Utility of Lung Ultrasound in Near-Drowning Victims

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Drowning and near-drowning are common causes of accidental death worldwide and respiratory complications such as non-cardiogenic
pulmonary oedema, acute respiratory distress syndrome and pneumonia are often seen. In other settings lung ultrasound can accurately
diagnose these conditions; hence lung ultrasound may have a potential role in the evaluation of drowning or near-drowning victims. In this
case report the authors describe a 71-year-old man who was brought to hospital with acute respiratory failure after a near-drowning accident.
Lung ultrasound showed multiple B-lines on the anterior and lateral surfaces of both lungs, consistent with pulmonary oedema. Focus
assessed transthoracic echocardiography showed no pericardial effusion and a normal global left ventricular function. Based on these fi ndings
the patient was diagnosed as having non-cardiogenic pulmonary oedema. Subsequent chest x-ray showed bilateral infi ltrates consistent with
pulmonary oedema. The case report emphasises the clinical value of lung ultrasound in the evaluation of a near-drowning victim.
OriginalsprogEngelsk
Artikelnummerbcr0120125687
TidsskriftB M J Case Reports
ISSN1757-790X
DOI
StatusUdgivet - 2013

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