Dp. Dunagan et al., SAND ASPIRATION WITH NEAR-DROWNING - RADIOGRAPHIC AND BRONCHOSCOPIC FINDINGS, American journal of respiratory and critical care medicine, 156(1), 1997, pp. 292-295
Citations number
15
Categorie Soggetti
Emergency Medicine & Critical Care","Respiratory System
Sand and foreign-body aspiration may accompany drowning and near-drown
ing, bur few details regarding such patients are available in the lite
rature, We report a 26-yr-old woman who suffered near-drowning after a
motor-vehicle accident. Initial attempts at ventilation were compromi
sed 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 san
d bronchograms within the lower lobes of both lungs, and sand within t
he maxillary sinuses and stomach, We present the radiographic, broncho
scopic, and microbiologic findings within hours after this patient's a
ccident, with a review of the literature and provisional recommendatio
ns for the management of such patients.