10,830 results match your criteria Barotrauma


Rapid-flow expulsion maneuver in subglottic secretion clearance to prevent ventilator-associated pneumonia: a randomized controlled study.

Ann Intensive Care 2021 Jun 24;11(1):98. Epub 2021 Jun 24.

Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.

Background: Following endotracheal intubation, clearing secretions above the endotracheal tube cuff decreases the incidence of ventilator-associated pneumonia (VAP); therefore, subglottic secretion drainage (SSD) is widely advocated. Our group developed a novel technique to remove the subglottic secretions, the rapid-flow expulsion maneuver (RFEM). The objective of this study was to explore the effectiveness and safety of RFEM compared with SSD. Read More

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Pulmonary barotrauma with cerebral arterial gas embolism from a depth of 0.75-1.2 metres of fresh water or less: A case report.

Diving Hyperb Med 2021 Jun;51(2):224-226

Swedish Armed Forces, Diving And Naval Medicine Centre, Karlskrona, Sweden.

During underwater vehicle escape training with compressed air, a fit 26-year-old soldier suffered pulmonary barotrauma with cerebral arterial gas embolism after surfacing from a depth of 0.75-1.2 metres of freshwater or less. Read More

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Prolonged syncope with multifactorial pulmonary oedema related to dry apnoea training: Safety concerns in unsupervised dry static apnoea.

Diving Hyperb Med 2021 Jun;51(2):210-215

Department of Emergency Medicine, University of California San Diego, San Diego CA, USA.

Many competitive breath-hold divers use dry apnoea routines to improve their tolerance to hypoxia and hypercapnia, varying the amount of prior hyperventilation and lung volume. When hyperventilating and exhaling to residual volume prior to starting a breath-hold, hypoxia is reached quickly and without too much discomfort from respiratory drive. Cerebral hypoxia with loss of consciousness (LOC) can easily result. Read More

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Diving-related disorders in commercial breath-hold divers (Ama) of Japan.

Diving Hyperb Med 2021 Jun;51(2):199-206

Department of Environmental Medicine, Kurume University School of Medicine, Kurume, Japan.

Decompression illness (DCI) is well known in compressed-air diving but has been considered anecdotal in breath-hold divers. Nonetheless, reported cases and field studies of the Japanese Ama, commercial or professional breath-hold divers, support DCI as a clinical entity. Clinical characteristics of DCI in Ama divers mainly suggest neurological involvement, especially stroke-like cerebral events with sparing of the spinal cord. Read More

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Sinus barotrauma in diving.

Diving Hyperb Med 2021 Jun;51(2):182-189

Department of Otorhinolaryngology - Head and Neck Surgery, Head and Neck Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Introduction: Sinus barotrauma is a common occurrence in diving and subaquatic medicine, potentially compromising dive safety. To gain a more thorough understanding of the condition, an in-depth investigation is justified.

Methods: This was a survey study. Read More

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Retrospective review of enquiries to the Québec diving medicine call centre: 2004 through 2018.

Diving Hyperb Med 2021 Jun;51(2):152-160

Department of Kinesiology, Université Laval, Québec, QC, Canada.

Introduction: The Centre de Médecine de Plongée du Québec (CMPQ) established a bilingual 24-hour dive emergency call line and diving medicine information service in 2004. The toll-free number (888-835-7121) works throughout Canada. Calls and emails (cmpq. Read More

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The impact of different gas mixtures on inflammatory responses in advanced recreational divers.

Diving Hyperb Med 2021 Jun;51(2):140-146

Department of Surgical and Medical Science and Translation Medicine, Sapienza University, Rome, Italy.

Introduction: Decompression sickness (DCS) is considered a 'bubble disease'. Intravascular bubbles activate inflammatory responses associated with endothelial dysfunction. Breathing gas has been proposed as a potential risk factor but this is inadequately studied. Read More

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Outcomes of Barotrauma in Critically Ill COVID-19 Patients With Severe Pneumonia.

J Intensive Care Med 2021 Jun 21:8850666211023360. Epub 2021 Jun 21.

Department of Surgery, 2042Maimonides Medical Center, Brooklyn, NY, USA.

Background: Pneumomediastinum and pneumothorax are complications which may be associated with barotrauma in mechanically ventilated patients. The current literature demonstrates unclear outcomes regarding barotrauma in critically ill patients with severe COVID-19. The purpose of this study was to examine the incidence of barotrauma in patients with severe COVID-19 pneumonia and its influence on survival. Read More

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Oesophageal rupture from a pneumatic blast injury: an unusual mechanism of blunt oesophageal trauma.

BMJ Case Rep 2021 Jun 11;14(6). Epub 2021 Jun 11.

Division of Trauma and Acute Care Surgery, Unity Health Toronto, Toronto, Ontario, Canada

Oesophageal perforation is a serious condition associated with significant morbidity and mortality. Clinical suspicion of oesophageal injury in patients sustaining neck or torso trauma is essential as early diagnosis and management are associated with better outcomes. Oesophageal perforation resulting from blunt trauma is uncommon, and traumatic oesophageal perforation following blast injury is exceedingly rare. Read More

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High Peak Inspiratory Pressures After a Change of Heat and Moisture Exchangers: A Case Series.

A A Pract 2021 Jun 10;15(6):e01483. Epub 2021 Jun 10.

From the Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

Elevated peak inspiratory pressures (PIPs) cause harm via hypoventilation, barotrauma, and hemodynamic instability. Heat and moisture exchangers (HMEs) are used during mechanical ventilation to prevent heat loss, dehydration of airway mucosa, and accumulation of dried secretions. Multiple reports detail sudden HME occlusions causing increased PIPs. Read More

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Incidence of pneumomediastinum in COVID-19: A single-center comparison between 1st and 2nd wave.

Respir Investig 2021 May 28. Epub 2021 May 28.

Tor Vergata Polyclinic, Department of Surgery, Units of Thoracic Surgery and Breast Surgery, Floor 7A, Viale Oxford 81, 00133, Rome, Italy.

In this study, we compared the incidence of pneumomediastinum in coronavirus disease (COVID-19) patients during the ascending phases of the 1st and 2nd epidemic waves. Crude incidence was higher during the 2nd wave at a quasi-significant level (0.68/1000 vs. Read More

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Awake Extracorporeal Membrane Oxygenation in Coronavirus Disease 2019 Patients Without Invasive Mechanical Ventilation.

Crit Care Explor 2021 Jun 3;3(6):e0454. Epub 2021 Jun 3.

Department of Adult Intensive Care Unit, Fakeeh Care Group, Jeddah, Saudi Arabia.

Objectives/background: Extracorporeal membrane oxygenation is used as rescue therapy for patients with acute respiratory distress syndrome in whom conventional therapy has failed prior to an Extra Corporeal Membrane Oxygenator to rescue Lung Injury in Severe Acute Respiratory Distress Syndrome trial. Since then, extracorporeal membrane oxygenation has been incorporated as part of the standard treatment algorithm in many centers for patients with severe acute respiratory distress syndrome. Since the emergence of coronavirus disease 2019 in early 2020, extracorporeal membrane oxygenation has been used effectively as rescue therapy and as a bridge to recovery in some patients with refractory respiratory failure. Read More

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Inner Ear Disorders in SCUBA Divers: A Review.

J Int Adv Otol 2021 May;17(3):260-264

Department of Surgical Sciences, University of Turin, Turin, Italy.

Self-Contained Underwater Breathing Apparatus (SCUBA) diving is a popular sport. However, improper diving may injure different organs. The majority of dive-related disorders concern otolaryngology, and may include hearing loss, tinnitus, aural fullness, disequilibrium, and vertigo. Read More

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Serious complications in COVID-19 ARDS cases: pneumothorax, pneumomediastinum, subcutaneous emphysema and haemothorax.

