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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
NEAR-DROWNING IN SUMMER 2014
Author
Adem Dirican1, Sevket Ozkaya2*, Ilknur Kitapci3, Esra M Ulu4, Koksal Atalay4, Aysenur Karagol4, 5Ferah Ece5
Email
ozkayasevket@yahoo.com
keyword
Near-drowning, Non-cardiogenic pulmonary edema, Treatment, respiratory failure.
Abstract
Near drowning is defined as survival for more than 24 hours from suffocation by submersion. Near drowning pulmonary oedema is considered an aetiological subtype of non-cardiogenic pulmonary edema. These patients require aggressive supportive intensive care with attention toward optimizing cardiac and pulmonary function. Total 12 patients who suffered from submersion were admitted to Samsun Medicalpark Hospital in Summer 2014. The range ages of patients were 16 and 53 years old and the male to female ratio was 3/9. The pool near-drowning occurred in 1 patient, sea water near-drowning occurred in 11 patients and two of them had been exposed to dirty sea water. 9(75%) the patients had PaO2/FiO2 ratio < 300 mm Hg. Non-cardiogenic pulmonary edema was present on the chest radiographs and thoracic CT scans in 9(75%) of patients. Non-invaziv mechanical ventilation (NIMV) was required for 6(50%) patients and invaziv mechanical ventilation (IMV) was required for 2(16.6%) patients. All of patients received prophylactic antibiotics and mannitol treatment. The mean durations of hospital stay, ICU stay, NIMV and IMV were 2.08,1.6,1.3 and 1.5 days, respectively. There is no any death and complication due to treatment. Corticosteroids, mannitol and prophylactic antibiotic treatment can be administered as standard treatment protocol in patients with near-drowning. The low duration of hospitalization and accelerating the clinical, radiological improvement was achieved with this treatment protocol.
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