukatta³

et al. 2018

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Introduction: Drowning is still a relevant medical challenge and a leading cause of accidental death worldwide. Hypoxia is the starting point for all morbidity and mortality and it must remain the focus of treatment. Case Report: We report the case of non-fatal drowning in an epileptic patient who presented to the emergency department with acute respiratory failure (ARF) and subsequent neurological status impairment. The patient's condition was managed with early noninvasive ventilation (NIV). He was rapidly discharged from ICU despite severe hypoxemia on admission. Although the applications of NIV have been increased recently in the emergency settings, reports about its efficiency in drowning ARF are limited. Conclusion: Early administration of non-invasive ventilation would be interesting to manage drowning induced ARF through positive expiratory pressure while avoiding complications related to conventional ventilation.

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“…This means that patients may be transferred to different sections of the hospital without changing the modality and parameters of their ventilatory support. It is notable that while unexpected events during the intra-hospital transfer of critical patients receiving conventional ventilation have been extensively reviewed (4,(12)(13)(14)(15), few recommendations regarding patients receiving NIV support are available.…”

Section: Introductionmentioning

confidence: 99%