10,435 results match your criteria Barotrauma


Air Duster Inhalant Abuse Causing Non-ST Elevation Myocardial Infarction.

Cureus 2020 Jun 1;12(6):e8402. Epub 2020 Jun 1.

Dermatology, Massachusetts General Hospital, Boston, USA.

Inhalant abuse, also known as huffing, is common among teenagers and adolescents in the United States and worldwide. Inhaled aerosols are dangerous due to both the presence of volatile hydrocarbons causing direct organ damage and the risk of the compressed air causing physical trauma (e.g. Read More

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http://dx.doi.org/10.7759/cureus.8402DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331924PMC

Thoracoscopic repair of congenital diaphragmatic hernia: a new anatomical reconstructive concept for tension dispersal at primary closure.

Surg Endosc 2020 Jul 2. Epub 2020 Jul 2.

Tanta University Hospital, Tanta, Egypt.

Background: Several measures were implemented among authors striving to tail off recurrence rates of thoracoscopic congenital diaphragmatic hernia repair. In the presented study, we extended the use of rib-anchoring stitches to reorient the diaphragmatic muscle leaflets in the types B&C diaphragmatic hernias, to achieve tension dispersal at primary thoracoscopic repair.

Patients And Methods: Included in this study were early and late-onset lateral congenital diaphragmatic hernia patients, who had been operated upon in the years 2012 through 2018. Read More

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http://dx.doi.org/10.1007/s00464-020-07764-5DOI Listing

High Incidence of Barotrauma in Patients with COVID-19 Infection on Invasive Mechanical Ventilation.

Radiology 2020 Jul 1:202352. Epub 2020 Jul 1.

From the Department of Radiology, NYU Grossman School of Medicine, New York, NY (G.M., C.Z., L.A., M.W., D.M.M., W.H.M.), NYU Grossman School of Medicine, New York, NY (N.R.), Department of Pathology, NYU Grossman School of Medicine, New York, NY (K.M.T.), and NYU Langone Health, New York, NY (G.M., C.Z., N.R., L.A., M.W., D.M.M., K.M.T., W.H.M.).

Background We observed a high number of patients with COVID-19 pneumonia who had barotrauma related to invasive mechanical ventilation at our institution. Purpose To determine if the rate of barotrauma in patients with COVID-19 infection was greater than other patients requiring invasive mechanical ventilation at our institution. Methods In this retrospective study, clinical and imaging data of patients seen between 03/01/2020 and 04/06/2020 who tested positive for COVID-19 and experienced barotrauma associated with invasive mechanical ventilation were compared to patients without COVID-19 infection during the same period. Read More

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http://dx.doi.org/10.1148/radiol.2020202352DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336751PMC

[Advances in research on changes of coagulation system after primary blast injury].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2020 May;32(5):632-635

Department of Emergency, the First Medical Center to Chinese People's Liberation Army General Hospital, Beijing 100853, China. Corresponding author: Li Tanshi, Email:

Blast injury is the main cause of injury in the battlefield, which also occurs frequently in the civil field and modern society. The damage caused by blast is more complicated than other types of trauma. Primary blast injury is a common type of blast injury, which can cause multiple organ damage with complex mechanism. Read More

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http://dx.doi.org/10.3760/cma.j.cn121430-20200106-00091DOI Listing

Middle-ear barotrauma aft er hyperbaric oxygen therapy: a five-year retrospective analysis on 2,610 patients.

Undersea Hyperb Med 2020 Second Quarter;47(2):217-228

Hyperbaric Medicine Centre, Pôle RUSH, Sainte-Marguerite Hospital, Marseille, France.

Introduction: Hyperbaric oxygen (HBO2) therapy is the use of oxygen or gas mixtures at a pressure above atmospheric pressure for therapeutic purposes. This treatment is used in numerous pathological processes. Its main side effect is middle ear barotrauma (MEB), which represents a great concern for iatrogenic HBO2 therapy. Read More

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Sphenoid sinus mucocele as an unusual differential diagnosis in diving injuries.

Diving Hyperb Med 2020 Jun;50(2):168-172

Underwater and Hyperbaric Medicine Department, Istanbul Faculty of Medicine, Istanbul, Turkey.

