Undersea and Hyperbaric Medicine最新文献_第10页

Hyperbaric Oxygen Therapy In Surgical Site Infections: A Clinical Experience. 高压氧治疗手术部位感染的临床经验。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2025-02-01

Eylem Burcu Kahraman Özlü, Şerif Aytekin, Ezgi Akar, Arif Tarkan Çalışaneller

{"title":"Hyperbaric Oxygen Therapy In Surgical Site Infections: A Clinical Experience.","authors":"Eylem Burcu Kahraman Özlü, Şerif Aytekin, Ezgi Akar, Arif Tarkan Çalışaneller","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Surgical site infections are difficult complications to manage in neurosurgery practice. We aimed to evaluate the use of hyperbaric oxygen (HBO₂) therapy in neurosurgery practice through cases followed in our clinic.Method: HBO₂ therapy was performed in 13 cases between 2019-2022 at our neurosurgery clinic. We retrospectively evaluated the cases in terms of the age at the time of treatment, the primary pathology, the number of sessions in which HBO2 therapy was performed, the sedimentation and CRP values and radiological images.Results: The mean age of the cases was 55.2 ± 16.4 years. Seven of the cases were female, and six of them were male. While 9 cases had infection secondary to spinal surgery performed for different indications, 1 case had wound site infection due to cranial surgery, 1 case had infection at the cranioplasty site, 1 case had infection in the area where a pain pacemaker was inserted, and 1 case had wound site infection after a carpal tunnel syndrome operation. The cases received an average of 30 sessions of HBO₂ therapy. While a significant decrease was seen in the sedimentation and CRP values, in all cases, a significant radiological improvement was seen in all the cases that were followed. In seven cases with surgical implants, there was no need for implant revision or removal.Conclusion: In our study, we observed that HBO₂ therapy is a good adjuvant treatment option to be used together with antibiotherapy in surgical site infections with and without implants, which are difficult to manage clinically.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"52 2","pages":"73-79"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pseudoephedrine prophylaxis does not prevent middle ear barotrauma in hyperbaric oxygen therapy. 伪麻黄碱预防不能预防高压氧治疗中耳气压损伤。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2025-02-01

Siamak Moayedi, Andreas Gizaw, Sarah Sweet, Kinjal Sethuraman, Michael Witting

引用次数: 0

Should We Abstain from Routine Use of Radiologic Imaging in Fitness to Dive Assessments? A call for action. 我们是否应该避免常规使用放射成像来评估潜水适应性？行动的号召。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2025-02-01

Peter Lindholm, Thijs Wingelaar

引用次数: 0

The Role of Hyperbaric Oxygen Therapy for Severe Frostbite Injury: Insights from a Retrospective Cohort at a High Volume Burn Center. 高压氧治疗在严重冻伤中的作用：来自大容量烧伤中心回顾性队列的见解。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2025-02-01

Thomas Masters, Margot Samson, Jeff Tucci, Alexandra M Lacey, Charlotte Rogers, Alexandra Coward, Gopal V Punjab, Rachel M Nygaard

{"title":"The Role of Hyperbaric Oxygen Therapy for Severe Frostbite Injury: Insights from a Retrospective Cohort at a High Volume Burn Center.","authors":"Thomas Masters, Margot Samson, Jeff Tucci, Alexandra M Lacey, Charlotte Rogers, Alexandra Coward, Gopal V Punjab, Rachel M Nygaard","doi":"","DOIUrl":"","url":null,"abstract":"This retrospective study examines the effectiveness of Hyperbaric oxygen therapy in treating severe frostbite injuries. From October 2013 to March 2020, the study analyzed 214 patients, including 62 treated with HBO₂ therapy. This study aims to describe the impact of HBO₂ therapy on improving tissue salvage and reducing amputation rates in severe frostbite-injured patients. The data suggested that patients undergoing HBO₂ therapy were more likely to receive thrombolytics and have larger areas of tissue impacted. They tended to be younger and had longer hospital stays. A significantly larger proportion of HBO₂ therapy-treated patients required surgical interventions, including amputation and debridement, compared to those not treated with HBO₂ therapy, reflecting the severity of their initial injury. Results indicate a complex relationship between HBO₂ therapy treatment and patient outcomes, suggesting that factors such as severity of injury, patient demographics, and thrombolytic therapy treatment significantly influence severe frostbite outcomes. This study contributes valuable insights to the limited literature on HBO₂ therapy in frostbite management and underscores the need for further controlled trials to ascertain its effectiveness conclusively.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"52 2","pages":"149-156"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2025-02-01

