SynthesisCritical care (London, England)2021
Treatment of the lung injury of drowning: a systematic review.
Synthesis in Critical care (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
17 citing papers in PubMed.
- Pulmonary Infiltrates, Airway Mucosal Lesions and Respiratory Microbiology After Freshwater Drowning: A Case Report.Respirology case reports · 2026Article
- Early initiation of venovenous ECMO for drowning-associated refractory hypoxemia after cardiac arrest: a case report.International journal of emergency medicine · 2026Article
- Rescue strategies combining ultra-protective ventilation and veno-venous ECMO in a patient with near-drowning-related severe ARDS: a case report and literature review.BMC anesthesiology · 2026Review
- Article
- Prehospital factors associated with ICU admission in drowning patients: a retrospective multicenter cohort study in a French coastal region.BMC emergency medicine · 2026Observational
- "Good outcome after drowning with prolonged resuscitation and secondary pediatric acute respiratory distress syndrome requiring extra-corporeal-membrane-oxygenation - A special case in comparison to the single-center local 10-year experience in pediatric drowning".Frontiers in pediatrics · 2026Article
- Association between early radiographic chest findings and clinical outcomes in pediatric drowning: a retrospective study in a tertiary Italian hospital.European journal of pediatrics · 2025Article
- ECMO combined with sequential oxygen therapy in drowning-induced ARDS: a case report.Frontiers in medicine · 2025Article
- Mesenchymal stem cell treatment alleviates seawater drowning induced lung injury by inhibiting the TNFα/Snail/EMT pathway.Journal of thoracic disease · 2024Article
- Gaps in Education: A Cross-Sectional Survey Study of Knowledge of Advanced Lifesaving Interventions among Canadian Lifeguards.Journal of clinical medicine · 2024Article
- Microbiological features of drowning-associated pneumonia: a systematic review and meta-analysis.Annals of intensive care · 2024Review
- Does adjunctive hemoadsorption provide benefit in the management of ischemia-reperfusion syndrome following near-drowning? A case report.Frontiers in medicine · 2024Article
- Feasibility study of the Utstein Style For Drowning to aid data collection on the resuscitation of drowning victims.Resuscitation plus · 2023Article
- Results from 237 extracorporeal membrane oxygenation runs with drowned patients: a nationwide retrospective study.Critical care (London, England) · 2023Article
- A systematic review of interventions for resuscitation following drowning.Resuscitation plus · 2023Review
- Drowning case complicated with a cardiopulmonary arrest and severe ARDS saved with a good neurological outcome by ECMO: A case report.Respirology case reports · 2022Article
- Clinical spectrum and risk factors for mortality among seawater and freshwater critically ill drowning patients: a French multicenter study.Critical care (London, England) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDrowning is a cause of significant global mortality. The mechanism of injury involves inhalation of water, lung injury and hypoxia. This systematic review addressed the following question: In drowning patients with lung injury, what is the evidence from primary studies regarding treatment strategies and subsequent patient outcomes?
methodsThe search strategy utilised PRISMA guidelines. Databases searched were MEDLINE, EMBASE, CINAHL, Web of Science and SCOPUS. There were no restrictions on publication date or age of participants. Quality of evidence was evaluated using GRADE methodology.
resultsForty-one papers were included. The quality of evidence was very low. Seventeen papers addressed the lung injury of drowning in their research question and 24 had less specific research questions, however included relevant outcome data. There were 21 studies regarding extra-corporeal life support, 14 papers covering the theme of ventilation strategies, 14 addressed antibiotic use, seven papers addressed steroid use and five studies investigating diuretic use. There were no clinical trials. One retrospective comparison of therapeutic strategies was found. There was insufficient evidence to make recommendations as to best practice when supplemental oxygen alone is insufficient. Mechanical ventilation is associated with barotrauma in drowning patients, but the evidence predates the practice of lung protective ventilation. There was insufficient evidence to make recommendations regarding adjuvant therapies.
conclusionsTreating the lung injury of drowning has a limited evidentiary basis. There is an urgent need for comparative studies of therapeutic strategies in drowning.
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Registered trials
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