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 decompression sickness. Read More

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http://dx.doi.org/10.28920/dhm50.2.168-172DOI Listing

Diving and hyperbaric medicine in the SARS-CoV-2 pandemic.

Authors:
Simon J Mitchell

Diving Hyperb Med 2020 Jun;50(2):90-91

Editor - Diving and Hyperbaric Medicine Journal.

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http://dx.doi.org/10.28920/dhm50.2.90-91DOI Listing

Outcome of Balloon Eustachian Tuboplasty in SCUBA Divers.

Ear Nose Throat J 2020 Jun 18:145561320933957. Epub 2020 Jun 18.

Department of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.

Objectives: Good Eustachian tube (ET) function is necessary in order to equalize middle ear (ME) pressure with ambient pressures and avoid barotrauma among divers. Since placement of ventilation tubes is not compatible with diving, balloon eustachian tuboplasty is a potential surgical solution for divers with ET dysfunction (ETD). This is the first report of the outcome of balloon tuboplasty for ETD among divers. Read More

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http://dx.doi.org/10.1177/0145561320933957DOI Listing

Nonaneurysmal Subarachnoid Hemorrhage in Scuba Diving.

World Neurosurg 2020 Jun 12;141:153-156. Epub 2020 Jun 12.

Department of Neurosurgery, University of South Florida, Tampa, Florida, USA. Electronic address:

Background: Decompression illness often presents with a wide variety of vague neurologic symptoms. Animal models have suggested that intracranial hemorrhages may result from nitrogen bubble ischemic insults. However, there is a paucity of cases and no known case reported to date of non-aneurysmal subarachnoid hemorrhage after rapid ascension from diving. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.06.030DOI Listing

Ultrasound in the management of the critically ill patient with SARS-CoV-2 infection (COVID-19): narrative review.

Med Intensiva 2020 May 4. Epub 2020 May 4.

Servicio de Medicina Intensiva, Área de Críticos, Corporación Sanitaria Parc Taulí Sabadell, Barcelona, España.

The clinical picture of SARS-CoV-2 infection (COVID-19) is characterized in its more severe form, by an acute respiratory failure which can worsen to pneumonia and acute respiratory distress syndrome (ARDS) and get complicated with thrombotic events and heart dysfunction. Therefore, admission to the Intensive Care Unit (ICU) is common. Ultrasound, which has become an everyday tool in the ICU, can be very useful during COVID-19 pandemic, since it provides the clinician with information which can be interpreted and integrated within a global assessment during the physical examination. Read More

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http://dx.doi.org/10.1016/j.medin.2020.04.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198178PMC

Vomiting-induced pneumomediastinum as a result of recurrent Boerhaave's syndrome.

J Surg Case Rep 2020 May 1;2020(5):rjaa102. Epub 2020 Jun 1.

Department of Emergency Medicine, Barnet Hospital, Royal Free London NHS Foundation Trust, London, UK.

Vomiting-induced pneumomediastinum can be a result of barotrauma causing alveolar rupture or Boerhaave's syndrome. Although a rare cause of secondary pneumomediastinum, Boerhaave's syndrome allows extravasation of air and fluid due to oesophageal perforation. We report a case of a 20-year-old female who presented with prolonged vomiting during a panic attack. Read More

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http://dx.doi.org/10.1093/jscr/rjaa102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263754PMC

Indications for non-invasive ventilation in respiratory failure.

Rev Recent Clin Trials 2020 Jun 3. Epub 2020 Jun 3.

Department of Anesthesiology and Intensive Care, Fondazione Policlinico Universitario "A Gemelli" IRCCS - Università Cattolica del Sacro Cuore, Rome. Italy.

Background: Non-invasive ventilation (NIV) is increasingly being used to treat episodes of acute respiratory failure not only in critical care and respiratory wards, but also in emergency departments. The aim of this review is to summarize the current indications for the management of NIV for respiratory failure.

Methods: Current literature about the topic was reviewed and critically reported to describe the rationale and physiologic advantages of NIV in various situations of respiratory failure. Read More

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http://dx.doi.org/10.2174/1574887115666200603151838DOI Listing

Evaluation of safety and efficacy of coronary intravascular lithotripsy for treatment of severely calcified coronary stenoses: Design and rationale for the Disrupt CAD III trial.

Am Heart J 2020 07 18;225:10-18. Epub 2020 Apr 18.

Clinical Trials Center, Cardiovascular Research Foundation, New York, NY; New York-Presbyterian Hospital/Columbia University Medical Center, New York, NY; The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY.

Coronary calcification limits optimal stent expansion and apposition and worsens safety and effectiveness outcomes of percutaneous coronary intervention (PCI). Current ablative technologies that modify calcium to optimize stent deployment are limited by guidewire bias and periprocedural complications related to atheroembolization, coronary dissection, and perforation. Intravascular lithotripsy (IVL) delivers pulsatile ultrasonic pressure waves through a fluid-filled balloon into the vessel wall to modify calcium and enhance vessel compliance, reduce fibroelastic recoil, and decrease the need for high-pressure balloon (barotrauma) inflations. Read More

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http://dx.doi.org/10.1016/j.ahj.2020.04.005DOI Listing

It's In The Bag: Tidal Volumes in Adult and Pediatric Bag Valve Masks.

West J Emerg Med 2020 Apr 27;21(3):722-726. Epub 2020 Apr 27.

Capital Health Hospital System, Department of Emergency Medical Services, Trenton, New Jersey.

Introduction: A bag valve mask (BVM) is a life saving device used by all levels of health care professionals during resuscitative care. We focus most of our time optimizing the patient's position, firmly securing the mask, and frequency of ventilations. However, despite our best efforts to control these factors, we may still be precipitating harm to the patient. Read More

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http://dx.doi.org/10.5811/westjem.2020.3.45788DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234703PMC

The surgical management of recurrent acute and chronic barosinusitis in sports self-contained underwater breathing apparatus (scuba) divers.

Eur Arch Otorhinolaryngol 2020 May 14. Epub 2020 May 14.

Department of Otorhinolaryngology, Faculty of Medicine, Bahçeşehir University, İstanbul, Turkey.

Purpose: The aim of this retrospective study is to evaluate the feasibility of functional endoscopic sinus surgery (FESS) with supplementary surgical procedures in scuba divers with recurrent acute barosinusitis (RABS) and chronic barosinusitis (CBS).

Methods: In this retrospective study, 25 divers were classified into RABS (n:11) and CBS (n:14) groups. The presentation of divers have been reviewed. Read More

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http://dx.doi.org/10.1007/s00405-020-06034-3DOI Listing

Extracorporeal carbon dioxide removal with continuous renal replacement therapy. Case description and literature review.

Rev Bras Ter Intensiva 2020 Mar 8;32(1):143-148. Epub 2020 May 8.

Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.

In recent years and due, in part, to technological advances, the use of extracorporeal carbon dioxide removal systems paired with the use of extracorporeal membrane oxygenation has resurfaced. However, studies are lacking that establish its indications and evidence to support its use. These systems efficiently eliminate carbon dioxide in patients with hypercapnic respiratory failure using small-bore cannula, usually double-lumen cannula with a small membrane lung surface area. Read More

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http://dx.doi.org/10.5935/0103-507x.20200020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206950PMC

Noniatrogenic Colorectal Barotrauma with Extraperitoneal Rectal Injury.

J Emerg Trauma Shock 2020 Jan-Mar;13(1):88-90. Epub 2020 Mar 19.

Institute of General Surgery, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India.

We present the case of a 22-year-old male who presented to us with abdomen discomfort with subcutaneous emphysema in the abdomen and lower chest, following a prank played by his friend who had inserted a nozzle through his anal orifice and pumped high-pressure condensed air through it. Computed tomography showed evidence of air pockets in the ischiorectal fossa and pelvis. Intraoperatively, we found large-bowel and small-bowel distension with large-bowel serosal tears and rectal tears. Read More

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http://dx.doi.org/10.4103/JETS.JETS_156_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204950PMC

Reducing Aortic Barotrauma and Vascular Extracellular Matrix Degradation by Pacemaker-Mediated QRS Widening.

J Am Heart Assoc 2020 May 11;9(10):e014804. Epub 2020 May 11.

Department of Cardiology Capa Istanbul Faculty of Medicine Istanbul University Istanbul Turkey.

Background The extent of pressure-related damage might be related to acceleration rate of the applied pressure (peak dP/dt) in the vascular system. In this study, we sought to determine whether dP/dt applied to the aortic wall (aortic dP/dt) and in turn vascular extracellular matrix degradation can be mitigated via modulation of left ventricular (LV) contractility (LV dP/dt) by pacemaker-mediated desynchronization. Methods and Results First, in 34 patients, changes in aortic dP/dt values in 3 aortic segments in response to pacemaker-mediated stepwise QRS widening leading to gradual desynchronization of the LV contraction by means of steadily changed atrioventricular delay (AVD) with temporary dual-chamber pacing was examined before and after beta-blocker (15 mg IV metoprolol) administration. Read More

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http://dx.doi.org/10.1161/JAHA.119.014804DOI Listing

A diver's dilemma - a case report on bronchopulmonary sequestration.

BMC Pulm Med 2020 May 4;20(1):121. Epub 2020 May 4.

Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore, Singapore.

Background: An asymptomatic SCUBA (Self-contained underwater breathing apparatus) diver was discovered to have an intralobar bronchopulmonary sequestration during routine pre-course screening. This is the first reported case of a diver who, having previously completed several recreational and military diving courses, was subsequently diagnosed with a congenital lung condition, possibly contraindicating diving. Presently, there is no available literature providing guidance on the diving fitness of patients with such a condition. Read More

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http://dx.doi.org/10.1186/s12890-020-1159-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199314PMC

Barotrauma and orbital pain.

Eur Ann Otorhinolaryngol Head Neck Dis 2020 Apr 22. Epub 2020 Apr 22.

Service d'ORL, Hospices Civils de Lyon, Université Lyon 1, Centre Hospitalier Lyon Sud, 69495 Pierre-Bénite, France.

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http://dx.doi.org/10.1016/j.anorl.2020.03.011DOI Listing

Detection and Management of Intraoperative Pneumothorax during Laparoscopic Cholecystectomy.

Case Rep Anesthesiol 2020 7;2020:9273903. Epub 2020 Apr 7.

Department of General Surgery, Farwaniya Hospital, Sabah Al Nasser, Kuwait.

Intraoperative pneumothorax is a rare but potentially lethal complication during general anesthesia. History of lung disease, barotrauma, and laparoscopic surgery increase the risk of developing intraoperative pneumothorax. The diagnosis during surgery could be difficult because the signs are often nonspecific. Read More

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http://dx.doi.org/10.1155/2020/9273903DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7166272PMC

The Effect of a Modified Constant Flow Insufflation of Oxygen during Cardiopulmonary Resuscitation in a Rat Model of Respiratory Cardiac Arrest on Arterial Oxygenation, Alveolar Barotrauma, and Brain Tissue Injury.

Emerg Med Int 2020 31;2020:8913571. Epub 2020 Mar 31.

Department of Emergency Medicine, Hanyang University Guri Hospital, Hanyang University, Seongdong-gu, Republic of Korea.

Aim: Intermittent positive pressure ventilation (IPPV) can adversely affect cardiopulmonary resuscitation outcomes by increasing the intrathoracic pressure. Continuous flow insufflation of oxygen (CFIO) has been investigated as a potential alternative, but evidence supporting its superiority over intermittent positive pressure ventilation in cases of cardiac arrest is scant. The aim of the current study was to compare the effects of continuous flow insufflation of oxygen using a one-way valve during cardiopulmonary-resuscitation with intermittent positive pressure ventilation in a rat model of respiratory arrest. Read More

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http://dx.doi.org/10.1155/2020/8913571DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150730PMC

A Shoulder Injury Criterion for the EuroSID-2re Applicable in a Large Loading Condition Spectrum of the Military Domain.

Stapp Car Crash J 2019 Nov;63:147-176

DGA TT (Bourges, France).

The EuroSID-2re (ES-2re) is an Anthropometric Test Device (ATD) from the automotive domain designed for lateral impact. Since the 2000's, it has also been used by NATO armies to assess the risk of injury to armored vehicles occupants submitted to an Improvised Explosive Device (IED) attack. The resulting loading conditions from an explosion can vary a lot in term of impact velocity and duration. Read More

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November 2019

Massive gas embolisms in diving fatalities visualized by radiology and neuropathology.

Clin Neuropathol 2020 Apr 17. Epub 2020 Apr 17.

Massive vascular gas embolism is a feared and often lethal symptom of decompression illness, resulting from diving accidents. The aim of this case report was to correlate post-mortem computed tomography scan (PMCT) findings with autopsy in cases of massive vascular gas embolism. Two cases of fatal diving accidents were retrospectively selected from a forensic radiological pathological database. Read More

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http://dx.doi.org/10.5414/NP301258DOI Listing

[Asymptomatic pneumopericardium in a young male cannabis smoker].

Ugeskr Laeger 2020 Mar;182(12)

Pneumopericardium is a potential complication to frequent cannabis smoking due to barotrauma of the airways caused by forceful coughing and Valsalva's manoeuvre. This is a case report of a 27-year-old man, who had a daily consumption of cannabis and presented with abdominal pain and nausea consistent with cannabinoid hyperemesis syndrome. A CT scan revealed an asymptomatic isolated minor pneumopericardium. Read More

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Treatment of children with Hyperbaric Oxygenation (HBOT): an Europe-wide survey.

Minerva Pediatr 2020 Apr 9. Epub 2020 Apr 9.

Department for Intensive Care Medicine, Medical Faculty, RWTH Aachen University, Aachen, Germany.

Background: Hyperbaric oxygenation therapy (HBOT) is used as emergency treatment for decompression sickness, gas embolism, carbon monoxide intoxication, necrotizing fasciitis. There is low evidence and little clinical knowledge about treating children with HBOT.

Methods: We sent an internet-based questionnaire to HBO centers in Europe to gain information about their experience with children and HBOT. Read More

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http://dx.doi.org/10.23736/S0026-4946.20.05741-2DOI Listing

[Large Pneumothorax in a Sleep Apnea Patient with CPAP without Previously Known Lung and Thoracic Diseases - a Case Report].

Pneumologie 2020 Apr 9;74(4):217-221. Epub 2020 Apr 9.

Bereich Pneumologie, Medizinische Klinik I, Universitätsklinikum "Carl Gustav Carus", Technische Universität Dresden.

CPAP is the most common treatment for obstructive sleep apnea.Serious complications from this treatment are very rare. Pneumothorax following lung barotrauma under CPAP therapy has been described in case reports only in patients with pre-existing lung and thoracic diseases. Read More

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http://dx.doi.org/10.1055/a-1108-3004DOI Listing

Safety behaviour and healthy diving: a qualitative study in the traditional diverse fishermen.

Int Marit Health 2020 ;71(1):56-61

Master of Nursing Study Programme, Faculty of Nursing, Universitas Airlangga, Kampus C, Mulyorejo, 60124 Surabaya, Indonesia.

Background: Traditional divers from the Maluku Province of Indonesia have not received formal education and training related to standard diving tools. They only become accomplished at diving generation by generation. The use of non-standard diving tools increases the risk of injury and illness. Read More

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http://dx.doi.org/10.5603/IMH.2020.0012DOI Listing
January 2020

The strategy for preventing cramp and barotrauma disease towards Bajo divers in Taka Bonerate, Indonesia.

Enferm Clin 2020 Mar;30 Suppl 2:119-121

Center for Values and Heritage Conservation of South Sulawesi, Indonesia.

Objective: To explain the strategy of Bajo fishing divers in tackling susceptibility cramps disease in their limbs, crippling their life, and barotrauma disease including hearing loss, nasal tract, and pulmonary disorders.

Methods: The method used is a qualitative method with a phenomenological approach. The phenomenon used in this study is a diver fishing families living in Bajo Kayuadi Village. Read More

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http://dx.doi.org/10.1016/j.enfcli.2019.07.059DOI Listing

Low-Level Blast Exposure in Humans A Systematic Review of Acute and Chronic Effects.

J Spec Oper Med 2020 ;20(1):87-93

There is growing concern that military breaching and training and firing artillery and mortars, grenades, and shoulder-fired weapons may have some type of cumulative deleterious effects. There are anecdotal reports of those with repetitive exposure to low-level blast complaining of various symptoms, as well as increasing empirical evidence. The purpose of this report is to provide a systematic review of the literature on repetitive lowlevel blast as it pertains to military and police training protocols. Read More

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Pulmonary barotrauma: a case report with illustrative radiology.

Diving Hyperb Med 2020 Mar;50(1):66-69

Hyperbaric Unit, Gozo General Hospital, Malta.

A case of a 24-year-old gentleman who had pulmonary barotrauma (PBT) after diving is reported. He presented with chest pain after the second of two uneventful shallow SCUBA dives. Computerized tomography (CT) scan confirmed the diagnosis and he was treated conservatively. Read More

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http://dx.doi.org/10.28920/dhm50.1.66-69DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276275PMC

Development of a tension pneumomediastinum during mechanical ventilation of a young Irish Wolfhound.

J Vet Emerg Crit Care (San Antonio) 2020 May 8;30(3):342-346. Epub 2020 Mar 8.

Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO.

Objective: To report the development of a tension pneumomediastinum during mechanical ventilation of a young Irish Wolfhound with aspiration pneumonia.

Case Summary: A 9-month-old intact female Irish Wolfhound was presented for clinical signs consistent with aspiration pneumonia. Evaluation of her pedigree and clinical signs prompted suspicion of Irish Wolfhound rhinitis bronchopneumonia syndrome as a contributing factor. Read More

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http://dx.doi.org/10.1111/vec.12927DOI Listing

Trends in microbial profile of burn patients following an event of dust explosion at a tertiary medical center.

BMC Infect Dis 2020 Mar 4;20(1):193. Epub 2020 Mar 4.

Department of Infection Control, Taipei Veterans General Hospital, Taipei, Taiwan.

Background: Microbial infection is the main cause of increased morbidity and mortality in burn patients, especially infections caused by multiple drug-resistant organisms (MDRO). The purpose of this study was to explore major microbial trends in burn patients.

Methods: This retrospective study was conducted at burn wards and intensive care units, where burn patients were admitted following an event of dust explosion. Read More

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http://dx.doi.org/10.1186/s12879-020-4920-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057658PMC

Volume Targeted Ventilation and High Frequency Ventilation as the Primary Modes of Respiratory Support for ELBW Babies: What Does the Evidence Say?

Front Pediatr 2020 7;8:27. Epub 2020 Feb 7.

Section of Neonatal-Perinatal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States.

Respiratory management of the extremely low birth weight (ELBW) newborn has evolved over time. Although non-invasive ventilation is being increasingly used for respiratory support in these ELBW infants, invasive ventilation still remains the primary mode in this population. Current ventilators are microprocessor driven and have revolutionized the respiratory support for these neonates synchronizing the baby's breath to ventilator breaths. Read More

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http://dx.doi.org/10.3389/fped.2020.00027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7025474PMC
February 2020

Cerebral Air Embolism and Cardiomyopathy Secondary to Large Bulla Rupture during a Pulmonary Function Test.

Korean J Thorac Cardiovasc Surg 2020 Feb 5;53(1):34-37. Epub 2020 Feb 5.

Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Cerebral air embolism combined with cardiomyopathy secondary to pulmonary barotrauma is rare. Here, we report an unusual case of cerebral air embolism combined with transient cardiomyopathy secondary to large bulla rupture during a pulmonary function test after lung cancer surgery. The patient experienced loss of consciousness. Read More

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http://dx.doi.org/10.5090/kjtcs.2020.53.1.34DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006607PMC
February 2020

Validation of neuromuscular blocking agent use in acute respiratory distress syndrome: a meta-analysis of randomized trials.

Crit Care 2020 02 17;24(1):54. Epub 2020 Feb 17.

Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.

Background: We aimed to synthesize up-to-date trials to validate the effects of neuromuscular blocking agent (NMBA) use in patients with moderate-to-severe acute respiratory distress syndrome (ARDS).

Methods: Several databases including PubMed, EMBASE, Web of Science, and Cochrane Central Register were searched up to November 14, 2019. All randomized trials investigating the use of NMBAs in patients with moderate-to-severe ARDS and reporting mortality data were included in the meta-analysis. Read More

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http://dx.doi.org/10.1186/s13054-020-2765-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027110PMC
February 2020

Role of Neuromuscular Blocking Agents in Acute Respiratory Distress Syndrome: An Updated Meta-Analysis of Randomized Controlled Trials.

Front Pharmacol 2019 29;10:1637. Epub 2020 Jan 29.

Department of Gerontological Critical Care Medicine, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.

Background: The therapeutic role of neuromuscular blocking agents (NMBA) in patients with acute respiratory distress syndrome (ARDS) remains controversial.

