Undersea and Hyperbaric Medicine最新文献_第9页

Hyperbaric treatment deviations for U.S. Navy divers: Spinal DCS. 美国海军潜水员的高压氧治疗偏差:脊柱DCS。

IF 0.9 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2023-04-01

John DeMis, Brian Michael Keuski, April Due

{"title":"Hyperbaric treatment deviations for U.S. Navy divers: Spinal DCS.","authors":"John DeMis, Brian Michael Keuski, April Due","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The United States Navy (USN) developed and refined standardized oxygen treatment tables for diving injuries, but USN tables may not address all situations of spinal decompression sickness (DCS). We describe a detailed recompression treatment regimen that deviated from standard USN protocol for an active-duty USN diver with a severe, delayed presentation of spinal cord DCS.Case report: A USN diver surfaced from his second of three dives on a standard Navy 'no-Decompression' Air SCUBA dive (Max depth 101 fsw utilizing a Navy Dive Computer) and developed mid-thoracic back pain, intense nausea, paresthesias of bilateral feet, and penile erection. Either not recognizing the con- stellation of symptoms as DCS and after resolution of the aforementioned symptoms, he completed the third planned dive (essentially an in-water recompression). Several hours later, he developed paresthesias and numbness of bilateral feet and legs and bowel incontinence. He presented for hyperbaric treatment twenty hours after surfacing from the final dive and was diagnosed with severe spinal DCS. Based on the severity of clinical presentation and delay to treatment, the initial and follow-on treatments were modified from standard USN protocol. MRI of the spine four days after initial presentation demonstrated a 2.2 cm lesion at the T4 vertebral level extending caudally. Follow-up examinations over two years demonstrated almost complete return of motor and sensory function; however, the patient continued to suffer fecal incontinence and demonstrated an abnormal post-void residual urinary volume. An atypical presenting symptom, a discussion of MRI findings, and clinical correlations to the syndrome of spinal DCS are discussed throughout treatment and long-term recovery of the patient.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"50 4","pages":"383-390"},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499923","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

Memory surfacing among veterans with PTSD receiving hyperbaric oxygen therapy. 接受高压氧治疗的创伤后应激障碍退伍军人的记忆浮现。

IF 0.9 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2023-04-01

Keren Doenyas-Barak, Ilan Kutz, Erez Lang, Gabriela Levi, Shai Efrati

{"title":"Memory surfacing among veterans with PTSD receiving hyperbaric oxygen therapy.","authors":"Keren Doenyas-Barak, Ilan Kutz, Erez Lang, Gabriela Levi, Shai Efrati","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Growing evidence demonstrates that hyperbaric oxygen therapy (HBO2) induces neuroplasticity and can benefit individuals with post-traumatic stress disorder (PTSD). The aim of the current study was to evaluate the rate and pattern of memory surfacing during the course of HBO2 among veterans with combat-related PTSD.Methods: In a post-hoc analysis of a prospective study of the effect of HBO2 on PTSD symptoms in veterans, we evaluated the rate and character of memory surfacing during the course of HBO2 treatment. The treatment consisted of 60 daily 90-minute sessions, at 2 atmospheres absolute (ATA) pressure and 100% oxygen.Results: For 10 (35.7%) of the 28 participants, surfacing of new memories was reported during the HBO2 treatment course. Memories surfaced mainly during the second month of the treatment, at the mean session of 30.5±13.2. For 9 of these 10 participants, prodromal symptoms such as distress, anxiety, or worsening depression were documented; and in four, somatic pain was reported prior to memory surfacing. The pain and distress of memory surfacing resolved over the course of one to 10 days.Discussion: Among individuals with PTSD, the surfacing of new memories, accompanied by emotional distress and somatic pain, is common during HBO2. The surfacing of memories sheds light on the biological effect of HBO2 on the brain sequela of PTSD. It is highly important that in treating patients for any indication, HBO2 medical teams be aware and capable of addressing memory surfacing, particularly in those with a history of trauma.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"50 4","pages":"395-401"},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499924","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

Altitude Diving on a Closed Circuit Oxygen Rebreather. 用闭路换气器进行高空潜水。

IF 0.9 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2023-04-01

Jonathan Conard

引用次数: 0

Treatment of pediatric cerebral radiation necrosis using hyperbaric oxygenation. 高压氧治疗小儿脑放射性坏死。

