Importance of hyperbaric medicine and current recommendations for selected acute indications in emergency medicine and intensive care
Authors:
M. Hájek 1,2; M. Klugar 3; D. Chmelař 2,4
Authors‘ workplace:
Centrum hyperbarické medicíny, Městská nemocnice Ostrava
1; Katedra biomedicínských oborů, LF Ostravské univerzity v Ostravě
2; České národní centrum Evidence‑Based Healthcare a Knowledge Translation, Institut biostatistiky a analýz, Lékařská fakulta, Masarykova Univerzita, Brno
3; Referenční laboratoř ČR pro anaerobní bakterie, LF Ostravské univerzity v Ostravě
4
Published in:
Anest. intenziv. Med., 31, 2020, č. 3, s. 106-113
Category:
Review Articles
Overview
The European Committee for Hyperbaric Medicine (ECHM) focuses its activities on supporting the improvement of the quality of care and safety in hyperbaric medicine. The last 10th ECHM Consensus Conference was held in April 2016 in Lille. The current situation of hyperbaric medicine in the Czech Republic concerning clinical practice in this segment of health care is described. The specifics of hyperbaric oxygen treatment in patients requiring intensive care are emphasized, especially in relation to physiological changes occurring in critically ill patients. In conclusion, a review of recommendations for hyperbaric oxygen treatment according to the 10th ECHM Consensus Conference for selected urgent indications and clinical conditions, such as necrotizing soft tissue infections, carbon monoxide intoxication, gas embolism, decompression illness, etc. is briefly summarized.
Keywords:
hyperbaric oxygen therapy – clinical practice guidelines – hyperbaric medicine – necrotizing soft tissue infections – carbon monoxide intoxication – gas embolism – decompression injury
Sources
1. Hájek M. Hyperbarická oxygenoterapie v urgentní medicíně a intenzívní péči. In: Ševčík P, Matějovič M, Černý V, Cvachovec K, Chytra I. (eds). Intenzivní medicína. 3. přepracované a rozšířené vydání. Praha, Galén 2014: 133–142.
2. Hájek M, Pudil R, Rozložník M, Chmelař D, Beran V, Novomeský F, et al. Hyperbarická medicína v České republice – aktuální pohled. Pracov Lék 2015; 67(2): 61–70.
3. Kot J, Hajek M, Houman R, Klemen H, Kemmer A, Kirchner H, et al. Comparison of incident rates during intensive care versus non -intensive care HBO sessionsa prospective one month observational study in eight European centres. Proceedings of a Joint Meeting of the ICHM and the EUBS, 7–10 September 2005, Barcelona, s. 70.
4. Chmelař D, Hájek M. Nekrotizující infekce měkkých tkání. In: Hájek M. (ed) Hyperbarická medicína. Praha: Mladá fronta 2017: 284–300.
5. Mathieu D, Ratzenhofer-Komenda B, Kot J. Hyperbaric oxygen therapy for intensive care patients: position statement by the European Committee for Hyperbaric Medicine. Diving Hyperb Med 2015; 45(1): 42–46.
6. Lind F. A pro/con review comparing the use of mono and multiplace hyperbaric chambers for critical care. Diving Hyperb Med 2015; 45(1): 56–60.
7. Weaver L. Management of critically ill patients in the monoplace hyperbaric chamber. In: Kindwall EP, Whelan HT (ed.). Hyperbaric Medicine Practice. Second Edition Revised. Best Publishing Company, Flagstaff 2002: 245–322.
8. Millar IL. Hyperbaric intensive care technology and equipment. Diving Hyperb Med 2015; 45(1): 50–56.
9. Weaver L. Hyperbaric oxygen in the critically ill. Crit Care Med 2011; 39(7): 1784–1791.
10. Weaver L. Churchill S. Hypoxemia with a breathing periods in US Navy Treatment Table 6. Undersea Hyperb Med 2006; 33: 11–16.
11. Kot J. Staffing and training issues in critical care hyperbaric medicine. Diving Hyperb Med 2015; 45(1): 47–50.
12. Mathieu D. 7th European Consensus Conference On Hyperbaric Medicine, Lille 2004. Europ. J. Underwater Hyperbar Med 2005; 6(2): 29–38.
13. Mathieu D, Marroni A, Kot J. Tenth European Consensus Conference on Hyperbaric Medicine: preliminary report. Diving and Hyperbaric Medicine 2016; 46(2): 122–123.
