Diving and hyperbaric medicine最新文献_第3页

Recurrent cutaneous decompression sickness in a hyperbaric chamber attendant with a large persistent foramen ovale. 一名患有巨大持续性卵圆孔的高压氧舱服务员反复出现皮肤减压病。

IF 0.8 4区医学

Diving and hyperbaric medicine Pub Date : 2024-12-20 DOI: 10.28920/dhm54.4.354-359

Peter L Wilmshurst, Christopher J Edge

引用次数: 0

Dive medicine capability at Rothera Research Station (British Antarctic Survey), Adelaide Island, Antarctica. 南极阿德莱德岛罗瑟拉研究站（英国南极调查局）的潜水医疗能力。

IF 0.8 4区医学

Diving and hyperbaric medicine Pub Date : 2024-12-20 DOI: 10.28920/dhm54.4.320-327

Felix Nr Wood, Katie Bowen, Rosemary Hartley, Jonathon Stevenson, Matt Warner, Doug Watts

引用次数: 0

Validation of necrotising infection clinical composite endpoint in a retrospective cohort of patients with necrotising soft tissue infections. 在坏死性软组织感染患者回顾性队列中验证坏死性感染临床综合终点。

IF 0.8 4区医学

Diving and hyperbaric medicine Pub Date : 2024-09-30 DOI: 10.28920/dhm54.3.155-161

Victoria Bion, Dylan Jape, Rachel Niesen, Margaret Angliss, Frank Bruscino-Raiola, Biswadev Mitra, Bridget Devaney

{"title":"Validation of necrotising infection clinical composite endpoint in a retrospective cohort of patients with necrotising soft tissue infections.","authors":"Victoria Bion, Dylan Jape, Rachel Niesen, Margaret Angliss, Frank Bruscino-Raiola, Biswadev Mitra, Bridget Devaney","doi":"10.28920/dhm54.3.155-161","DOIUrl":"10.28920/dhm54.3.155-161","url":null,"abstract":"Introduction: Rapidly progressive necrotising soft tissue infections (NSTIs) are associated with high mortality and morbidity. Low incidence and disease heterogeneity contribute to low event rates and inadequately powered studies. The Necrotising Infections Clinical Composite Endpoint (NICCE) provides a binary outcome with which to assess interventions for NSTIs. Partly with a view towards studies of hyperbaric oxygen treatment in NSTIs we aimed to validate NICCE in a retrospective cohort of NSTI patients.Methods: Eligible patients were admitted between 2012 and 2021 to an adult major referral hospital in Victoria, Australia with surgically confirmed NSTI. The NICCE and its constituents were assessed in the whole cohort (n = 235). The cohort was divided into two groups using the modified sequential organ failure assessment (mSOFA) score, with an admission mSOFA score ≥ 3 defined as high acuity.Results: Baseline characteristics of the whole (n = 235), the high (n = 188) and the low acuity cohorts (n = 47) were similar. Survival rates were high (91.1%). Patients with an admission mSOFA ≥ 3 were less likely to meet NICCE criteria for 'success' compared to the lower acuity cohort (34.1% and 64.7% respectively). Meeting NICCE criteria was significantly associated with lower resource utilisation, measured by intensive care unit days, ventilator days, and hospital length of stay for all patients and for those with high acuity on presentation.Conclusions: The NICCE provides greater discriminative ability than mortality alone. It accurately selects patients at high risk of adverse outcomes, thereby enhancing feasibility of trials. Adaptation of NICCE to include patient-centred outcomes could strengthen its clinical relevance.","PeriodicalId":11296,"journal":{"name":"Diving and hyperbaric medicine","volume":"54 3","pages":"155-161"},"PeriodicalIF":0.8,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11659063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Errata: Formulating policies and procedures for managing diving related deaths: a whole of state engagement from frontline and hospital services in Tasmania. 勘误表：制定管理潜水相关死亡的政策和程序：塔斯马尼亚州前线和医院服务的全州参与。

IF 0.8 4区医学

Diving and hyperbaric medicine Pub Date : 2024-09-30 DOI: 10.28920/dhm54.3.253

Elizabeth J Elliot, Karl Price, Bernard Peters

引用次数: 0

Bispectral index with density spectral array (BIS-DSA) monitoring in a patient with inner ear and cerebral decompression sickness. 对一名内耳和大脑减压病患者进行密度谱阵列双谱指数（BIS-DSA）监测。

IF 0.8 4区医学

Diving and hyperbaric medicine Pub Date : 2024-09-30 DOI: 10.28920/dhm54.3.237-241

