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Case Reports
. 2016 Oct-Dec;28(4):180-182.
doi: 10.1016/j.tcmj.2016.07.003. Epub 2016 Sep 15.

Therapeutic hypothermia brings favorable neurologic outcomes in children with near drowning

Ming-Chun Chen  1 , Chia-Hsiang Chu  1 , Ching-Feng Cheng  1   2 , Jun-Song Lin  1 , Jui-Hsia Chen  1 , Yu-Hsun Chang  1   3
Affiliations
Case Reports

Therapeutic hypothermia brings favorable neurologic outcomes in children with near drowning

Ming-Chun Chen et al. Tzu Chi Med J. 2016 Oct-Dec.

Abstract

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. His respiratory condition improved and he was extubated successfully on the 6th hospital day. The patient had no obvious neurological defects and he was discharged in a stable condition after 17 days of hospitalization. Our case report demonstrates the advantages of therapeutic hypothermia on survival and neurological outcomes in treating pediatric near drowning patients.

Keywords: Children; Drowning; Hypothermia therapy; Near-drowning; Therapeutic hypothermia.

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Conflict of interest statement

Conflicts of interest: none.

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