TY  - JOUR
PY  - 1994//
TI  - Submersion in children; the role of hypothermia and development of adult respiratory distress syndrome
JO  - Nederlands Tijdschrift voor Geneeskunde
A1  - Veenhuizen, L.
A1  - Haasnoot, K.
A1  - van Vught, A. J.
A1  - Bierens, Joost J. L. M.
A1  - Thunnissen, B. T.
A1  - Gemke, R. J.
SP  - 906
EP  - 910
VL  - 138
IS  - 18
N2  - 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>
LA  - nl
SN  - 0028-2162
UR  - http://dx.doi.org/
ID  - ref1
ER  -