Methods: We systematically reviewed randomized controlled trials investigating the use of NMBA in ARDS patients from inception to July 2019. Relative risk (RR) was calculated for the incidence of barotrauma and mortality using the random-effect or fixed-effect model according to heterogeneity analysis. Read More

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http://dx.doi.org/10.3389/fphar.2019.01637DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000374PMC
January 2020

[The effect of a breathing trainer on relieving airway pressure caused by active cough in patients with mechanical ventilation].

Zhonghua Jie He He Hu Xi Za Zhi 2020 Feb;43(2):136-139

State Key Laboratory of Respiratory Diseases, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.

To explore the effect of a breathing trainer on relieving the peak airway pressure caused by forced exhalation at the end of deep inspiration, gentle coughing at the end of calm inspiration and forced coughing at the end of deep inspiration in patients undergoing mechanical ventilation. From July to September 2018, 15 patients undergoing mechanical ventilation were selected from the First Affiliated Hospital of Guangzhou Medical University, including 5 patients with invasive ventilation (3 with tracheotomy and 2 with endotracheal intubation), and 10 patients with non-invasive ventilation through mask. The patients included 14 males and 1 female, aging 48-79 years, with an average age of (68±10) years. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1001-0939.2020.02.012DOI Listing
February 2020

Primary blast wave protection in combat helmet design: A historical comparison between present day and World War I.

PLoS One 2020 13;15(2):e0228802. Epub 2020 Feb 13.

Department of Biomedical Engineering, Duke University, Durham, North Carolina, United States of America.

Since World War I, helmets have been used to protect the head in warfare, designed primarily for protection against artillery shrapnel. More recently, helmet requirements have included ballistic and blunt trauma protection, but neurotrauma from primary blast has never been a key concern in helmet design. Only in recent years has the threat of direct blast wave impingement on the head-separate from penetrating trauma-been appreciated. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0228802PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7018002PMC

Effectiveness and harms of high-flow nasal oxygen (HFNO) for acute respiratory failure: a systematic review protocol.

BMJ Open 2020 02 12;10(2):e034956. Epub 2020 Feb 12.

Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.

Introduction: High-flow nasal oxygen (HFNO) use in adults hospitalised with acute respiratory failure (ARF) is increasing. However, evidence to support widespread use of HFNO compared with non-invasive ventilation (NIV) and conventional oxygen therapy (COT) is unclear. This protocol describes the methods for a systematic evidence review regarding the comparative effectiveness and harms of HFNO compared with NIV or COT for the management of ARF in hospitalised adult patients. Read More

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http://dx.doi.org/10.1136/bmjopen-2019-034956DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044882PMC
February 2020

Dexamethasone treatment for the acute respiratory distress syndrome: a multicentre, randomised controlled trial.

Lancet Respir Med 2020 Mar 7;8(3):267-276. Epub 2020 Feb 7.

Biostatistics Research Unit, Hospital Universitario Dr Negrín, Las Palmas de Gran Canaria, Spain.

Background: There is no proven specific pharmacological treatment for patients with the acute respiratory distress syndrome (ARDS). The efficacy of corticosteroids in ARDS remains controversial. We aimed to assess the effects of dexamethasone in ARDS, which might change pulmonary and systemic inflammation and result in a decrease in duration of mechanical ventilation and mortality. Read More

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http://dx.doi.org/10.1016/S2213-2600(19)30417-5DOI Listing

Neuromuscular blockade in acute respiratory distress syndrome: a systematic review and meta-analysis of randomized controlled trials.

J Intensive Care 2020 28;8:12. Epub 2020 Jan 28.

2Medical Intensive Care Unit, North Hospital, APHM, Marseille, France.

Background: Neuromuscular blocking agent (NMBA) has been proposed by medical guidelines for early severe acute respiratory distress syndrome (ARDS) because of its survival benefits. However, new studies have provided evidence contradicting these results.

Method: A search was performed of the Pubmed, Scopus, Clinicaltrials. Read More

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http://dx.doi.org/10.1186/s40560-020-0431-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986163PMC
January 2020

Supraglottic jet oxygenation and ventilation - A novel ventilation technique.

Authors:
Sushan Gupta

Indian J Anaesth 2020 Jan 7;64(1):11-17. Epub 2020 Jan 7.

Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital and Homi Bhabha National Institute, Mumbai, Maharashtra, India.

