Mild hypothermia after near drowning in twin toddlers

Controlled hypothermia and recovery from postanoxic encephalopathy in near-drowning victim.

De Pont and colleagues describe a case report of a near-drowning victim who was comatose after resuscitation due to cardiac arrest, who completely recovered from post-anoxic status epilepticus with controlled hypothermia. We highly appreciate the effort and thoroughness of the authors in conducting this well documented case report and it supports the hypothesis that controlled hypothermia may o...

Asystolic Cardiac Arrest from Near Drowning Managed with Therapeutic Hypothermia

An estimated 200,000 cardiac arrests occur out-ofhospital annually in the United States.1,2 The survival rates are 0-11% depending on the presenting rhythm.3,4 Following cardiac arrest, the brain can tolerate anoxia up to 2-4 minutes, upon which irreversible neuronal damage commences in the absence of re-establishment of circulation.5 Brain reoxygenation with successful return of spontaneous ci...

Therapeutic hypothermia brings favorable neurologic outcomes in children with near drowning

A 1-year-10-month-old boy was admitted to our pediatric intensive care unit due to near drowning with pulmonary edema. A conventional ventilator with 100% oxygen supplementation was used initially, but was shifted to high frequency oscillatory ventilation as his oxygen saturation was around 84-88%. Therapeutic hypothermia was applied due to hypoxic ischemic encephalopathy with severe acidosis. ...

Survival after Drowning with Cardiac Arrest and Mild Hypothermia

The current guidelines for resucitation following hypothermia and submersion with cardiac arrest state that rewarming should be continued until a core temperature of 32-34°C is achieved, after which death can be declared if no return of spontaneous circulation has occurred. As no randomized, controlled trials exist, these treatment guidelines are mostly based on a pragmatic approach. Wheater to...

Near-drowning treated with therapeutic hypothermia.