Letter to the EditorSurfactant therapy for acute respiratory failure after drowning: Two children victim of cardiac arrest
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Conflicts of interest
The authors have no conflicts of interest in relation to this article.
References (4)
- et al.
Exogenous surfactant therapy in a patient with adult respiratory distress syndrome after near drowing
Resuscitation
(1997) - The International Liaison Committee on Resuscitation (ILCOR) consensus on science with treatment recommendations for...
Cited by (14)
Management for the Drowning Patient
2021, ChestCitation Excerpt :Submersion in cold water and sudden release of breath hold can induce cardiac arrhythmias, particular in those with long QT syndrome, by simultaneously activating the antagonistic responses of the autonomic nervous system (autonomic conflict), including the sympathetic “cold shock response” producing a tachycardia and bradycardia mediated by the parasympathetic “diving response.” These responses may, in vulnerable individuals, account for sudden death in cold water.36,56-67 Hypothermia reduces the electrical and metabolic activity of the brain; cerebral oxygen consumption reduces by approximately 5% per each degree Celsius reduction in temperature within the range of 37°C to 20°C,68 thus prolonging the interval until cellular anoxia, adenosine triphosphate depletion, and cell death signaling.
Drowning
2019, Kendig's Disorders of the Respiratory Tract in Children, Ninth Edition41 - Drowning
2019, Kendig's Disorders of the Respiratory Tract in ChildrenDrowning
2012, Kendig and Chernick's Disorders of the Respiratory Tract in ChildrenDrowning and immersion injury
2011, Anaesthesia and Intensive Care MedicineCitation Excerpt :Case reports suggest that surfactant may be useful in paediatric patients with persistent hypoxia following drowning. CPB or ECMO appear attractive for managing hypoxia and temperature regulation (both active rewarming in cases of severe hypothermia and maintenance of therapeutic hypothermia in the immediate post-drowning phase) in drowning victims, however experience is limited and outcomes mixed.7,9–11 There is no evidence to support the routine use of barbiturates, intracranial pressure monitoring, steroids or prophylactic antibiotics.
Submersion incidents
2011, Emergency Medicine Secrets