Abstract:
BACKGROUND:Colorectal cancer is the third most common form of cancer and colorectal surgery is the treatment of choice in local disease. Anastomotic leakage following colorectal surgery is a major complication with a high incidence and mortality. Adjuvant hyperbaric oxygen treatment (HBOT) may be associated with reduction of anastomotic leakage. A systematic review was conducted regarding HBOT as an adjunctive therapy to colorectal surgery. METHODS:Systematic review (1900-2017) using PubMed, Cochrane, EMBASE, Web of Science and EMCARE. All original published studies on the effect of HBOT as an adjunctive therapy for colorectal surgery with the creation of an anastomosis were considered. RESULTS:Thirteen small animal trials were included for qualitative synthesis. We found no human trials. Eleven trials used bursting pressure whilst eight used hydroxyproline levels as a marker for collagen synthesis as primary outcome to assess the strength of the anastomosis. A meta-analysis performed for normal and ischaemic anastomoses showed that postoperative HBOT improves bursting pressure and hydroxyproline levels significantly in both normal (p ≤ 0.001 and p = 0.02) and ischaemic anastomoses (p ≤ 0.001 and p = 0.04). CONCLUSION:Postoperative HBOT has a positive effect on colorectal anastomoses in rats. Further research should focus on a larger systematic animal study.
journal_name
Diving Hyperb Medjournal_title
Diving and hyperbaric medicineauthors
Brouwer RJ,Engberts AC,Borger van der Burg BL,van Dongen TT,van Hulst RA,Hoencamp Rdoi
10.28920/dhm48.3.173-185subject
Has Abstractpub_date
2018-09-30 00:00:00pages
173-185issue
3eissn
1833-3516issn
2209-1491journal_volume
48pub_type
杂志文章,meta分析abstract::Divers suspected of suffering decompression illness (DCI) in locations remote from a recompression chamber are sometimes treated with in-water recompression (IWR). There are no data that establish the benefits of IWR compared to conventional first aid with surface oxygen and transport to the nearest chamber. However, ...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章,评审
doi:10.28920/dhm48.2.84-95
更新日期:2018-06-30 00:00:00
abstract::Basic life support (BLS) in a diving bell (DB) or deck decompression chamber (DDC) is difficult due to the confined space and limited equipment. Retrieval of the unconscious diver into the DB requires the use of a pulley system. Once inside the bell, space limitations dictate that any resuscitative efforts are attempt...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2008-06-01 00:00:00
abstract:INTRODUCTION:When a standard water-seal pleural drain unit (PDU) is used under hyperbaric conditions there are scenarios where excessive negative intrapleural pressure (IPP) and/or fluid reflux can be induced, risking significant morbidity. We developed and tested a pleural vacuum relief (PVR) device which automaticall...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:10.28920/dhm47.3.191-197
更新日期:2017-09-01 00:00:00
abstract::Livedoid vasculopathy is a painful, ulcerating condition of the lower legs, ankles and feet with the typical histological feature of hyalinising vascular change of dermal blood vessels with minimal inflammation. Therapeutic interventions have been diverse and varyingly successful. We report a biopsy-proven case in a 2...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2013-03-01 00:00:00
abstract:INTRODUCTION:Various prescribed and over-the-counter medications may theoretically be incompatible with the diving environment. Anecdotally, it is known divers regularly take medications around the time of their diving activities for different health conditions, possibly ignoring the recommendations not to do so. As pa...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2011-03-01 00:00:00
abstract::Divers are exposed to circulatory stress that directly affects the endothelial lining of blood vessels, and even asymptomatic dives are associated with inflammatory responses, microparticle release and endothelial dysfunction. As humans age, there is a relative increase in the risk of cardiovascular disease, attribute...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章,评审
doi:
更新日期:2015-12-01 00:00:00
abstract:INTRODUCTION:We investigated in a prospective, observational trial the feasibility of using the Eustachian tube function test (ETFT) to measure the effect of repetitive pressure exposure during open seawater dives on Eustachian tube function. METHODS:The study included 28 adult divers during six consecutive days of di...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:10.28920/dhm47.4.216-222
更新日期:2017-12-01 00:00:00
abstract::The South Pacific Underwater Medicine Society (SPUMS) diving medical for recreational scuba divers was last reviewed in 2011. From 2011 to 2019, considerable advancements have occurred in cardiovascular risk assessment relevant to divers. The SPUMS 48th (2019) Annual Scientific Meeting theme was cardiovascular risk as...
