Severe immersion pulmonary edema in a novice elderly scuba diver after heavy alcohol intake
| Autor: | Yukio Murata, Yusuke Kitahara, Tatsuya Ishitake, Hideharu Nishikiori, Junya Arakaki, Michitaka Nasu, Yoshitaka Morimatsu, Taizo Fukumoto |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Mechanical ventilation
hypertension cardiopulmonary arrest RC86-88.9 business.industry medicine.medical_treatment Respiratory arrest General Engineering scuba diving Apnea Medical emergencies. Critical care. Intensive care. First aid Case Report Pulmonary edema medicine.disease Scuba diving Hypoxemia Anesthesia medicine Sputum Alcohol intake immersion pulmonary edema medicine.symptom business Alcohol human activities |
| Zdroj: | Acute Medicine & Surgery Acute Medicine & Surgery, Vol 8, Iss 1, Pp n/a-n/a (2021) |
| ISSN: | 2052-8817 |
| Popis: | Background There are no reports of immersion pulmonary edema induced by excessive alcohol intake. We describe the case of a novice scuba diver who developed apnea due to immersion pulmonary edema during scuba diving after heavy alcohol intake. Case Presentation A 71‐year‐old hypertensive man, without regular antihypertensive therapy, performed diving after excessive alcohol intake (total amount, approximately 253 g) until the night before. When swimming at a depth of 12 m, the patient experienced chest discomfort and ascended immediately but became unconscious. Respiratory arrest was confirmed, and he spat pink foamy sputum. On hospital admission, hypoxemia was confirmed, and chest radiography revealed butterfly‐shaped shadows. Therefore, mechanical ventilation was initiated. The next day, his blood oxygenation level improved, and the radiographic shadows disappeared. He was discharged on day 7 of hospitalization without sequelae. Conclusion A scuba diver with untreated hypertension might develop immersion pulmonary edema during diving after heavy alcohol intake. We present the case of a novice scuba diver who developed apnea due to immersion pulmonary edema (IPE) during diving after heavy alcohol intake. It is believed that IPE developed when the patient was exposed to a high‐pressure environment with strongly edematous lungs due to heavy drinking. |
| Databáze: | OpenAIRE |
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