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

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

  • By

  • Fiedler, Kai

  • Mohrmann, Chris

  • Meyer, Lisa

  • Sentner, Christiaan Peter

  • Heep, Axel

  • May 26, 2026

  • 0 min

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Objective:

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.

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