Immersion pulmonary edema caused acute respiratory failure during scuba diving ; a case report

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  • Takeda Michihiro
    Tokai University school of medicine department of emergency & critical care medicine
  • Nishino Tomoya
    Department of emergency medicine, Ebina General Hospital
  • Takizawa Shie
    Tokai University school of medicine department of emergency & critical care medicine
  • Sakurai Keiji
    Tokai University school of medicine department of emergency & critical care medicine
  • Wakai Shinjiro
    Tokai University school of medicine department of emergency & critical care medicine
  • Morita Seiji
    Tokai University school of medicine department of emergency & critical care medicine
  • Nakagawa Yoshihide
    Tokai University school of medicine department of emergency & critical care medicine
  • Inokuchi Sadaki
    Department of emergency medicine, Ebina General Hospital

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Other Title
  • スクーバダイビングで急性呼吸不全をきたした浸水性肺水腫の1例

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Abstract

<p>Immersion pulmonary edema (IPE) is rarely reported and poorly understood in Japan. A 50s healthy woman requested an ambulance because of dyspnea while scuba diving. When the ambulance arrived, her SpO2 was 80% (room air). In the emergency department, she presented with coarse crackles, severe hypoxia, and pulmonary edema. An electrocardiogram and cardiac ultrasound revealed no evidence of cardiogenic pulmonary edema. She received noninvasive positive pressure ventilation (NPPV) that promptly improved her symptoms and oxygenation. IPE was considered as a diagnosis because there was no evidence of choking, aspiration of sea water, or an arterial gas embolism.</p>

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