SAND ASPIRATION WITH NEAR-DROWNING - RADIOGRAPHIC AND BRONCHOSCOPIC FINDINGS

Citation
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
ISSN journal
1073449X
Volume
156
Issue
1
Year of publication
1997
Pages
292 - 295
Database
ISI
SICI code
1073-449X(1997)156:1<292:SAWN-R>2.0.ZU;2-L
Abstract
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.