Drowning in fresh or salt water: respective influence on respiratory function in a matched cohort study.

@article{Michelet2018DrowningIF,
  title={Drowning in fresh or salt water: respective influence on respiratory function in a matched cohort study.},
  author={P. Michelet and Mario Dusart and L. Boiron and J. Marmin and T. Mokni and A. Loundou and M. Coulange and T. Markarian},
  journal={European Journal of Emergency Medicine},
  year={2018}
}
INTRODUCTION For the most severe drowned patients, hypoxemia represents one of the major symptoms. As the influence of the type of water (fresh or salt water) on respiratory function is still unclear, the primary endpoint of this multicenter study was to compare hypoxemia according to the type of water. METHODS Medical records of adult patients who experienced a drowning event and were consequently admitted to 10 ICU for acute respiratory failure were analyzed retrospectively using data… Expand
Treatment of the lung injury of drowning: a systematic review
TLDR
There was insufficient evidence to make recommendations as to best practice when supplemental oxygen alone is insufficient, and there is an urgent need for comparative studies of therapeutic strategies in drowning. Expand

References

SHOWING 1-10 OF 21 REFERENCES
Acute respiratory failure after drowning: a retrospective multicenter survey
  • P. Michelet, F. Bouzana, +6 authors C. Ichai
  • Medicine
  • European journal of emergency medicine : official journal of the European Society for Emergency Medicine
  • 2017
TLDR
Despite the absence of recommendation for NIV use in case of drowning-related ARF, this technique was often used with safety and efficacy, mainly based on the preserved or improved neurological status. Expand
Near-Drowning: Clinical Course of Lung Injury in Adults
TLDR
Respiratory manifestations of near-drowning in adult immersion victims are often severe, but in noncomatose patients at least, intubation can often be avoided and quick improvement is the rule while a good outcome is usually expected even in elderly patients. Expand
Near-drowning and clinical laboratory changes.
TLDR
The lack of hyperkalemia as well as of an increase of the hemoglobin level indicate that there is no distinct intravascular red cell lysis due to influx of water into the vascular compartment, therefore the death by drowning in humans in most cases is the result of a hypoxic cerebral process. Expand
Near-drowning and drowning classification: a proposal to stratify mortality based on the analysis of 1,831 cases.
TLDR
It is revealed that it is possible to establish six subgroups based on mortality rate by applying clinical criteria obtained from first-aid observations, and these subgroups constitute the basis of a new classification. Expand
A canine study of cold water drowning in fresh versus salt water.
TLDR
The biochemical and pathophysiologic changes in cold water drowning approximated those changes reported for warm water drowning for both fresh and salt water with one exception and continued aspiration of cold water produced extremely rapid core cooling as long as the circulation remained intact. Expand
Physiologic Effects of Near Drowning with Chlorinated Fresh Water, Distilled Water and Isotonic Saline
TLDR
The clinical picture and biochemical changes reported in human victims of near-drowning is considerably different from those reported in dogs subsequent to total immersion in fresh water, and changes in cardiovascular dynamics, blood constituents and serum electrolytes observed in this study were transient. Expand
Relationship between drowning location and outcome after drowning-associated out-of-hospital cardiac arrest: nationwide study.
TLDR
Individuals who experience drowning-OHCA in public locations with safety regulations had a better rate of survival, and there should be improved public awareness of the significantly greater risk of drowning- OHCA in locations that have no safety regulations. Expand
Molecular pathology of pulmonary surfactants and cytokines in drowning compared with other asphyxiation and fatal hypothermia
TLDR
Observations suggest characteristic molecular biological patterns of pulmonary injury involving suppression of pulmonary surfactants and activation of early-phase mediators of inflammation in drowning, with high mRNA expression levels of pulmonary Surfactants in fatal hypothermia; however, there was no significant difference among these markers in immunohistochemical detection. Expand
Can we identify termination of resuscitation criteria in cardiac arrest due to drowning: results from the French national out-of-hospital cardiac arrest registry.
TLDR
The model is helpful to highlight explanative variables concerning CAD patients' outcome and to identify termination of resuscitation criteria and the next step is the validation of these five factors by a larger study. Expand
Physiology Of Drowning: A Review.
TLDR
Better understanding of drowning physiology may identify methods to improve survival, particularly related to hot-water immersion, cold shock, cold-induced physical incapacitation, and fear of drowning. Expand
...
1
2
3
...