[Near drowning: epidemiology--pathophysiology--therapy].

Abstract

Near-drowning is a frequent preventable accident with a significant morbidity and mortality in a previous healthy population. In most patients the primary injury is pulmonary failure due to fluid aspiration, resulting in severe arterial hypoxemia and secondary damage to other organs. Immediate interruption of hypoxia is of utmost importance in the emergency situation. Accurate neurologic prognosis cannot be predicted from initial clinical presentation, laboratory, radiological or electrophysiological examinations. Prompt resuscitation and aggressive respiratory and cardiovascular treatment are crucial for optimal survival. This review provides the reader with detailed information on epidemiology, pathophysiology, emergency decision making and general treatment in near drowning accidents.

• Authors: W Hasibeder, B Friesenecker, A Mayr
• Journal: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS (Anasthesiol Intensivmed Notfallmed Schmerzther) Vol. 38 Issue 5 Pg. 333-40 (May 2003) ISSN: 0939-2661 [Print] Germany
• Vernacular Title: Beinaheertrinken: Epidemiologie--Pathophysiologie--Therapie.
• PMID: 12712398 (Publication Type: English Abstract, Journal Article, Review)

Topics

• Cardiovascular Physiological Phenomena
• Central Nervous System (physiology)
• Humans
• Lung (physiopathology)
• Near Drowning (epidemiology, physiopathology, therapy)
• Pneumonia, Aspiration (etiology)