IF 0.9 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2023-04-01

Kelly Johnson-Arbor

{"title":"Treatment of pediatric cerebral radiation necrosis using hyperbaric oxygenation.","authors":"Kelly Johnson-Arbor","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Cerebral radiation necrosis is rarely encountered in pediatric patients. This case report describes a child with cerebral radiation necrosis who was successfully treated using corticosteroids, bevacizumab, and hyperbaric oxygenation.Case report: A 3-year-old boy developed progressive extremity weakness six months after the completion of radiation therapy for the treatment of a neuroepithelial malignancy. Treatment with corticosteroids and bevacizumab was initiated, but his symptoms did not improve, and he was then referred for hyperbaric oxygen therapy. After completing 60 hyperbaric treatments, he experienced significant improvements in mobility, which remained stable over the next year.Discussion: Cerebral radiation necrosis typically presents in children with symptoms of ataxia or headache. Corticosteroids and bevacizumab are common treatments, but hyperbaric oxygen therapy has also been studied as a therapeutic modality for this condition. When considering the use of hyperbaric oxygenation in pediatric patients, careful attention to treatment planning and patient safety can reduce the risks of adverse events such as middle ear barotrauma and confinement anxiety.Conclusion: In addition to other available pharmacologic therapies, hyperbaric oxygenation should be considered for the treatment of pediatric patients with cerebral radiation necrosis.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"50 4","pages":"421-424"},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499925","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

Analysis of the cardiovascular effects of hyperbaric oxygen therapy in diabetic patients. 糖尿病患者高压氧治疗对心血管的影响分析。

IF 0.9 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2023-04-01

Kubra Canarslan-Demir, Kubra Ozgok-Kangal, Ayse Saatci-Yasar, Mehmet Akif Erdol, Bayram Koc

{"title":"Analysis of the cardiovascular effects of hyperbaric oxygen therapy in diabetic patients.","authors":"Kubra Canarslan-Demir, Kubra Ozgok-Kangal, Ayse Saatci-Yasar, Mehmet Akif Erdol, Bayram Koc","doi":"","DOIUrl":"","url":null,"abstract":"During hyperbaric oxygen (HBO2) therapy in humans, there are changes in cardiovascular physiology due to high pressure and hyperoxygenation. Peripheral vasoconstriction, bradycardia, and a decrease in cardiac output are observed during HBO2 therapy. These physiological effects of HBO2 therapy on the cardiovascular system are tolerated in healthy people. However, patients with underlying cardiac disease may experience severe problems during HBO2 therapy, such as pulmonary edema and death. In addition, cardiac complications may occur in patients with diabetes mellitus (DM). Therefore, HBO2 therapy may negatively affect cardiovascular physiology in patients with DM. The present study aimed to examine the cardiovascular effects of HBO2 therapy in diabetic patients. The findings of NT-ProBNP, troponin I, and electrocardiography (ECG) of diabetic patients who applied to the Ministry of Health University Gülhane Training Research Underwater and Hyperbaric Medicine Clinic were compared before and after the first HBO2 therapy session. When ECG findings were analyzed at the end of a session of HBO2 exposure, a statistically significant increase was observed in the QTc and QTc dispersion measurements (p≺0.001 and p = 0.02, respectively). In cardiac enzymes, there was a statistically significant increase in troponin I values after an HBO2 therapy session, but no statistically significant change was observed in Pro-BNP (p = 0.009, p = 0.3, respectively). Short-term exposure to HBO2 therapy had statistically significant changes in troponin I, QT, and QTc in patients with DM, which did not reach clinical significance. Despite very little evidence of cardiac dysfunction, we recommend caution in using HBO2 therapy in patients with DM and emphasize the need for further investigation of these measurements.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"50 4","pages":"425-431"},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499906","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

Efficacy of hyperbaric oxygen after microtia reconstruction using costal cartilage: A retrospective case-control study. 用肋软骨重建小体缺损后高压氧的疗效:回顾性病例对照研究。

IF 0.9 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2023-04-01

Naoki Murao, Akihiko Oyama, Yuhei Yamamoto, Emi Funayama, Kosuke Ishikawa, Taku Maeda

