@article{ref1,
title="Submersion in children; the role of hypothermia and development of adult respiratory distress syndrome",
journal="Nederlands Tijdschrift voor Geneeskunde",
year="1994",
author="Veenhuizen, L. and Haasnoot, K. and van Vught, A. J. and Bierens, Joost J. L. M. and Thunnissen, B. T. and Gemke, R. J.",
volume="138",
number="18",
pages="906-910",
abstract="OBJECTIVE: To evaluate the occurrence of the adult respiratory distress syndrome (ARDS), and of hypothermia as a predictor of outcome in cases of submersion injury in children. <br><br>DESIGN: Retrospective analysis. PATIENTS: All drowning cases admitted to the Intensive Care Unit of the Wilhelmina Children's Hospital in Utrecht between January 1986 and January 1993. <br><br>RESULTS: There were 45 patients, 29 boys and 16 girls, aged 0-13 years. Hypothermia was related to the duration of submersion and did not correlate with a good outcome. Asystole on arrival at the hospital was associated with demise in all but one patient, who was left with severe neurological impairment. ARDS occurred in 27/45 patients (60%), all within 6 h following admission. Of the 45 patients treated, 11 died. Of the 34 survivors, 7 were discharged from the Intensive Care Unit with neurological sequelae (2 with mild, 5 with serious sequelae). <br><br>CONCLUSION: In our patients with drowning accidents, hypothermia did not appear to provide any protective effect. ARDS, if it occurred, became evident within 6 h after admission.<p /><p>Language: nl</p>",
language="nl",
issn="0028-2162",
doi="",
url="http://dx.doi.org/"
}