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 preparation and specific equipment is needed, and relatively few facilities have optimal capabilities at present. The type, size and location of the chamber are very influential factors. Although monoplace chamber critical care is possible, it involves special adaptations and inherent limitations that make it inappropriate for all but specifically experienced teams. A large, purpose-designed chamber co-located with an intensive care unit is ideal. Keeping the critically ill patient on their normal bed significantly improves quality of care where this is possible. The latest hyperbaric ventilators have resolved many of the issues normally associated with hyperbaric ventilation, but at significant cost. Multi-parameter monitoring is relatively simple with advanced portable monitors, or preferably installed units that are of the same type as used elsewhere in the hospital. Whilst end-tidal CO₂ readings are changed by pressure and require interpretation, most other parameters display normally. All normal infusions can be continued, with several examples of syringe drivers and infusion pumps shown to function essentially normally at pressure. Techniques exist for continuous suction drainage and most other aspects of standard critical care. At present, the most complex life support technologies such as haemofiltration, cardiac assist devices and extra-corporeal membrane oxygenation remain incompatible with the hyperbaric environment.
journal_name
Diving Hyperb Medjournal_title
Diving and hyperbaric medicineauthors
Millar ILsubject
Has Abstractpub_date
2015-03-01 00:00:00pages
50-6issue
1eissn
1833-3516issn
2209-1491journal_volume
45pub_type
杂志文章,评审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：:It is increasingly common for recreational scuba divers to use breathing mixtures enriched with additional oxygen ('nitrox' or 'enriched air nitrogen') and for technical divers to be exposed to elevated partial pressures of oxygen for prolonged periods of time. The National Oceanic and Atmospheric Administration oxyge...
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:In studies of decompression procedures, ultrasonically detected venous gas emboli (VGE) are commonly used as a surrogate outcome if decompression sickness (DCS) is unlikely to be observed. There is substantial variability in observed VGE grades, and studies should be designed with sufficient power to detec...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2014-03-01 00:00:00
abstract：:Dear Editor, By focussing on the details of the Watson case, I believe Bryan Walpole has missed the thrust of my earlier letter. I agree this was a complex case, which is why I deliberately avoided the murky specifics in order to consider the 'big-picture' ramifications of the judgement. My concerns relate to the pote...
journal_title：Diving and hyperbaric medicine
pub_type： 信件
doi：
更新日期：2011-12-01 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:The adverse effects of hyperbaric oxygen (HBO) on cardiac physiology are considered a potential hazard during the treatment of some patients. The haemodynamic effects of HBO are poorly understood and the incompatibility of electrical equipment inside the chamber has made assessment difficult. At Fremantle ...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2014-09-01 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：:It has been shown that a single bout of exercise performed 20 hours prior to hyperbaric exposure reduces bubble formation and increases survival in rats. Heat shock proteins (HSPs) are stress proteins expressed in cells that are exposed to different stressors. HSPs are known to protect cells, by binding to proteins an...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：
更新日期：2008-12-01 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：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：: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：:Sphenoid sinus mucocele is a rare cystic lesion. It grows gradually and causes visual disturbances, ocular motility abnormalities and headache due to cavernous sinus compression. Sudden change in sinus cavity volume by a barotrauma may compress a mucocele and precipitate symptoms that may easily be confused with decom...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm50.2.168-172
更新日期：2020-06-30 00:00:00
abstract：INTRODUCTION:Transcutaneous oximetry measurement (TCOM) is a non-invasive method of determining oxygen tension at the skin level using heated electrodes. AIM:To compare TCOM values generated by different machines and to establish lower limb TCOM values in a cohort of healthy individuals younger than 40 years of age. ...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm47.2.82-87
更新日期：2017-06-01 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：:Commercial or occupational breath-hold (BH) harvest divers along the coast and islands of Japan are collectively called Ama divers. Repetitive BH diving by Ama divers may place them at risk of developing neurological decompression sickness (DCS). We report a 74-year-old Ama diver who demonstrated right hemiparesis dur...
journal_title：Diving and hyperbaric medicine
pub_type：
doi：10.28920/dhm48.4.262-263
更新日期：2018-12-24 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：BACKGROUND AND AIMS:Severe decompression sickness (DCS) is a multi-organ injury. This study investigated the preventive effects of rosiglitazone on liver injury following rapid decompression in mice and examined the underlying mechanisms. METHODS:Mice were randomly divided into four groups: a control group, vehicle gr...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章
doi：10.28920/dhm47.1.17-23
更新日期：2017-03-01 00:00:00
abstract：INTRODUCTION:After a maximal apnoea, breath-hold divers must restore O2 levels and clear CO2 and lactic acid produced. High intensity interval training (HIIT) and inspiratory muscle training (IMT) could be employed with the aim of increasing recovery capacity. This study aimed to evaluate the relative effects of IMT ve...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章,随机对照试验
doi：10.28920/dhm50.4.318-324
更新日期：2020-12-20 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：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: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
abstract：:Recreational scuba diving is a popular leisure activity with the number of divers reaching several millions worldwide. Scuba diving represents a huge challenge for integrative physiology. In mammalian evolution, physiological reflexes developed to deal with lack of oxygen, rather than with an excess, which makes adapt...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章,评审
doi：
更新日期：2013-09-01 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: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：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 reduct...
journal_title：Diving and hyperbaric medicine
pub_type： 杂志文章,meta分析
doi：10.28920/dhm48.3.173-185
更新日期：2018-09-30 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: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：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: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