journal_title:Diving and hyperbaric medicine
pub_type: 指南
doi:10.28920/dhm50.3.273-277
更新日期:2020-09-30 00:00:00
abstract::Inner-ear decompression sickness (DCS) is an incompletely understood and increasingly recognized condition in compressed-air divers. Previous reports show a high association of inner-ear DCS with persistent foramen ovale (PFO), suggesting that a moderate-to-severe right-to-left shunt might represent a major predisposi...
journal_title:Diving and hyperbaric medicine
pub_type: 信件
doi:
更新日期:2015-06-01 00:00:00
abstract::Vomiting and aspiration of gastric contents into the airways and lungs is a common and well-known clinicopathological entity. This phenomenon might also occur in underwater diving, where it can lead to life-threatening or fatal situations. This article presents two incidents involving diving-related vomiting with asso...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:10.28920/dhm48.1.36-39
更新日期:2018-03-31 00:00:00
abstract:INTRODUCTION:Decompression illness (DCI) is associated with a right-to-left shunt, such as persistent foramen ovale (PFO), atrial septal defect (ASD) and pulmonary arteriovenous malformations. About one-quarter of the population have a PFO, but considerably less than one-quarter of divers suffer DCI. Our aim was to det...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2015-06-01 00:00:00
abstract::Firstly I would like to thank SPUMS members for making me a Life Member of SPUMS; I was surprised and greatly honoured by the award. I also want to confirm and expand on the findings on carbon dioxide absorbents reported by David Harvey et al. For about 35 years, I was the main player in deciding which absorbent went ...
journal_title:Diving and hyperbaric medicine
pub_type: 评论,信件
doi:
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Since 2009, the United Kingdom diving incident data show an increasing number of fatalities in the over-50s age group. Previous studies also suggest some divers take cardiac medications. Since 2001, diving medicals have not been mandatory for UK sport divers. Instead, an annual medical self-certification for...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2015-09-01 00:00:00
abstract:INTRODUCTION:During a hyperbaric oxygen therapy (HBOT) session, every medical device that is used within the hyperbaric chamber is exposed to several hazards, including an increased ambient pressure and partial pressure of oxygen. In Europe, all medical devices marketed and/or sold for use in hyperbaric conditions must...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:10.28920/dhm49.2.137-140
更新日期:2019-06-30 00:00:00
abstract:INTRODUCTION:Scuba diving is a big part of the tourism sector in Malta, and all the cases of decompression illness (DCI)are treated within the single hyperbaric referral centre in the country. METHODS:This retrospective analysis reviews all the medical records of divers with DCI in Malta within the 30-year period betw...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:10.28920/dhm49.3.161-166
更新日期:2019-09-30 00:00:00
abstract:OBJECTIVE:The purpose of this study was to further the understanding of the opening of the Eustachian tube in relation to changes in barometric pressure. DESIGN:An ear canal microphone was used to measure the specific sounds related to tube opening and possible eardrum movements. Five subjects with normal tube functio...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2016-03-01 00:00:00
abstract:INTRODUCTION:We have previously shown that hyperbaric oxygen treatment (HBOT) increased insulin sensitivity in men who were obese or overweight, both with and without type 2 diabetes. The aim of this study was to test whether this insulin-sensitising effect is seen in hyperbaric air (HA). METHODS:Men with type 2 diabe...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章,随机对照试验
doi:10.28920/dhm50.4.386-390
更新日期:2020-12-20 00:00:00
abstract::Decompression illness (DCI) is a syndrome with diverse clinical manifestations but in which cardiac symptoms are rare. In the presence of cardiac symptoms, the necessity to rule out an acute coronary syndrome (ACS) which requires prompt treatment may result in delay to appropriate recompression treatment. We describe ...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract:INTRODUCTION:In-water resuscitation has recently been proposed in the European resuscitation guidelines. Initiation of mechanical ventilation underwater might be considered when an immediate ascent to the surface is impossible or dangerous. The present study evaluated the feasibility of such ventilation underwater. ME...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2013-06-01 00:00:00
abstract::Two cases are presented of divers suffering epileptic seizure and loss of consciousness as a result of probable cerebral arterial gas embolism (CAGE). Both cases had apparently problem-free dives with no obvious provocation for CAGE, though one case may have been having repeated embolisms for some time in their diving...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2008-03-01 00:00:00
abstract::Cerebral arterial gas embolism (CAGE) from breath-holding or inadequate exhalation during ascent is a well-recognised complication of scuba diving. It does not usually occur with breath-hold (BH) diving in those with normal lungs, as the volume of gas in the lungs on surfacing cannot exceed what it was on leaving the ...