Keishu Onodera, Masakiyo Ishikawa, Manami Homura, Keita Takahashi, Koji Hoshino, Yuji Morimoto

{"title":"Factors related to the prognosis of hyperbaric oxygen therapy for postoperative paralytic ileus.","authors":"Keishu Onodera, Masakiyo Ishikawa, Manami Homura, Keita Takahashi, Koji Hoshino, Yuji Morimoto","doi":"","DOIUrl":"","url":null,"abstract":"Postoperative paralytic ileus is one of the most common complications associated with abdominal surgery. Although the Japanese Society of Hyperbaric and Undersea Medicine officially approves paralytic ileus as an indication for hyperbaric oxygen therapy, the factors related to the prognosis of this therapy have not been determined. Accordingly, in this study, we evaluated factors that may be related to the prognosis of this therapy in patients with postoperative paralytic ileus. Patients in gastroenterological surgery, obstetrics and gynecology, and urology who underwent hyperbaric oxygen therapy for postoperative paralytic ileus from April 1, 2017, through March 31, 2022, were retrospectively evaluated. We set the primary outcome as the number of days to oral intake after the start of the therapy. First, we compared the differences in the number of days for various factors possibly related to its prognosis. Next, multivariate analysis using multiple linear regression analysis was performed. We evaluated 110 patients. Younger age, no prevalence of diabetes mellitus, the kind of surgery, no history of previous abdominal surgery, a shorter number of days from the onset to the start of therapy, and higher mean pressure of therapy had at least 1.5 fewer days of nothing by mouth. Multiple linear regression analysis revealed that only the mean pressure of therapy was a factor associated with the prognosis of hyperbaric oxygen therapy. Only the mean pressure of therapy is related to the prognosis of hyperbaric oxygen therapy. Further prospective studies adopting higher pressure therapy will be necessary to evaluate the efficacy of this treatment.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"52 2","pages":"93-99"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Technical Suitability of Implantable Cardiac Devices for Recreational Diving. 娱乐性潜水植入式心脏装置的技术适用性。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2025-02-01

Matteo Paganini, Luigi Tarsia, Gerardo Bosco, Enrico M Camporesi, Mauro Biffi, Cristian Martignani, Matteo Ziacchi, Giuseppe Boriani, Marco Vitolo, Igor Diemberger

{"title":"Technical Suitability of Implantable Cardiac Devices for Recreational Diving.","authors":"Matteo Paganini, Luigi Tarsia, Gerardo Bosco, Enrico M Camporesi, Mauro Biffi, Cristian Martignani, Matteo Ziacchi, Giuseppe Boriani, Marco Vitolo, Igor Diemberger","doi":"","DOIUrl":"","url":null,"abstract":"Background: Diving is a diffused recreational activity, and the number of divers carrying cardiac implanted devices is similarly growing. Due to the lack of guidelines or technical indications, the suitability of such devices for diving or the fitness to dive for these patients still needs to be determined.Objective: This work summarizes implantable cardiac devices' suitability for recreational diving, technical vulnerability factors, and recommendations to improve implanted divers' safety.Methods: Between May 1, 2021, and March 20, 2022, three interventional cardiologists retrieved the technical documentation of selected implantable cardiac devices. In particular, any suitability and tests conducted in hyperbaric environments were tracked.Results: Technical documentation was recovered for four companies. Most devices were tested in hyperbaric conditions in single, prolonged, or repeated exposures to pressurized air; underwater tests were not mentioned. No company expressly disclosed the suitability of the devices for underwater activities.Conclusion: In the absence of technical indications or guidelines, a multidisciplinary evaluation between cardiology, diving medicine, and sports medicine is essential to establish the suitability for underwater sports in implanted patients. Before each diving trip, device control is advisable, and underwater physiological adaptations should be considered, especially in the cardiovascular domain. Stressors other than water and pressure must be considered during diving, such as lead strain caused by arm movements and pressure exerted by suits or buoyancy control devices on the chest. Future directions point towards a follow-up of implanted, active divers and developing leadless devices and underwater telemonitoring.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"52 2","pages":"169-177"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clostridial Myonecrosis (Gas Gangrene). 梭状菌性肌坏死（气性坏疽）。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2025-02-01