{"title":"Efficacy of hyperbaric oxygen after microtia reconstruction using costal cartilage: A retrospective case-control study.","authors":"Naoki Murao, Akihiko Oyama, Yuhei Yamamoto, Emi Funayama, Kosuke Ishikawa, Taku Maeda","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Microtia reconstruction with autologous costal cartilage framework grafting is challenging because the three-dimensional structure of the ear is highly complex, and meeting the high aesthetic demands of patients can be difficult. If the skin flap overlying the framework is thinned to achieve a smooth and accentuated outline, a poor blood supply in the thin skin flap may lead to skin necrosis, exposure of the framework, and poor surgical results. Hyperbaric oxygen (HBO2) therapy can promote the healing of complex wounds and flaps. This study sought to determine the effectiveness of HBO2 therapy for the prevention of postoperative complications after framework grafting in microtia reconstruction.Methods: We retrospectively evaluated postoperative complications and compared outcomes in pediatric patients who underwent costal cartilage grafting for microtia reconstruction at our institution between 2011 and 2015, according to whether or not they received postoperative HBO2 therapy. HBO2 therapy was applied once daily for a total of 10 sessions starting on the first postoperative day.Results: During the study period, eight patients received HBO2 therapy after costal cartilage grafting, and 12 did not. There was no significant difference in the incidence of postoperative ulcers. However, the incidence of framework exposure was lower, and the healing time was shorter in patients who received HBO2 therapy than in those who did not.Discussion: HBO2 therapy can be used safely in pediatric patients to reduce postoperative complications and improve the aesthetic outcome of microtia reconstruction. After costal cartilage grafting, HBO2 therapy should be considered as adjuvant therapy.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"50 4","pages":"413-419"},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499920","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

Aerobic exercise performance is reduced following prolonged cold-water immersion. 长时间的冷水浸泡会降低有氧运动的表现。

IF 0.9 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2023-04-01

Hayden W Hess, Zachary J Schlader, Blair D Johnson, Riana R Pryor, David Hostler

{"title":"Aerobic exercise performance is reduced following prolonged cold-water immersion.","authors":"Hayden W Hess, Zachary J Schlader, Blair D Johnson, Riana R Pryor, David Hostler","doi":"","DOIUrl":"","url":null,"abstract":"Background: We tested the hypotheses that self-paced aerobic exercise performance is reduced following four hours of cold-water immersion when breathing air and further reduced when breathing 100% oxygen (O2). Nine healthy adults (four women; age 24 ± 3 years; body fat 17.9 ± 6.4%; VO2max 48±9 mL • kg • minute⁻¹) completed three visits: a no-immersion control trial and two experimental trials consisting of a four-hour cold-water immersion (20.1±0.3°C) either breathing air (FIO2 = 0.21) or O2 (FIO2 = 1.0). During the no-immersion control trial and following immersion in the experimental trials, subjects first completed a 60-minute ruck-march carrying 20% of body mass in a rucksack, immediately followed by an unweighted, self-paced 5-km time trial on a motorized treadmill. Core temperature, heart rate, and rating of perceived exertion were recorded every 1,000 meters during the 5-km time trial. Data are presented mean± SD. Time trial performance was reduced following immersion in both the 100% O2 trial (32±6 minutes; p=0.01) and air trial (32±5 minutes; p=0.01) compared to the control trial (28± 4 minutes). However, there was no difference between the 100% O2 and air trials (p=0.86). Heart rate, core temperature, and rating of perceived exertion increased during the time trial (time effect: p≺0.01), but were not different between trials (trial effect: p≥0.33). These findings suggest that prolonged cold-water immersion attenuates self-paced aerobic exercise performance, but does not appear to be further affected by breathing gas type.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"50 4","pages":"359-372"},"PeriodicalIF":0.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499904","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

Hyperbaric oxygen combined with hydrogen-rich saline protect against acute lung in rat model 高压氧联合富氢盐水对大鼠急性肺模型的保护作用

IF 0.9 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2023-01-01 DOI: 10.22462/01.01.2023.5

Yin Chang, Qianyu Han, Xiao-chen Bao, Mingdong Wang, Yuxiang Jin, Siang Zhang, Xuewei Zhao, Yi-qun Fang, L. Xue