Gerald Schmitz, Sharon Aguero

引用次数: 0

Maxillary sinus barotrauma with infraorbital nerve paraesthesia after breath-hold diving. 憋气潜水后上颌窦气压创伤伴眶下神经麻痹。

IF 0.8 4区医学

Diving and hyperbaric medicine Pub Date : 2024-09-30 DOI: 10.28920/dhm54.3.230-232

Kubra Canarslan Demir, Zeliha Yücel

{"title":"Maxillary sinus barotrauma with infraorbital nerve paraesthesia after breath-hold diving.","authors":"Kubra Canarslan Demir, Zeliha Yücel","doi":"10.28920/dhm54.3.230-232","DOIUrl":"10.28920/dhm54.3.230-232","url":null,"abstract":"Barosinusitis, or sinus barotrauma, is a sinonasal injury and/or inflammation that results when the aerated spaces of the nose and sinuses are exposed to an uncompensated change in ambient pressure. We describe a 19-year-old male diver who presented to our clinic on the fourth day following a breath-hold diving session. During descent on a constant weight monofin dive at the South Cyprus World Championship he began to experience symptoms due to the inability to equalise the pressure, particularly in the Eustachian tubes and middle ear cavities. He felt pain and pressure in the upper left half of his face, left upper molars, and under his left eye at 60 metres, and he continued diving down to 74 metres. At presentation to our clinic, he still had ecchymosis under his right eye and pain in his upper right teeth, half of his face, and ear. He also described tingling in the lower left half of his nose and the left half of his upper lip. He received decongestants, B vitamins, and underwent endoscopic sinus drainage which alleviated his symptoms alleviated over time. The diver reported complete resolution of tingling, numbness, and pain after three months. It should not be forgotten that if appropriate treatment is delayed, permanent changes may occur as a result of long-term compression of the nerve, and therefore patients should be monitored closely.","PeriodicalId":11296,"journal":{"name":"Diving and hyperbaric medicine","volume":"54 3","pages":"230-232"},"PeriodicalIF":0.8,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11659071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retrospective analysis of challenging cases for medical examiners of diving. 对潜水法医挑战性案例的回顾性分析。

IF 0.8 4区医学

Diving and hyperbaric medicine Pub Date : 2024-09-30 DOI: 10.28920/dhm54.3.184-187

Inge Reus, Erik van de Sande, Rienk Rienks, Thijs Wingelaar

{"title":"Retrospective analysis of challenging cases for medical examiners of diving.","authors":"Inge Reus, Erik van de Sande, Rienk Rienks, Thijs Wingelaar","doi":"10.28920/dhm54.3.184-187","DOIUrl":"10.28920/dhm54.3.184-187","url":null,"abstract":"Introduction: Assessing a diver's fitness to dive enhances diving safety, with medical examiners of diving (MED) being entrusted with this responsibility. However, the effectiveness of MED training in preparing physicians for this task remains underexplored. In the Netherlands, where any physician can pursue MED qualification, challenging cases can be presented to a board of experts.Methods: This retrospective analysis included all cases presented to a board of experts in the period 2013-2023. Aside from baseline information, cases were coded using the International Classification of Diseases 11th Revision (ICD-11). Additionally, the type of advice given by the board was also recorded.Results: A total of 291 cases could be included, 62.5% were male divers with a median age of 47 years old (interquartile range 29-55). Circulatory (20.9%), respiratory (16.2%), neurologic (14.4%), psychiatric (9.6%) and endocrine (6.5%) disease comprised more than two-thirds of all presented cases. Problems for the MED included multimorbidity, knowledge of guidelines and interpretation of diagnostic data.Conclusions: These results could be used to improve MED courses or serve as a topic for continuing medical education for MEDs, however, further research into generalisability is required.","PeriodicalId":11296,"journal":{"name":"Diving and hyperbaric medicine","volume":"54 3","pages":"184-187"},"PeriodicalIF":0.8,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11659069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hyperbaric medicine and climate footprint. 高压氧医学与气候足迹

IF 0.8 4区医学

Diving and hyperbaric medicine Pub Date : 2024-09-30 DOI: 10.28920/dhm54.3.252

Alice Varichon, Rodrigue Pignel, Sylvain Boet

引用次数: 0

Medical examination of divers after COVID-19 infection: a prospective, observational study using published (original and revised) guidelines for evaluation. 潜水员感染 COVID-19 后的体检：一项前瞻性观察研究，采用已发布的（原始和修订版）指南进行评估。

IF 0.8 4区医学

Diving and hyperbaric medicine Pub Date : 2024-09-30 DOI: 10.28920/dhm54.3.176-183

