[Hypothermia helps in the drowned child. Report of a case].
Near-drowning is a leading cause of childhood mortality. Early induction of deep hypothermia has a protective effect on the brain, however. Favorable factors, most marked in early childhood, are both anatomic and physiologic. No parameter capable of predicting good neurologic recovery was identified by a review of the literature. Management rests on internal warming techniques and should be initiated immediately whenever apparent death occurs after exposure to cold. The case of a 29-month-old child who had complete cardiorespiratory arrest and a fall in body temperature to 22 degrees C after near-drowning and who made a full neurologic recovery is reported.
Estebe
J P
JP
Département d'Anesthésie-Réanimation Chirurgicale, Centre Hospitalier Universitaire, Pontchaillou, Rennes.
Kabura
L
L
Miorcec de Kerdanet
M
M
Betremieux
P
P
Malledant
Y
Y
D001831:Body Temperature; D002675:Child, Preschool; D004630:Emergencies; D006358:Hot Temperature / Q000627:therapeutic use; D006801:Humans; D007035:Hypothermia / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D008297:Male; D015701:Near Drowning / Q000150:complications*
L'hypothermie au secours de l'enfant noyé. A propos d'un cas.