Document Detail


Sand aspiration with near-drowning. Radiographic and bronchoscopic findings.
MedLine Citation:
PMID:  9230763     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sand and foreign-body aspiration may accompany drowning and near-drowning, but few details regarding such patients are available in the literature. We report a 26-yr-old woman who suffered near-drowning after a motor-vehicle accident. Initial attempts at ventilation were compromised by increased peak airway pressures, which decreased following the removal of large amounts of sand from the patient's endotracheal tube. Chest radiographs and computed tomographic (CT) scans of the patient obtained upon her arrival in the emergency department demonstrated sand bronchograms within the lower lobes of both lungs, and sand within the maxillary sinuses and stomach. We present the radiographic, bronchoscopic, and microbiologic findings within hours after this patient's accident, with a review of the literature and provisional recommendations for the management of such patients.
Authors:
D P Dunagan; J E Cox; M C Chang; E F Haponik
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  American journal of respiratory and critical care medicine     Volume:  156     ISSN:  1073-449X     ISO Abbreviation:  Am. J. Respir. Crit. Care Med.     Publication Date:  1997 Jul 
Date Detail:
Created Date:  1997-08-12     Completed Date:  1997-08-12     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9421642     Medline TA:  Am J Respir Crit Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  292-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, Bowman Gray School of Medicine, Wake Forest University Medical Center, Winston-Salem, North Carolina 27157-1054, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Adult
Bronchi
Bronchoalveolar Lavage Fluid
Bronchoscopy
Female
Foreign Bodies / radiography*
Humans
Lung / radiography*
Maxillary Sinus / radiography
Near Drowning
Comments/Corrections
Comment In:
N Engl J Med. 1997 Oct 16;337(16):1175   [PMID:  9340515 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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