Bronchodilators for symptom relief in near drowning
Date First Published:
September 9, 2015
Last Updated:
September 9, 2015
Report by:
Tom Jones, xx (xx)
Three-Part Question:
In [patients who have nearly drowned] do [bronchodilators] provide [symptom relief]?
Clinical Scenario:
A 23-year-old woman presents to the emergency department after falling into the canal. She was resuscitated at the scene and is now fully recovered, apart from seeming a little short of breath. You wonder if a bronchodilator would help with her symptoms.
Search Strategy:
Medline 1946 to June week 2 2015 and Embase 1980 to 2015 week 25 using the OVID interface.
Search Details:
Medline: [exp Near Drowning/ OR exp Drowning/ OR drowning.mp. OR drown$.mp.] AND [bronchodilators.mp. OR exp bronchodilating agent OR salbutamol.mp. OR exp salbutamol/ OR exp ipratropium bromide plus salbutamol/ OR exp beclometasone dipropionate plus salbutamol/ OR exp salbutamol sulfate/] LIMIT to human AND English language.
Embase: [exp Near Drowning/ OR exp Drowning/ OR drowning.mp. OR drown$.mp.] AND [bronchodilators.mp. OR exp bronchodilating agent OR salbutamol.mp. OR exp salbutamol/ OR exp ipratropium bromide plus salbutamol/ OR exp beclometasone dipropionate plus salbutamol/ OR exp salbutamol sulfate/] LIMIT to human AND English language.
The Cochrane Library Issue 6 of 12 date of searching 04/07/2015 : MeSH descriptor: [Drowning] explode all trees.
Embase: [exp Near Drowning/ OR exp Drowning/ OR drowning.mp. OR drown$.mp.] AND [bronchodilators.mp. OR exp bronchodilating agent OR salbutamol.mp. OR exp salbutamol/ OR exp ipratropium bromide plus salbutamol/ OR exp beclometasone dipropionate plus salbutamol/ OR exp salbutamol sulfate/] LIMIT to human AND English language.
The Cochrane Library Issue 6 of 12 date of searching 04/07/2015 : MeSH descriptor: [Drowning] explode all trees.
Outcome:
0 papers were found using the Medline search strategy and 27 using the Embase search strategy. However, no papers were found to be relevant to the 3 part question. No relevant reviews were found in the Cochrane library.
Author Commentary:
There have been no studies or trials to determine whether bronchodilators provide symptom relief in patients after a drowning episode.
Bottom Line:
There is no evidence to suggest bronchodilators provide effective symptom relief after near drowning.