TY - JOUR PY - 1986// TI - Near drowning JO - Circulation A1 - Modell, Jerome H. SP - IV27 EP - 8 VL - 74 IS - 6 Pt 2 N2 - Several conditions that contribute to drowning and near drowning must be considered in the treatment of near-drowned victims. Regardless of the cause, mechanical ventilation should begin as soon as possible and closed-chest cardiac massage should be administered when there is any question about the adequacy of cardiac output. After aspiration of either fresh or seawater, a large intrapulmonary physiologic shunt can occur, which requires aggressive mechanical ventilatory support to ensure adequate oxygenation and to return pulmonary function to normal. Near drowning is a multisystem disease and, while abnormalities of the lung and brain have been emphasized, definitive therapy must be tailored to each patient and must address all of the patient's needs.

Language: en

LA - en SN - 0009-7322 UR - http://dx.doi.org/ ID - ref1 ER -