Pneumomediastinum and bilateral pneumothorax following near drowning in shallow water

We report pneumomediastinum, bilateral pneumothorax and acute respiratory distress syndrome in a victim of near drowning who was intoxicated and did not have thoracic or neck trauma. Chest radiograph revealed the above findings, later confirmed by computed tomography. He was in shock and also had ga...

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Main Authors: Santhiya Govindaraj, Stalin Viswanathan
Format: Article
Language:English
Published: MDPI AG 2011-10-01
Series:Clinics and Practice
Subjects:
Online Access:https://www.clinicsandpractice.org/index.php/cp/article/view/142
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author Santhiya Govindaraj
Stalin Viswanathan
author_facet Santhiya Govindaraj
Stalin Viswanathan
author_sort Santhiya Govindaraj
collection DOAJ
description We report pneumomediastinum, bilateral pneumothorax and acute respiratory distress syndrome in a victim of near drowning who was intoxicated and did not have thoracic or neck trauma. Chest radiograph revealed the above findings, later confirmed by computed tomography. He was in shock and also had gastrointestinal (GI) bleeding and renal dysfunction. With adequate resuscitative measures including fluids, blood transfusions, intercostal tube drainage and mechanical ventilation he made a complete recovery. Good prognostic indicators in near drowning patients include higher Glasgow Coma Scale, short submersion time and quick resuscitative measures even in the presence of serious cardiorespiratory or hemodynamic compromise.
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spelling doaj.art-c1024bc808c24944b1d31e21c8c82d982022-12-22T04:31:42ZengMDPI AGClinics and Practice2039-72752039-72832011-10-011369Pneumomediastinum and bilateral pneumothorax following near drowning in shallow waterSanthiya Govindaraj0Stalin Viswanathan1Pondicherry Institute of Medical Sciences, Kalapet, PondicherryPondicherry Institute of Medical Sciences, Kalapet, PondicherryWe report pneumomediastinum, bilateral pneumothorax and acute respiratory distress syndrome in a victim of near drowning who was intoxicated and did not have thoracic or neck trauma. Chest radiograph revealed the above findings, later confirmed by computed tomography. He was in shock and also had gastrointestinal (GI) bleeding and renal dysfunction. With adequate resuscitative measures including fluids, blood transfusions, intercostal tube drainage and mechanical ventilation he made a complete recovery. Good prognostic indicators in near drowning patients include higher Glasgow Coma Scale, short submersion time and quick resuscitative measures even in the presence of serious cardiorespiratory or hemodynamic compromise.https://www.clinicsandpractice.org/index.php/cp/article/view/142near drowningpneumomediastinumacute respiratory distress syndromecomplications.
spellingShingle Santhiya Govindaraj
Stalin Viswanathan
Pneumomediastinum and bilateral pneumothorax following near drowning in shallow water
Clinics and Practice
near drowning
pneumomediastinum
acute respiratory distress syndrome
complications.
title Pneumomediastinum and bilateral pneumothorax following near drowning in shallow water
title_full Pneumomediastinum and bilateral pneumothorax following near drowning in shallow water
title_fullStr Pneumomediastinum and bilateral pneumothorax following near drowning in shallow water
title_full_unstemmed Pneumomediastinum and bilateral pneumothorax following near drowning in shallow water
title_short Pneumomediastinum and bilateral pneumothorax following near drowning in shallow water
title_sort pneumomediastinum and bilateral pneumothorax following near drowning in shallow water
topic near drowning
pneumomediastinum
acute respiratory distress syndrome
complications.
url https://www.clinicsandpractice.org/index.php/cp/article/view/142
work_keys_str_mv AT santhiyagovindaraj pneumomediastinumandbilateralpneumothoraxfollowingneardrowninginshallowwater
AT stalinviswanathan pneumomediastinumandbilateralpneumothoraxfollowingneardrowninginshallowwater