tailieunhanh - Báo cáo y học: "Mild hypothermia after near drowning in twin toddlers"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Mild hypothermia after near drowning in twin toddlers. | Available online http content 8 5 R353 Open Access Research Mild hypothermia after near drowning in twin toddlers Ortrud Vargas Hein1 Andreas Triltsch2 Christoph von Buch3 Wolfgang J Kox1 and Claudia Spies1 department of Anesthesiology and Intensive Care Medicine Charité Campus Mitte Humboldt University Berlin Germany department of Anesthesiology and Intensive Care Medicine Benjamin Franklin Medical Center Free University Berlin Germany 3University Department of Pediatrics University of Heidelberg Mannheim Germany Corresponding author Ortrud Vargas Hein Received 28 January 2004 Revisions requested 13 April 2004 Revisions received 1 4 May 2004 Accepted 24 July 2004 Published 2 September 2004 Critical Care 2004 8 R353-R357 DOI cc2926 This article is online at http content 8 5 R353 2004 Vargas Hein et al. licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction We report a case of twin toddlers who both suffered near drowning but with different post-trauma treatment and course and different neurological outcomes. Methods and results Two twin toddlers a boy and girl aged 2 years and 3 months suffered hypothermic near drowning with protracted cardiac arrest and aspiration. The girl was treated with mild hypothermia for 72 hours and developed acute respiratory dysfunction syndrome and sepsis. She recovered without neurological deficit. The boy s treatment was conducted under normothermia without further complications. He developed an apallic syndrome. Conclusion Although the twin toddlers experienced the same near drowning accident together the outcomes with respect to neurological status and postinjury complications were completely different. One of the .