Successful Recovery after Drowning by Early Prone Ventilatory Positioning and Use of Nitric Oxide Gas: A Case Report.
10.4266/kjccm.2011.26.3.196
- Author:
Joo Myung LEE
1
;
Jae Ho LEE
;
Choon Taek LEE
;
Young Jae CHO
Author Information
1. Division of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
drowning;
near drowning;
prone position;
ventilators;
mechanical;
nitric oxide;
respiratory distress syndrome;
adult
- MeSH:
Adult;
Advanced Cardiac Life Support;
Anoxia;
Drowning;
Heart Arrest;
Hospitalization;
Humans;
Hypothermia;
Kidney;
Near Drowning;
Nitric Oxide;
Prone Position;
Respiration, Artificial;
Respiratory Distress Syndrome, Adult;
Rhabdomyolysis;
Ventilators, Mechanical
- From:The Korean Journal of Critical Care Medicine
2011;26(3):196-199
- CountryRepublic of Korea
- Language:English
-
Abstract:
Drowning is the third leading cause of unintentional accidental death globally. The most serious pathophysiologic consequence of drowning is hypoxemia from acute respiratory distress syndrome. Herein, we report a drowning victim who presented with hypothermia and cardiac arrest, followed by acute respiratory distress syndrome, rhabdomyolysis (with acute kidney injury), and disseminated intravascular coagulopathy. Aided by advanced cardiac life support and mechanical ventilation in a prone position, the patient fully recovered after two days of hospitalization. Recovery was largely attributed to early prone ventilatory positioning and use of nitric oxide gas.
