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Severe autonomic dysfunction in a child with accidental drowning: is it a predictor for survival?

Year: 2025

Type: article

Abstract: Drowning is the third most common cause of accidental death in children. Various predictors for survival and neurological dysfunction include the age of victim, submersion time, salt versus fresh water, temperature of water, cardiopulmonary resuscitation at the scene, and time required to hospital arrival. Autonomic dysfunction, in particular heart rate variability in a critically ill patient, has been attributed to good neurological outcomes. We hereby describe a 10-year-old boy who accidentally drowned and developed a substantial heart rate variability with autonomic dysfunction. He was in the need for prolonged vasopressor support but eventually had a good neurological outcome.

Source: Pediatric Emergency Medicine Journal

DOI: 10.22470/pemj.2024.01158

Authors: Suchismita Nanda, Sheetal Agarwal, Abhinandan H.S, Sampada Kaul, Manju Nimesh, Bijoy Patra

Institution: Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital

Language: English

Topic: Cardiac Arrest and Resuscitation

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $200