Abstract
This paper reports the case of a 21–year-old male who appeared to have drowned in the family swimming pool. Immediate continuous cardiopulmonary resuscitation eventually restored circulation and respiration. Subsequently, in the intensive care unit, he appeared to “cone” and suffer brain “death”. Prompt and continuous use of measures to support cerebral resuscitation were successful and the child subsequently was completely normal. A re-evaluation of current information seems indicated in regard to the prognosis of the near-drowned child.
Résumé
Nous présentons un cas ďun mâle, âgé de 21 2 ans, qui paraissait s’être noyé dans sa piscine familiale. La réanimation cardio-pulmonaire continue qui lui a été administrée sur le coup a finalement rendu sa circulation et sa respiration. Plus tard, dans ľunité dessoins intensifs, il paraissait avoir souffèrt une mort cérébrale. Ľemploi rapide et continu de plusieurs mesures pour soutenir la réanimation cérébrale de ľenfant a remporté du succès et il était par la suite complètement normal. Il faut évaluer encore ľinformation courante au sujet du pronostic de ľenfant presque-noyé.
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Pickering, B.G., Bristow, G.K. &Craig, D.A. Core re-warming by peritoneal irrigation in accidental hypothermia with cardiac arrest: Anaes. Analg.56: 574–577 (1977).
Bristow, G., Smith, R., Lee, J., Auty, A. &Tweed, W.A. Resuscitation from cardiopulmonary arrest during accidental hypothermia due to exhaustion and exposure. Can. Med. Assoc. J.117: 247–249 (1977).
Siebke, H., Rod, T., Breivik, H.,et al. Survival after 40 minutes submersion without cerebral sequelae. Lancet1: 1275–1277 (1975).
Dominguez de Villota, E., Barat, G., Peral, P.,et al. Recovery from profound hypothermia with cardiac arrest after immersion. Brit. Med. J.4: 394 (1973).
Conn, A.W. The role of hypothermia in near-drowning, Proceedings of cold water symposium, Royal Life Saving Society of Canada, pp. 33-35 (1976).
Modell, J.H. Drowning and near-drowning, Springfield, Illinois, Charles C. Thomas, p. 70 (1971).
Conn, A.W., Edmonds, J.F. &Barker, G.A. Near-drowning in cold fresh water — current treatment regimen. Canad. Anaesth. Soc. J.25: 259 (1978).
Conn, A.W., Edmonds, J.F. &Barker, G.A. Cerebral resuscitation in near-drowning. Paediatric Clinics of North America26: 691–701 (1979).
Schuman, S.H., Rowe, J.R., Glazier, H.M.,et al. The iceberg phenomenon of near-drowning. Soc.Crit. Care Med.,4: 127 (1976).
Spence, M. Severe intracranial infections. International Anesthesiology Clinics. Vol. 17, pp. 285–306. Boston, Little Brown & Co. (1979).
Trubuhovich, R.V. Water inhalation accidents. New Zealand Jour. Sports Med., 5: Supplement #1, 48-54 (1976).
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Montes, J.E., Conn, A.W. Near-drowning: An unusual case. Canad. Anaesth. Soc. J. 27, 172–174 (1980). https://doi.org/10.1007/BF03007783
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DOI: https://doi.org/10.1007/BF03007783