Mild hypothermia after near drowning in twin toddlers

We report a case of twin toddlers who both suffered near drowning but with different post-trauma treatment and course, and different neurological outcomes. Two twin toddlers (a boy and girl, aged 2 years and 3 months) suffered hypothermic near drowning with protracted cardiac arrest and aspiration....

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Bibliographic Details
Published in:Critical care (London, England) England), 2004-10, Vol.8 (5), p.R353-R357, Article R353
Main Authors: Hein, Ortrud Vargas, Triltsch, Andreas, von Buch, Christoph, Kox, Wolfgang J, Spies, Claudia
Format: Article
Language:English
Subjects:
Bradycardia - etiology
Critical Care - methods
Diseases in Twins - physiopathology
Diseases in Twins - therapy
Female
Heart Arrest - etiology
Heart Arrest - therapy
Hospitals, Community
Hospitals, University
Humans
Hypothermia - etiology
Hypothermia - therapy
Infant
Intensive Care Units, Pediatric
Male
Near Drowning - physiopathology
Near Drowning - therapy
Time Factors
Treatment Outcome
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Summary:We report a case of twin toddlers who both suffered near drowning but with different post-trauma treatment and course, and different neurological outcomes. Two twin toddlers (a boy and girl, aged 2 years and 3 months) suffered hypothermic near drowning with protracted cardiac arrest and aspiration. The girl was treated with mild hypothermia for 72 hours and developed acute respiratory dysfunction syndrome and sepsis. She recovered without neurological deficit. The boy's treatment was conducted under normothermia without further complications. He developed an apallic syndrome. Although the twin toddlers experienced the same near drowning accident together, the outcomes with respect to neurological status and postinjury complications were completely different. One of the factors that possibly influenced the different postinjury course might have been prolonged mild hypothermia.
ISSN:1364-8535
1466-609X
1364-8535
DOI:10.1186/cc2926