Robert P Weenink, Georgios F Giannakopoulos, Robert A van Hulst

{"title":"Clostridial Myonecrosis (Gas Gangrene).","authors":"Robert P Weenink, Georgios F Giannakopoulos, Robert A van Hulst","doi":"","DOIUrl":"","url":null,"abstract":"Clostridial myositis and myonecrosis, or gas gangrene, is an acute, rapidly progressive, non-pyogenic, invasive clostridial infection of the muscle tissue characterized by profound toxemia, extensive edema, massive death of tissue, and a variable degree of gas production [1-2]. Gas gangrene is either an endogenous infection caused by contamination from a clostridial focus in the body (spontaneous, atraumatic) or an exogenous infection found mostly in patients with compound and/or complicated fractures with extensive soft tissue injuries after trauma (non-spontaneous, traumatic). The onset of gas gangrene may occur between one to six hours after injury or operation and begins with severe and sudden pain in the infected area before the clinical signs appear. In atraumatic clostridial myonecrosis there are certain predisposing risks such as colonic and gynecologic malignancy, radiation, chemotherapy, and neutropenia. Seemingly disproportionate pain in a clinically still-normal area must make the clinician highly suspicious for developing gas gangrene, especially after trauma or operation. In the early phases, the skin overlying the infected area appears shiny and tense. In the next phase it becomes dusky and progresses to a bronze discoloration. The infection can advance very rapidly, and the patient may become moribund within 12 hours [3]. Hemorrhagic bullae or vesicles may be noted. A thin, serosanguinolent exudate with a sickly, sweet odor is present. Swelling and edema of the infected area is pronounced. The muscles appear dark red to black or greenish. They are noncontractile and do not bleed when cut. The tissue gas seen on radiographs appears as featherlike figures between muscle fibers and is an early and highly characteristic sign of clostridial myonecrosis. Crepitus is usually present as well. Systemic toxicity presents as high fever and tachycardia, followed by shock and multiorgan failure [3].","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"52 2","pages":"203-209"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EEG-based brain biomarker supports hyperbaric oxygen therapy for acute concussions. 基于脑电图的脑生物标志物支持急性脑震荡高压氧治疗。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2025-02-01

Daphne Watkins Denham, Menley A Denham

{"title":"EEG-based brain biomarker supports hyperbaric oxygen therapy for acute concussions.","authors":"Daphne Watkins Denham, Menley A Denham","doi":"","DOIUrl":"","url":null,"abstract":"Acute concussion is a significant health issue among youth athletes, affecting their quality of life and performance. However, the standard of care, rest, has been questioned, while treatments are lacking. This pilot case series used an FDA-cleared electroencephalogram-based brain biomarker (EEGBB) to demonstrate hyperbaric oxygen therapy (HBO₂) improvement for treating concussion. From December 31, 2021, through May 27, 2022, school-aged patients presenting at two HBO₂ clinics within ten days of injury with an acute concussion confirmed by an initial EEGBB assessment were evaluated. The EEGBB diagnoses concussions using artificial intelligence to yield a score between 0-100, with scores ≤70 considered concussed. HBO₂ using 1.5-2.0 ATA, progressing stepwise per patient tolerance, was administered in ≥4-hour intervals until sustained symptom-free. EEGBB assessment was performed before and after each treatment. Eleven patients [mean age: 16±2.2; six male (55%)] participated. Patients presented one to nine days (median: three) after injury. Their median baseline EEGBB score was 18 (range: 1 to 35). The median first and last post-treatment scores available were 84 (range: 32-90) and 85 (range: 75-89), respectively. The median number of HBO₂ treatments was three (range: 2-8) administered over a median of two days (range: two to five). All patients except one (due to a technical error) received a post-treatment follow-up score 2- 22 days after treatment completion. The median final score was 85 (range: 64-90). There were no adverse events. Preliminary data demonstrate that the EEGBB objectively supports the use of HBO₂ to treat acute concussions. Further research should confirm the appropriate HBO₂ regimen to treat concussions.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"52 2","pages":"81-92"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Definition of delayed-onset neurologic sequelae: A review article. 迟发性神经系统后遗症的定义：综述文章。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2025-02-01

