Biomaterial Database

[Intense therapy in two cases of "near-drowning" (author's transl)]. 1975

D Langrehr, and R Neuhaus, and R Arnold, and G Singabrtl

A short review of the pathophysiological mechanisms in case of 'drowning' or 'near drowning' with or without aspiration of hypo- or hypertonic water is given. In our clinical experience on 22 cases, 17 did not need intensive care and improved without further problems. 3 came dead into the clinic, there being more than 30 min latency between cardiac arrest and the beginning of resuscitation, resuscitation, therefore, being without success. The last 2 cases of 'near-drowning' with fresh water aspiration developed, 100 min and 50 min respectively after the drowning accident, fulminant pulmonary oedema, which could be cured after application of PEEP in Engstroöm-IPPB in one case. In our opinion PEEP should be applied in all cases of intraalveolar pulmonary oedema in the same way as was advised for interstitial pulmonary oedema, if the individual case requires mechanical ventilation at all. The possibility of pulmonary oedema developing, even hours after the accident and primary resuscitation, should be born in mind in all cases of 'near-drowning'.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D011312	Pressure	A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)	Pressures
D011654	Pulmonary Edema	Excessive accumulation of extravascular fluid in the lung, an indication of a serious underlying disease or disorder. Pulmonary edema prevents efficient PULMONARY GAS EXCHANGE in the PULMONARY ALVEOLI, and can be life-threatening.	Wet Lung,Edema, Pulmonary,Edemas, Pulmonary,Pulmonary Edemas,Lung, Wet,Lungs, Wet,Wet Lungs
D012121	Respiration, Artificial	Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2).	Ventilation, Mechanical,Mechanical Ventilation,Artificial Respiration,Artificial Respirations,Mechanical Ventilations,Respirations, Artificial,Ventilations, Mechanical
D012151	Resuscitation	The restoration to life or consciousness of one apparently dead. (Dorland, 27th ed)	Resuscitations
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D004332	Drowning	Death that occurs as a result of anoxia or heart arrest, associated with immersion in liquid.	Drownings
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293	Adolescent	A person 13 to 18 years of age.	Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths