Good outcome after drowning with prolonged resuscitation and secondary pediatric acute respiratory distress syndrome (pARDS) requiring extra-corporeal-membrane-oxygenation (ECMO) – A special case in comparison to the single-center local 10-year experience in pediatric drowning - Summary - MDSpire
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Good outcome after drowning with prolonged resuscitation and secondary pediatric acute respiratory distress syndrome (pARDS) requiring extra-corporeal-membrane-oxygenation (ECMO) – A special case in comparison to the single-center local 10-year experience in pediatric drowning
To report a unique case of a 13-year-old boy who recovered from severe secondary ARDS after drowning, despite multiple risk factors for poor prognosis.
Approach:
Key Findings:
The patient recovered well and was discharged in an age-appropriate neurologic condition.
No significant differences or specific parameters were identified at the initiation of intensive care that could explain the positive outcome despite multiple risk factors.
Interpretation:
Decision-making in pediatric drowning accidents remains uncertain due to the lack of clear parameters linking risk factors to outcomes.
Limitations:
The case is unique and may not be generalizable to all pediatric drowning incidents.
The analysis does not identify specific factors that contributed to the favorable outcome.
Conclusion:
The case highlights the unpredictability of outcomes in pediatric drowning incidents, emphasizing the need for further research.