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Korean J Crit Care Med > Volume 26(3); 2011 > Article
Korean Journal of Critical Care Medicine 2011;26(3): 196-199. doi: https://doi.org/10.4266/kjccm.2011.26.3.196
복와위 환기와 산화질소를 통한 익수 환자의 성공적인 치료
이주명ㆍ이재호*ㆍ이춘택*ㆍ조영재*
Successful Recovery after Drowning by Early Prone Ventilatory Positioning and Use of Nitric Oxide Gas: A Case Report
Joo Myung Lee, Jae Ho Lee, Choon Taek Lee, Young Jae Cho
1Division of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
2Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. lungdrcho@gmail.com
ABSTRACT
Drowning is the third leading cause of unintentional accidental death globally. The most serious pathophysiologic consequence of drowning is hypoxemia from acute respiratory distress syndrome. Herein, we report a drowning victim who presented with hypothermia and cardiac arrest, followed by acute respiratory distress syndrome, rhabdomyolysis (with acute kidney injury), and disseminated intravascular coagulopathy. Aided by advanced cardiac life support and mechanical ventilation in a prone position, the patient fully recovered after two days of hospitalization. Recovery was largely attributed to early prone ventilatory positioning and use of nitric oxide gas.
Key Words: drowning; near drowning; prone position; ventilators; mechanical; nitric oxide; respiratory distress syndrome; adult
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