14. Novomeský F. Potápěčská medicína. Osveta, Martin, 2013.
15. Mathieu D, Marroni A, Kot J. Tenth European Consensus Conference on Hyperbaric Medicine: recommendations for accepted and non-accepted clinical indications and practice of hyperbaric oxygen treatment. Diving and Hyperbaric Medicine 2017; 47(1): 24–32.
16. Hájek M. Oxid uhelnatý. In: Hájek M. (ed) Hyperbarická medicína. Praha: Mladá fronta, 2017: 220–258.
17. Prohaska R, Welslau W. HBO Therapy for CO Intoxication. In: Hájek M, Chmelař D (eds.): Sborník abstrakt společné mezinárodní konference 1. středoevropská konference hyperbarické a potápěčské medicíny, 2. ostravské dny hyperbarické medicíny. 17.–18. 6. 2010. Ostravská univerzita v Ostravě, Fakulta zdravotnických studií, Ostrava 2010, 25–28.
18. Annane D, Chadda K, Gajdos P, Jars -Guincestre M -C, Chevret S, Raphael J -C. Hyperbaric oxygen therapy for acute domestic carbon monoxide poisoning: two randomized controlled trials. Intensive Care Med 2011; 37(3): 486–492.
19. Scheinkestel CD, Bailey M, Myles PS. Hyperbaric or normobaric oxygen for acute carbon monoxide poisoning: A randomised controlled clinical trial. Med J Aust 1999; 170: 203–210.
20. Weaver LK, Valentine KJ, Hopkins RO. Carbon Monoxide Poisoning – Risk Factors for Cognitive Sequelae and the Role of Hyperbaric Oxygen. Am J Respir Crit Care Med 2007; 176: 491–497.
21. Buckley NA, Juurlink DN, Isbister G, et al. Hyperbaric oxygen for carbon monoxide poisoning. Cochrane Database Syst Rev 2011; 13(4): CD002041.
22. Hájek M, Chmelař D, Rozložník M, Lochmanová A, Kuzma J, Klugar M. Současná evropská doporučení pro léčbu hyperbarickým kyslíkem. Pracov. Lék. 2019; 1–2: 42–51.
23. Bennett MH, Levitt D, Millar I. The Treatment of Necrotizing Fasciitis with Hyperbaric Oxygenation – Progress report of a Cochrane review. In: Lind F et al (ed.): Focus report – Treatment with Hyperbaric Oxygen, Addendum 1, Stockholms läns landsting. 2011: 102–122.
24. Germonpre P. Hyperbaric Oxygen Therapy (HBO) in thermal burns. Report on 10th ECHM Consensus Conference on Hyperbaric Medicine. April 15-16th 2016, Lille.
25. Hájek M, Klečka L. Poškození centrálního nervového systému. In: Hájek M. (ed) Hyperbarická medicína. Praha: Mladá fronta, 2017: 341–363.
26. Daly S, Thorpe M, Rockswold S, Hubbard M, Bergman T, Samadani U, et al. Hyperbaric Oxygen Therapy in the Treatment of Acute Severe Traumatic Brain Injury: A Systematic Review. J Neurotrauma. 2018; 35(4): 623–629. doi:10.1089/neu.2017.5225
27. Bennett MH, Trytko B, Jonker B. Hyperbaric oxygen therapy for the adjunctive treatment of traumaticbrain injury. Cochrane Database Syst Rev 2012; 12: CD004609. doi: 10.1002/14651858.CD004609.pub3
28. Wang F, Wang Y, Sun T, Yu HL. Hyperbaric oxygen therapy for the treatment of traumatic brain injury: a meta-analysis. Neurol Sci. 2016; 37(5): 693–701. doi:10.1007/s10072-015-2460-2
29. Crawford C, Teo L, Yang E, Isbister C, Berry K. Is Hyperbaric Oxygen Therapy Effective for Traumatic Brain Injury? A Rapid Evidence Assessment of the Literature and Recommendations for the Field. J Head Trauma Rehabil. 2017; 32(3): E27–E37. doi:10.1097/ HTR.0000000000000256
Labels
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineArticle was published in
Anaesthesiology and Intensive Care Medicine
2020 Issue 3
Most read in this issue
- Neglected cause of anisocoria – unilateral mydriasis
- Use of albumin in perioperative and intensive care medicine
- Recommendations for the so‑called off‑label use of medicinal products in COVID-19 patients
- Zajištění dýchacích cest u pacientů s COVID-19