{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T15:03:13Z","timestamp":1769094193886,"version":"3.49.0"},"reference-count":16,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2009,9,10]],"date-time":"2009-09-10T00:00:00Z","timestamp":1252540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Foreign matter aspiration occurs relatively commonly in drowning and near\u2010drowning events. In most cases, stomach contents are aspirated. Sand aspiration rarely occurs and there are no reported cases in children with near drowning. Limited data are available on clinical presentation and management of sand aspiration with accidental burial. We report a 3\u2010year\u2010old boy who nearly drowned while swimming in brackish waters and was found face down in sand. Sand aspiration was suspected when the child continued to have persistent wheezing and high ventilatory requirement despite intensive bronchodilator and corticosteroids therapy with an inability to wean after 4 days post\u2010near\u2010drowning event. Radiology was non\u2010specific in the absence of sand bronchogram. Presence of sand in the airways was confirmed when a bronchoscopy was undertaken and sand seen in the bronchoalveolar lavage fluid. Sequential lung washing followed by exogenous surfactant administration (3\u2009ml\/kg) was undertaken and lead to significant improvement such that within 12\u2009hr post\u2010therapeutic lavage, his ventilatory requirements reduced substantially. The child was extubated 4 days post\u2010lavage and on review 2 months post\u2010event, was clinically well with airway resistance within normal predicted values measured on forced oscillatory spirometry (IOS). Pediatr Pulmonol. 2009; 44:1043\u20131047. \u00a92009 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ppul.21088","type":"journal-article","created":{"date-parts":[[2009,9,10]],"date-time":"2009-09-10T17:30:24Z","timestamp":1252603824000},"page":"1043-1047","source":"Crossref","is-referenced-by-count":22,"title":["Therapeutic bronchoscopy in a child with sand aspiration and respiratory failure from near drowning\u2014case report and literature review"],"prefix":"10.1002","volume":"44","author":[{"given":"N.","family":"Kapur","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Slater","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"McEniery","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.L.","family":"Greer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.B.","family":"Masters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.B.","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,9,10]]},"reference":[{"key":"e_1_2_1_2_2","first-page":"438","volume-title":"Nelson Textbook of Pediatrics","author":"Kallas HJ","year":"2007"},{"key":"e_1_2_1_3_2","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1542\/peds.37.4.684","article-title":"Drowning and the treatment of non\u2010fatal submersion","volume":"37","author":"Imburg J","year":"1966","journal-title":"Pediatrics"},{"key":"e_1_2_1_4_2","first-page":"33","article-title":"The clinical pathology of human near\u2010drowning","volume":"56","author":"Fuller RH","year":"1963","journal-title":"Proc R Soc Med"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-003-1021-6"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.136.4.471"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(62)91621-5"},{"key":"e_1_2_1_8_2","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1093\/milmed\/149.2.98","article-title":"Conservative management of sand aspiration: case report","volume":"149","author":"Bender EM","year":"1984","journal-title":"Mil Med"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(96)90854-4"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.108.4.1176"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1148\/128.2.301"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.156.1.9610092"},{"key":"e_1_2_1_13_2","first-page":"306","article-title":"A case of sea water and sand aspiration during near drowning","volume":"36","author":"Hoshino H","year":"1998","journal-title":"Nihon Kokyuki Gakkai Zasshi"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2007.03.001"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1011481"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(16)38513-3"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.10094"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fppul.21088","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.21088","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T11:46:29Z","timestamp":1697111189000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.21088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,9,10]]},"references-count":16,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2009,10]]}},"alternative-id":["10.1002\/ppul.21088"],"URL":"https:\/\/doi.org\/10.1002\/ppul.21088","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,9,10]]}}}