Epidemiol Infect 2021 06 8;149:e137. Epub 2021 Jun 8.

Department of Anesthesia and Reanimation, University of Health Sciences Turkey, Sultan 2. Abdulhamid Han Training and Research Hospital, Istanbul, Turkey.

The novel coronavirus identified as severe acute respiratory syndrome-coronavirus-2 causes acute respiratory distress syndrome (ARDS). Our aim in this study is to assess the incidence of life-threatening complications like pneumothorax, haemothorax, pneumomediastinum and subcutaneous emphysema, probable risk factors and effect on mortality in coronavirus disease-2019 (COVID-19) ARDS patients treated with mechanical ventilation (MV). Data from 96 adult patients admitted to the intensive care unit with COVID-19 ARDS diagnosis from 11 March to 31 July 2020 were retrospectively assessed. Read More

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Emergency Medicine Cases in Underwater and Hyperbaric Environments: The Use of Simulation as a Learning Technique.

Front Physiol 2021 21;12:666503. Epub 2021 May 21.

Environmental and Respiratory Physiology Laboratory and Master Level II in Diving and Hyperbaric Medicine, Department of Biomedical Sciences, University of Padova, Padua, Italy.

Introduction: Hyperbaric chambers and underwater environments are challenging and at risk of serious accidents. Personnel aiming to assist patients and subjects should be appropriately trained, and several courses have been established all over the world. In healthcare, simulation is an effective learning technique. Read More

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Breath-Hold Diving - The Physiology of Diving Deep and Returning.

Front Physiol 2021 21;12:639377. Epub 2021 May 21.

Center for Heart, Lung & Vascular Health, University of British Columbia Okanagan, Kelowna, BC, Canada.

Breath-hold diving involves highly integrative physiology and extreme responses to both exercise and asphyxia during progressive elevations in hydrostatic pressure. With astonishing depth records exceeding 100 m, and up to 214 m on a single breath, the human capacity for deep breath-hold diving continues to refute expectations. The physiological challenges and responses occurring during a deep dive highlight the coordinated interplay of oxygen conservation, exercise economy, and hyperbaric management. Read More

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[What is the Best Therapeutic Strategy for Decompression Illness? First Aid Oxygen Inhalation and Hyperbaric Oxygen Therapy].

J UOEH 2021 ;43(2):243-254

Department of Environmental Medicine, Kurume University School of Medicine.

Decompression illness (DCI), a syndrome following inadequate reduction in environmental pressure, has two forms: decompression sickness and arterial gas embolism after pulmonary barotrauma. Recompression therapy using oxygen, a kind of hyperbaric oxygen therapy, has been considered the gold standard treatment for DCI, although there is no randomized controlled trial evidence for its use. We evaluated the effectiveness of recompression therapy in treating DCI by reviewing the reported therapeutic results of serious DCI, especially neurological disorders. Read More

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January 2021

The incidence, clinical characteristics, and outcomes of pneumothorax in hospitalized COVID-19 patients: A systematic review.

Heart Lung 2021 May 1;50(5):599-608. Epub 2021 May 1.

Department of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY, United States.

Background: Pneumothorax has been frequently described as a complication of COVID-19 infections.

Objective: In this systematic review, we describe the incidence, clinical characteristics, and outcomes of COVID-19-related pneumothorax.

Methods: Studies were identified through MEDLINE, Pubmed, and Google Scholar databases using keywords of "COVID-19," "SARS-CoV-2," "pneumothorax," "pneumomediastinum," and "barotrauma" from January 1st, 2020 to January 30th, 2021. Read More

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Pulmonary Barotrauma in COVID-19 Patients: Invasive versus Noninvasive Positive Pressure Ventilation.

Int J Gen Med 2021 24;14:2017-2032. Epub 2021 May 24.

Department of General Surgery and Urology, Faculty of Medicine, Jordan University of Science and Technology, King Abdullah University Hospital, Irbid, 22110, Jordan.

Purpose: This study aims to determine the incidence and outcome of COVID-19 patients who required positive pressure ventilation (PPV) and subsequently developed pulmonary barotrauma (PBT). Also, to investigate the risk factors and predictors of these complications to better understand the disease pathogenesis.

Patients And Methods: This retrospective analysis enrolled all adult COVID-19 patients admitted through the period from October 1, 2020, to December 31, 2020. Read More

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[A case of decompression sickness complicated with multiple organ failure treated by hyperbaric oxygen therapy sequential with continuous renal replacement therapy and extracorporeal membrane oxygenation].

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2021 May;39(5):368-371

Department of Hyperbaric Oxygen, General Hospital of Eastern War Zone, Nanjing 210002, China.

To discuss the new idea of on-the-spot recompression treatment and multidisciplinary treatment (MDT) for patients with unstable vital signs of type II decompression sickness. To provide reference for the nearby treatment of patients with critical decompression sickness. The clinical data of a case of a multi-disciplinary collaborative treatment of type II decompression sickness complicated with multiple organ dysfunction syndrome (MODS) admitted to a third-class A hospital in January 2020 were analyzed and summarized. Read More

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Covid-19 Pneumonia and Ventilation-induced Lung Injury: A Case Report.

Rom J Anaesth Intensive Care 2020 Dec 31;27(2):80-82. Epub 2020 Dec 31.

Intensive Care department, Maasstad Ziekenhuis, Rotterdam, The Netherlands.

We present the case of a 67-year-old male patient, who was admitted to the intensive care unit for hypoxemic respiratory failure due to severe COVID-19 pneumonitis, requiring mechanical ventilation. Despite close monitoring using transpulmonary pressure measurements and interventions to pursue lung-protective ventilation, the patient developed extensive barotrauma including a right-sided pneumothorax, subcutaneous emphysema and pneumomediastinum while on pressure support ventilation. We hypothesize that the high respiratory drive that COVID-19 patients seem to exhibit, combined with diffuse alveolar injury and increased alveolar pressure, resulted in gross barotrauma. Read More

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December 2020

Pneumothorax in critically ill patients with COVID-19 infection: Incidence, clinical characteristics and outcomes in a case control multicenter study.

Respir Med 2021 08 13;184:106464. Epub 2021 May 13.

Department of Medicine, Pulmonary and Critical Care Medicine, Albany Medical Center, NY, USA.

Background: The clinical features and outcomes of mechanically ventilated patients with COVID-19 infection who develop a pneumothorax has not been rigorously described or compared to those who do not develop a pneumothorax.

Purpose: To determine the incidence, clinical characteristics, and outcomes of critically ill patients with COVID-19 infection who developed pneumothorax. In addition, we compared the clinical characteristics and outcomes of mechanically ventilated patients who developed a pneumothorax with those who did not develop a pneumothorax. Read More

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Treatment of Bronchopleural and Alveolopleural Fistulas in Acute Respiratory Distress Syndrome With Extracorporeal Membrane Oxygenation, a Case Series and Literature Review.

Crit Care Explor 2021 May 14;3(5):e0393. Epub 2021 May 14.

Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, UC San Diego, La Jolla, CA.

Objectives: To describe a ventilator and extracorporeal membrane oxygenation management strategy for patients with acute respiratory distress syndrome complicated by bronchopleural and alveolopleural fistula with air leaks.

Design Setting And Participants: Case series from 2019 to 2020. Single tertiary referral center-University of California, San Diego. Read More

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Barotrauma Linked to Coronavirus Disease 2019 Infection in Younger Patients: A Case Series.

Cureus 2021 Apr 20;13(4):e14573. Epub 2021 Apr 20.

Pulmonary Critical Care Medicine, Rutgers University, Newark, USA.