journal_title:Diving and hyperbaric medicine
pub_type:
doi:10.28920/dhm49.4.304-305
更新日期:2019-12-20 00:00:00
abstract:INTRODUCTION:Scuba diving involves risks, and candidates in Australia usually have a medical evaluation prior to undertaking a diving course. Hyperbaric physicians act as secondary referral practitioners for these assessments. This study aimed to identify reasons for these secondary referrals, and document the assessme...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Both negative wound pressure therapy (NPWT) and hyperbaric oxygen therapy (HBOT) are useful modalities in the treatment of problem wounds. However, none of the commercially available portable negative-pressure devices have been certified safe for use in a recompression chamber. Thus, the NPWT device is remov...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2011-09-01 00:00:00
abstract::In an emergency, life support can be provided during recompression or hyperbaric oxygen therapy using very basic equipment, provided the equipment is hyperbaric-compatible and the clinicians have appropriate experience. For hyperbaric critical care to be provided safely on a routine basis, however, a great deal of pre...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章,评审
doi:
更新日期:2015-03-01 00:00:00
abstract:INTRODUCTION:An individual case review of diving-related deaths reported as occurring in Australia in 2006 was conducted as part of the Divers Alert Network Asia-Pacific (DAN AP) dive fatality reporting project. METHOD:The case studies were compiled using reports from witnesses, the police and coroners. In each case, ...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2011-06-01 00:00:00
abstract::Gas micronuclei are gas-filled voids in liquids from which bubbles can form at low gas supersaturation. If water is depleted of gas micronuclei, high gas supersaturation is required for bubble formation. This high gas supersaturation is required in part to overcome the Laplace pressure at the point of transition from ...
journal_title:Diving and hyperbaric medicine
pub_type: 信件
doi:10.28920/dhm49.1.64
更新日期:2019-03-31 00:00:00
abstract::Exposure to hyperoxia is associated with oxidative stress and is known to cause inflammation in the lung and the airways. Exhaled nitric oxide concentration (FENO) is a marker of some inflammatory processes in the lung and airways, and is reduced immediately after a single session of hyperbaric oxygen (HBO) exposure. ...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2009-06-01 00:00:00
abstract:INTRODUCTION:Decompression sickness (DCS) results from a decrease in ambient pressure leading to supersaturation of tissues with inert gas and bubble formation. Perfluorocarbons (PFCs) are able to dissolve vast amounts of non-polar gases. Intravenous (IV) PFC emulsions reduce both morbidity and mortality associated wit...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2012-03-01 00:00:00
abstract:INTRODUCTION:The Diver Emergency Service (DES) in Australia provides specialised medical advice on diving incidents 24 hours a day to divers, dive operators, families and health professionals. It is operated from the Hyperbaric Medicine Unit of the Royal Adelaide Hospital where the physician-on-call also carries the DE...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2012-09-01 00:00:00
abstract:INTRODUCTION:This study identified pre-existing medical conditions among scuba diving fatalities in Australia from 2001 to 2013, inclusive, and assessed whether these conditions likely contributed to the deaths. METHODS:The National Coronial Information System (NCIS) was searched for scuba diving-related cases during ...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:10.28920/dhm50.2.98-104
更新日期:2020-06-30 00:00:00