Abstract
Secondary drowning (and near-drowning) is one of the post-immersion respiratory syndromes. It is defined as deterioration of pulmonary function that follows deficient gas exchange due to loss or inactivation of surfactant. A review of 94 consecutive cases of near-drowning in childhood showed that this syndrome occurred in five (5%) cases. Its onset was usually rapid and characterised by a latent period of one to 48 hours of relative respiratory well-being. It occurred more rapidly after immersion in fresh water. The two children immersed in salt water died of secondary drowning, while the three immersed in fresh water recovered completely. If it is anticipated, recognised, and treated vigorously prognosis of secondary drowning is good in fresh water cases but bad after salt water immersion.
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- Clarke E. B., Niggemann E. H. Near-drowning. Heart Lung. 1975 Nov-Dec;4(6):946–955. [PubMed] [Google Scholar]
- Edmonds C. A salt water aspiration syndrome. Mil Med. 1970 Sep;135(9):779–785. [PubMed] [Google Scholar]
- Eggink W. F., Bruining H. A. Respiratory distress syndrome caused by near- or secondary drowning and treatment by positive end-expiratory pressure ventilation. Neth J Med. 1977;20(4-5):162–167. [PubMed] [Google Scholar]
- FULLER R. H. The 1962 Wellcome prize essay. Drowning and the postimmersion syndrome. A clinicopathologic study. Mil Med. 1963 Jan;128:22–36. [PubMed] [Google Scholar]
- Gerya Y. F., Yankovsky V. D. Use of artificial circulation in resuscitation of drowned dogs. Resuscitation. 1976;5(3):145–152. doi: 10.1016/0300-9572(76)90037-x. [DOI] [PubMed] [Google Scholar]
- Giammona S. T., Modell J. H. Drowning by total immersion. Effects on pulmonary surfactant of distilled water, isotonic saline, and sea water. Am J Dis Child. 1967 Dec;114(6):612–616. doi: 10.1001/archpedi.1967.02090270068005. [DOI] [PubMed] [Google Scholar]
- Haglund P., Favarel-Garrigues J. C., Nicod J., Lobera A. Biological disturbances during drowning in sea water. Resuscitation. 1974;3(2):121–127. doi: 10.1016/0300-9572(74)90036-7. [DOI] [PubMed] [Google Scholar]
- Maestracci P., Grimaud D. Les oedèmes pulmonaires des noyès. Ann Anesthesiol Fr. 1975;16(SPEC):101–110. [PubMed] [Google Scholar]
- Marshall L. F., Smith R. W., Shapiro H. M. The outcome with aggressive treatment in severe head injuries. Part II: acute and chronic barbiturate administration in the management of head injury. J Neurosurg. 1979 Jan;50(1):26–30. doi: 10.3171/jns.1979.50.1.0026. [DOI] [PubMed] [Google Scholar]
- Miles S. Drowning. Br Med J. 1968 Sep 7;3(5618):597–600. doi: 10.1136/bmj.3.5618.597. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Modell J. H., Calderwood H. W., Ruiz B. C., Downs J. B., Chapman R., Jr Effects of ventilatory patterns on arterial oxygenation after near-drowning in sea water. Anesthesiology. 1974 Apr;40(4):376–384. doi: 10.1097/00000542-197404000-00013. [DOI] [PubMed] [Google Scholar]
- Modell J. H. Near drowning. Int Anesthesiol Clin. 1977 Spring;15(1):107–115. doi: 10.1097/00004311-197715010-00007. [DOI] [PubMed] [Google Scholar]
- Pearn J. H., Nixon J. Swimming pool immersion accidents: an analysis from the Brisbane drowning study. Med J Aust. 1977 Mar 26;1(13):432–437. doi: 10.5694/j.1326-5377.1977.tb130794.x. [DOI] [PubMed] [Google Scholar]
- Pearn J. Neurological and phychometric studies in children surviving freshwater immersion accidents. Lancet. 1977 Jan 1;1(8001):7–9. doi: 10.1016/s0140-6736(77)91651-8. [DOI] [PubMed] [Google Scholar]
- Pearn J., Nixon J. Prevention of childhood drowning accidents. Med J Aust. 1977 Apr 23;1(17):616–618. doi: 10.5694/j.1326-5377.1977.tb130960.x. [DOI] [PubMed] [Google Scholar]
- Pearn J. Survival rates after serious immersion accidents in childhood. Resuscitation. 1978;6(4):271–278. doi: 10.1016/0300-9572(78)90008-4. [DOI] [PubMed] [Google Scholar]
- Prefaut C., Ramonatxo M., Boyer R., Chardon G. Human gas exchange during water immersion. Respir Physiol. 1978 Sep;34(3):307–318. doi: 10.1016/0034-5687(78)90130-5. [DOI] [PubMed] [Google Scholar]
- Saule H. Sekundäres Ertrinken. Klin Padiatr. 1975 Jul;187(4):346–349. [PubMed] [Google Scholar]
- Segarra F., Redding R. A. Modern concepts about drowning. Can Med Assoc J. 1974 May 4;110(9):1057–passim. [PMC free article] [PubMed] [Google Scholar]
- Van Haeringen J. R., Kleine J. W., Sluiter H. J. Drowning. Lancet. 1972 Oct 21;2(7782):880–880. doi: 10.1016/s0140-6736(72)92248-9. [DOI] [PubMed] [Google Scholar]
- WONG F. M., GRACE W. J. SUDDEN DEATH AFTER NEAR-DROWNING. JAMA. 1963 Nov 16;186:724–726. doi: 10.1001/jama.1963.63710070013019. [DOI] [PubMed] [Google Scholar]
- den Otter G. Low-pressure aspiration of fresh water and sea water in the non-anoxic dog. An experimental study on the pathophysiology of drowning. Forensic Sci. 1973 Aug;2(3):305–316. doi: 10.1016/0300-9432(73)90045-9. [DOI] [PubMed] [Google Scholar]