{"title":"Hyperbaric oxygen combined with hydrogen-rich saline protect against acute lung in rat model","authors":"Yin Chang, Qianyu Han, Xiao-chen Bao, Mingdong Wang, Yuxiang Jin, Siang Zhang, Xuewei Zhao, Yi-qun Fang, L. Xue","doi":"10.22462/01.01.2023.5","DOIUrl":"https://doi.org/10.22462/01.01.2023.5","url":null,"abstract":"Background: To investigate therapeutic effects of hydrogen-rich saline (HRS) combined with hyperbaric oxygen (HBO2) in an experimental rat model of acute lung injury (ALI). Methods: 40 Male Sprague-Dawley rats were randomly divided into sham, LPS, LPS + HBO2, LPS + HRS and LPS + HBO2 + HRS groups. ALI was induced by an intratracheal injection of LPS, then the rats were respectively given single agent treatment of HBO2 or HRS or HBO2 + HRS treatment. The treatments were continued for three days in an experimental rat model of ALI. At the end of the experiment, the lung pathological, inflammatory factors, and cell apoptosis in the pulmonary tissue were detected by Tunel method and cell apoptosis rate was calculated accordingly. Results: In the groups treated with HBO2 + HRS, pulmonary pathological data, wet-dry weight ratio and inflammatory factors of pulmonary tissues and aveolar lavage fluid were signficantly superiror to those of the sham group (p<0.05). Cell apoptosis detection revealed that no matter single agent treatment of HRS or HBO2, or combination treatment, could all alleviate cell apoptosis, and HRS combined with HBO2 treatment was obviously superior to single treatment (p<0.05). Conclusions: HRS or HBO2 single treatment could decrease inflammatory cytokines release in lung tissue, reduce accumulation of oxidative products and alleviate apoptosis of pulmoanry cells, then lead to positive therapeutic effects on ALI induced by LPS. Furthermore, HBO2 combined with HRS treatment presented a synergy effect on cell apoptosis decrease, and a declined trend in inflammatory cytokines release and related inflammatory products generation, compared with single treatment.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"15 4","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72611062","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

Efficacy of hyperbaric oxygen after microtia reconstruction using costal cartilage: A retrospective case-control study 用肋软骨重建小体缺损后高压氧的疗效:回顾性病例对照研究

IF 0.9 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2023-01-01 DOI: 10.22462/01.01.2023.46

N. Murao, A. Oyama, Yuhei Yamamoto, E. Funayama, K. Ishikawa, T. Maeda

{"title":"Efficacy of hyperbaric oxygen after microtia reconstruction using costal cartilage: A retrospective case-control study","authors":"N. Murao, A. Oyama, Yuhei Yamamoto, E. Funayama, K. Ishikawa, T. Maeda","doi":"10.22462/01.01.2023.46","DOIUrl":"https://doi.org/10.22462/01.01.2023.46","url":null,"abstract":"Introduction: Microtia reconstruction with autologous costal cartilage framework grafting is challenging because the three-dimensional structure of the ear is highly complex, and meeting the high aesthetic demands of patients can be difficult. If the skin flap overlying the framework is thinned to achieve a smooth and accentuated outline, a poor blood supply in the thin skin flap may lead to skin necrosis, exposure of the framework, and poor surgical results. Hyperbaric oxygen (HBO2) therapy can promote the healing of complex wounds and flaps. This study sought to determine the effectiveness of HBO2 therapy for prevention of postoperative complications after framework grafting in microtia reconstruction. Methods: We retrospectively evaluated postoperative complications and compared outcomes in pediatric patients who underwent costal cartilage grafting for microtia reconstruction at our institution between 2011 and 2015 according to whether or not they received postoperative HBO2 therapy. HBO2 therapy was applied once daily for a total of 10 sessions starting on the first postoperative day. Results: During the study period, eight patients received HBO2 therapy after costal cartilage grafting and 12 did not. There was no significant difference in the incidence of postoperative ulcers. However, the incidence of framework exposure was lower and the healing time was shorter in patients who received HBO2 therapy than in those who did not. Discussion: HBO2 therapy can be used safely in pediatric patients to reduce postoperative complications and improve the aesthetic outcome of microtia reconstruction. After costal cartilage grafting, HBO2 therapy should be considered as adjuvant therapy.","PeriodicalId":49396,"journal":{"name":"Undersea and Hyperbaric Medicine","volume":"15 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82014868","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

Jin

IF 0.9 4区医学

Undersea and Hyperbaric Medicine Pub Date : 2023-01-01 DOI: 10.1007/978-3-540-72816-0_12087

Yin Chang, Qianyu Han, Xiao-chen Bao, Mingdong Wang, Yuxiang Jin, Siang Zhang, Xuewei Zhao, Yiqun Fang, L. Xue

引用次数: 0