Charlotte Sadler, Anna Lussier, Ian Grover, Karen Van Hoesen, Peter Lindholm

{"title":"Medical examination of divers after COVID-19 infection: a prospective, observational study using published (original and revised) guidelines for evaluation.","authors":"Charlotte Sadler, Anna Lussier, Ian Grover, Karen Van Hoesen, Peter Lindholm","doi":"10.28920/dhm54.3.176-183","DOIUrl":"10.28920/dhm54.3.176-183","url":null,"abstract":"Introduction: The COVID-19 pandemic raised significant concerns about fitness to dive due to potential damage to the pulmonary and cardiovascular systems. Our group previously published guidelines (original and revised) for assessment of these divers. Here, we report a prospective, observational study to evaluate the utility of these guidelines.Methods: Recreational, commercial, and scientific divers with a history of COVID-19 were consented and enrolled. Subjects were evaluated according to the aforementioned guidelines and followed for any additional complications or diving related injuries.Results: One-hundred and twelve divers (56 male, 56 female, ages 19-68) were enrolled: 59 commercial, 30 scientific, 20 recreational, two unknown (not documented), one military. Cases were categorised according to two previous guidelines ('original' n = 23 and 'revised' n = 89): category 0 (n = 6), category 0.5 (n = 64), category 1 (n = 38), category 2 (n = 2), category 3 (n = 1), uncategorisable due to persistent symptoms (n = 1). One hundred divers (89.3%) were cleared to return to diving, four (3.6%) were unable to return to diving, four (3.6%) were able to return to diving with restrictions, and four (3.6%) did not complete testing. Regarding diving related complications, one diver had an episode of immersion pulmonary oedema one year later and one diver presented with decompression sickness and tested positive for COVID-19.Conclusions: Most divers who presented for evaluation were able to return to diving safely. Abnormalities were detected in a small percentage of divers that precluded them from being cleared to dive. Guidelines were easily implemented by a variety of clinicians.","PeriodicalId":11296,"journal":{"name":"Diving and hyperbaric medicine","volume":"54 3","pages":"176-183"},"PeriodicalIF":0.8,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11659062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acoustic emission, an innovative diagnosis tool for therapeutic hyperbaric chambers: or how to requalify safely using pneumatic pressure test. 声发射--治疗性高压氧舱的创新诊断工具：或如何利用气压测试安全地重新鉴定。

IF 0.8 4区医学

Diving and hyperbaric medicine Pub Date : 2024-09-30 DOI: 10.28920/dhm54.3.204-211

Johann Catty, Olivier Seguin, Jean-Laurent Juillie, Daniel Mathieu, Erika Parmentier-Decrucq

{"title":"Acoustic emission, an innovative diagnosis tool for therapeutic hyperbaric chambers: or how to requalify safely using pneumatic pressure test.","authors":"Johann Catty, Olivier Seguin, Jean-Laurent Juillie, Daniel Mathieu, Erika Parmentier-Decrucq","doi":"10.28920/dhm54.3.204-211","DOIUrl":"10.28920/dhm54.3.204-211","url":null,"abstract":"Therapeutic hyperbaric chambers require continuous monitoring and maintenance, including periodic requalification. The primary aim is to verify the suitability for continued safe service. Maintenance is regulated in Europe, and in France requalification is mandatory where a hyperbaric chamber operates above pressures equal to or greater than 4 bar gauge. French requalification requires a hydraulic (hydrostatic) pressure test to determine the absence of deformation and leaks during the test. However, in such cases, it is often necessary to move the chamber if the combined mass of the chamber and water may exceed the allowable floor loading strength. In 2009, an innovative alternative to a hydraulic pressure testing was authorised in France. It consists of carrying out a pneumatic pressure test simultaneously with a non-destructive monitoring technique called 'acoustic emission'. This can be compared to a microseismology technique, where sensors are applied to the pressure retaining boundary of the hyperbaric chamber, and signals emitted by the vessel under load are captured. These signals are analysed, prioritised, and classified, to determine the physical position of any sources (artifacts) through triangulation calculations. This technique makes it possible to assess the behaviour of the vessel very accurately in real time and, a posteriori, to assess its fitness for continued service. This technique reduces the unavailability time of the chamber to two days, compared to potentially several weeks when a hydraulic test is performed. Over and above financial considerations and availability of facilities, this technique provides a baseline of the integrity of pressure vessels and allows monitoring over time of any potential deterioration.","PeriodicalId":11296,"journal":{"name":"Diving and hyperbaric medicine","volume":"54 3","pages":"204-211"},"PeriodicalIF":0.8,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11659070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0