Supraglottic jet oxygenation and ventilation (SJOV) is a novel minimally invasive supraglottic technique of jet ventilation which has shown superior results in maintaining oxygenation without any major complications. Theoretically, it could maintain PaO and PaCO within physiological limits for as long as required, the maximum duration reported till now is 45 min. The distinct advantage of SJOV over techniques of nasal oxygenation is its ability to record EtCO during the periods of ventilation. Read More

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http://dx.doi.org/10.4103/ija.IJA_597_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967373PMC
January 2020

The liberalization of fireworks legislation and its effects on firework-related injuries in West Virginia.

BMC Public Health 2020 Jan 30;20(1):137. Epub 2020 Jan 30.

Department of Family Medicine, West Virginia University, PO BOX 9152, Morgantown, WV, 2506, USA.

Background: Fifteen states, including West Virginia, have liberalized their laws concerning fireworks possession and sale. Effective June 1, 2016, House Bill 2852 enabled all Class C fireworks to be sold within the state. The effects of this policy on fireworks-related injuries requiring immediate medical care are unknown. Read More

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http://dx.doi.org/10.1186/s12889-020-8249-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993478PMC
January 2020

Detection of perilymphatic fistula in labyrinthine windows by virtual endoscopy and variation of reconstruction thresholds on CT scan.

Acta Otolaryngol 2020 Apr 29;140(4):270-276. Epub 2020 Jan 29.

Department of Otolaryngology, Dijon University Hospital, Université Bourgogne-Franche Comté, Dijon, France.

Perilymphatic fistula (PLF) is a breach in a labyrinthine window. The opening might decrease the radiological density of the window. To evaluate the radiological density of the labyrinthine windows by virtual endoscopy on CT scan. Read More

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http://dx.doi.org/10.1080/00016489.2020.1715472DOI Listing

Rorqual whale nasal plugs: protecting the respiratory tract against water entry and barotrauma.

J Exp Biol 2020 Feb 17;223(Pt 4). Epub 2020 Feb 17.

Department of Zoology, University of British Columbia, Vancouver, BC, Canada V6T 1Z4.

The upper respiratory tract of rorquals, lunge-feeding baleen whales, must be protected against water incursion and the risk of barotrauma at depth, where air-filled spaces like the bony nasal cavities may experience high adverse pressure gradients. We hypothesize these two disparate tasks are accomplished by paired cylindrical nasal plugs that attach on the rostrum and deep inside the nasal cavity. Here, we present evidence that the large size and deep attachment of the plugs is a compromise, allowing them to block the nasal cavities to prevent water entry while also facilitating pressure equilibration between the nasal cavities and ambient hydrostatic pressure () at depth. Read More

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http://dx.doi.org/10.1242/jeb.219691DOI Listing
February 2020

Air flight barotrauma and meningitis: causality seems real.

J Laryngol Otol 2020 Jan 22:1-3. Epub 2020 Jan 22.

Department of Infectious Diseases, Charles University in Prague, Third Faculty of Medicine, Prague, Czech Republic.

Background: Barotrauma to the middle-ear cavity and paranasal sinuses is a relatively common flight-related health problem. Occasionally, it may result in severe mechanical or infectious intracranial complications; these have been rarely reported to date.

Objective: Four cases of acute bacterial meningitis following air travel are presented, and its pathogenesis is briefly described. Read More

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http://dx.doi.org/10.1017/S0022215120000110DOI Listing
January 2020

The effect of topical xylometazoline on Eustachian tube function.

J Laryngol Otol 2020 Jan 22;134(1):29-33. Epub 2020 Jan 22.

Cambridge Ear Institute, University of Cambridge, UK.

Background: Topical nasal decongestants are frequently used as part of the medical management of symptoms related to Eustachian tube dysfunction.

Objective: This study aimed to assess the effect of topical xylometazoline hydrochloride sprayed in the anterior part of the nose on Eustachian tube active and passive opening in healthy ears.

Methods: Active and passive Eustachian tube function was assessed in healthy subjects before and after intranasal administration of xylometazoline spray, using tympanometry, video otoscopy, sonotubometry, tubo-tympano-aerodynamic-graphy and tubomanometry. Read More

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http://dx.doi.org/10.1017/S0022215120000158DOI Listing
January 2020