Patients infected with coronavirus disease 2019 (COVID-19) on invasive mechanical ventilation were found to have high rates of barotrauma. Herein, we present five patients admitted to the intensive care unit between March and April 2020, who developed barotrauma as a complication of COVID-19 pneumonia. This series includes four males and one female with a mean age of 54 years, most without significant chronic comorbidities or former tobacco use. Read More

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Minimally invasive surfactant therapy intubation for surfactant delivery in preterm infant with RDS: evaluation of safety and efficacy.

J Matern Fetal Neonatal Med 2021 May 23:1-5. Epub 2021 May 23.

Department of Neonatology, Ziv Medical Center, Tsfat, Israel.

Background: Minimally invasive surfactant therapy (MIST) is a promising mode of administration that offers the potential to limit barotrauma and prevent lung injury in preterm infants with respiratory distress syndrome (RDS).

Objective: This study assessed the effects of the implementation of MIST on safety and efficacy in infants who met criteria for surfactant administration and were treated by MIST as compared with a historical control group treated with surfactant an endotracheal tube during mechanical ventilation.

Methods: This retrospective study included infants born between 2012 and 2017 who met the following inclusion criteria: gestational age 23-36 + 6 weeks, a diagnosis of RDS requiring at least 30% oxygen with or without nasal continuous positive airway pressure (nCPAP). Read More

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Treatment of Peripheral Nerve Injuries in Syria's War Victims: Experience from a Northern Israeli Hospital.

Isr Med Assoc J 2021 May;23(5):279-285

Department of Orthopedic Surgery and Traumatology, Rabin Medical Center (Beilinson Campus), Petah Tikva, Israel.

Background: The collapse of the Syrian healthcare system during the civil war led numerous citizens to cross the Syrian-Israeli border to seek medical care.

Objectives: To describe the epidemiology of peripheral nerve injuries (PNIs) sustained in war, their management, and short-term outcomes.

Methods: A retrospective case series study was conducted on 45 consecutive patients aged 25. Read More

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Pneumomediastinum in COVID-19: A series of three cases and review of literature.

SAGE Open Med Case Rep 2021 29;9:2050313X211011807. Epub 2021 Apr 29.

Department of Radiology, Apollo Hospitals, Chennai, India.

Coronavirus disease-19 caused by severe acute respiratory syndrome Corona virus-2 is characterised by wide heterogeneity in clinical presentation. The typical radiographic findings in COVID-19 include bilateral ground-glass opacities and/or consolidations predominantly affecting the lower lobes and posterior segments of lungs. Other rare abnormal radiographic findings include pneumothorax, pneumomediastinum and pneumopericardium. Read More

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Pulmonary Barotrauma in COVID-19 Patients With ARDS on Invasive and Non-Invasive Positive Pressure Ventilation.

J Intensive Care Med 2021 May 20:8850666211019719. Epub 2021 May 20.

Pulmonary, Critical Care & Sleep Medicine, 12284University of Nebraska Medical Center, Omaha, NE, USA.

Background: We experienced a high incidence of pulmonary barotrauma among patients with coronavirus disease-2019 (COVID-19) associated acute respiratory distress syndrome (ARDS) at our institution. In current study, we sought to evaluate the incidence, clinical outcomes, and characteristics of barotrauma among COVID-19 patients receiving invasive and non-invasive positive pressure ventilation.

Methodology: This retrospective cohort study included adult patients diagnosed with COVID-19 pneumonia and requiring oxygen support or positive airway pressure for ARDS who presented to our tertiary-care center from March through November, 2020. Read More

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Pediatric casualties in contemporary armed conflict: A systematic review to inform standardized reporting.

Injury 2021 Jul 4;52(7):1748-1756. Epub 2021 May 4.

Stanford University School of Medicine, Stanford, CA, USA.

Background: Children represent a significant percentage of casualties in modern conflict. Yet, the epidemiology of conflict-related injury among children is poorly understood. A comprehensive analysis of injuries sustained by children in 21-century armed conflict is necessary to inform planning of local, military, and humanitarian health responses. Read More

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