Alik Dakessian, Zachary Hagen, Eugenio R Rocksmith, Kinjal N Sethuraman

{"title":"Definition of delayed-onset neurologic sequelae: A review article.","authors":"Alik Dakessian, Zachary Hagen, Eugenio R Rocksmith, Kinjal N Sethuraman","doi":"","DOIUrl":"","url":null,"abstract":"Background: Delayed-onset neurologic sequelae (DNS) is a devastating complication of carbon monoxide poisoning. Despite abundant research studies on DNS, the definition remains unclear, with a wide range of symptoms. This review aims to identify the different symptoms and definitions that have been associated with DNS in available research.Methods: For this review, searches were conducted in PubMed and Scopus. Two authors screened research studies by abstract and title, and a third resolved conflicts. After the full-text review, one author extracted the data. Only original full-text research studies in English with a clear definition of DNS were included.Results: This review included 127 studies. Signs and symptoms associated with DNS were categorized into twelve groups. The most used symptom categories to define DNS were general neurological and cognitive/learning dysfunctions. Imaging studies, clinical testing, and neuropsychiatric testing used to define DNS were also documented.Conclusions: The literature did not consistently define DNS attributed to CO toxicity. Standardizing the definition and diagnostic criteria would benefit clinical research.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"52 2","pages":"121-131"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Position change during hyperbaric oxygen therapy for arterial gas embolism. 动脉气体栓塞高压氧治疗时体位改变。

IF 0.7 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2025-02-01

Naoto Jingami, Takayuki Nitta, Yoshitaka Ishiguro, Yudai Takatani, Tomoyuki Yunoki, Shigeru Ohtsuru

{"title":"Position change during hyperbaric oxygen therapy for arterial gas embolism.","authors":"Naoto Jingami, Takayuki Nitta, Yoshitaka Ishiguro, Yudai Takatani, Tomoyuki Yunoki, Shigeru Ohtsuru","doi":"","DOIUrl":"","url":null,"abstract":"Arterial gas embolism can be fatal and should be treated with care. Typically, the patient is placed in the supine position during treatment. However, we present a case where the patient's position was changed to facilitate treatment. A 78-year-old man with severely reduced heart function underwent cryoablation for chronic atrial fibrillation. During the procedure, he accidentally inhaled rapidly. Subsequently, he presented with stroke symptoms. Computed tomography (CT) revealed air in the brain and left ventricle, leading to a diagnosis of arterial gas embolism. He underwent hyperbaric oxygen (HBO₂) therapy as per the US NAVY Table 6 protocol. The air embolism in the brain reduced but that in the apex of the left ventricle persisted. Subsequently, HBO₂, as per the US NAVY Table 5 protocol, was performed along with a position change to the right lateral and manual vibration. The position change was based on the three-dimensional structures of the left ventricle, aortic arch, and descending aorta. Subsequently, no air was observed on CT, and rehabilitation was initiated. Safe body positions for arterial and venous gas embolisms differ. Therefore, understanding the vascular anatomy is imperative for treating gas embolism.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"52 2","pages":"157-161"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0