Citation

Chen MC, Chu CH, Cheng CF, Lin JS, Chen JH, Chang YH. Ci Ji Yi Xue Za Zhi 2016; 28(4): 180-182.

Affiliation

Institute of Medical Science, College of Medicine, Tzu Chi University, Hualien, Taiwan.

Copyright

(Copyright © 2016, Buddhist Compassion Relief Tzu Chi Foundation, Publisher Wolters Kluwer - Medknow)

DOI

10.1016/j.tcmj.2016.07.003

PMID

28757754

PMCID

PMC5442905

Abstract

A 1-year-10-month-old boy was admitted to our pediatric intensive care unit due to near drowning with pulmonary edema. A conventional ventilator with 100% oxygen supplementation was used initially, but was shifted to high frequency oscillatory ventilation as his oxygen saturation was around 84-88%. Therapeutic hypothermia was applied due to hypoxic ischemic encephalopathy with severe acidosis. His respiratory condition improved and he was extubated successfully on the 6(th) hospital day. The patient had no obvious neurological defects and he was discharged in a stable condition after 17 days of hospitalization. Our case report demonstrates the advantages of therapeutic hypothermia on survival and neurological outcomes in treating pediatric near drowning patients.

Language: en

Keywords

Children; Drowning; Hypothermia therapy; Near-drowning; Therapeutic hypothermia