9,898 results match your criteria Dysbarism


Acute coronary syndrome and cerebral arterial gas embolism in a scuba diver.

J Cardiol Cases 2011 Feb 14;3(1):e22-e25. Epub 2010 Dec 14.

Centre de Médecine Hyperbare, Pôle RUSH, CHU Sainte Marguerite, Marseille, France.

Background: Pulmonary barotrauma is a rare but feared complication of scuba diving, with around 30% mortality.

Objective: We report an uncommon case of pulmonary barotrauma complicated by arterial gas embolism with both coronary and neurological ischemic injuries after scuba diving.

Case Report: A 46-year-old-man was admitted to our hospital for acute coronary syndrome and stroke following a scuba dive. Read More

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February 2011

An unusual case of pulmonary fat embolism following blunt trauma.

Forensic Sci Med Pathol 2018 Dec 7. Epub 2018 Dec 7.

Institute of Forensic Medicine, University of Belgrade - School of Medicine, 31a Deligradska str, Belgrade, 11000, Serbia.

Fat embolism is markedly underdiagnosed, even though it is a well-known phenomenon following fractures of the long bones, injury to subcutaneous fat tissue, rupture of a fatty liver, surgical operations on fatty tissues, septicemia, burns and barotrauma. Forensic pathologists tend to "simplify" autopsy report conclusion in cases with multiple injuries where fat embolism and exsanguination could be considered to be the concomitant causes of death. Herein we present a case of 24-year-old male who was beaten with a metal rod by several persons. Read More

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December 2018
1 Read

Bedside respiratory physiology to detect risk of lung injury in acute respiratory distress syndrome.

Authors:
Jeremy R Beitler

Curr Opin Crit Care 2018 Dec 5. Epub 2018 Dec 5.

Division of Pulmonary, Allergy, and Critical Care Medicine, Center for Acute Respiratory Failure, Columbia University College of Physicians and Surgeons, New York, New York, USA.

Purpose Of Review: The most effective strategies for treating the patient with acute respiratory distress syndrome center on minimizing ventilation-induced lung injury (VILI). Yet, current standard-of-care does little to modify mechanical ventilation to patient-specific risk. This review focuses on evaluation of bedside respiratory mechanics, which when interpreted in patient-specific context, affords opportunity to individualize lung-protective ventilation in patients with acute respiratory distress syndrome. Read More

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December 2018

Mineralocorticoid receptor: A hidden culprit for hemodialysis vascular access dysfunction.

EBioMedicine 2018 Dec 5. Epub 2018 Dec 5.

Division of Kidney Disease and Hypertension, Department of Medicine, Brown University School of Medicine, Providence, RI, United States; Division of Nephrology, Department of Medicine, University of Toledo College of Medicine, Toledo, OH, United States. Electronic address:

Hemodialysis vascular access dysfunction is a common and intractable problem in clinical practice with no definitive therapy yet available. As a key mediator of vascular and cardiac maladaptive remodeling, mineralocorticoid receptor (MR) plays a pivotal role in vascular fibrosis and intimal hyperplasia (IH) and is potentiated locally in hemodialysis vascular access following diverse injuries, like barotrauma, cannulation and shear stress. MR-related genomic and non-genomic pathways are responsible for triggering vascular smooth muscle cell activation, proliferation, migration and extracellular matrix overproduction. Read More

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December 2018

A diver with immersion pulmonary oedema and prolonged respiratory symptoms.

Diving Hyperb Med 2018 Dec;48(4):259-261

Department of Pulmonary Medicine, Kameda Medical Centre, Kamogawa, Chiba, Japan.

Immersion pulmonary oedema (IPE) is particularly associated with an excessive reaction to exercise and/or cold stress. IPE usually resolves without recompression therapy within a day or two. Herein we report a diver diagnosed with IPE, in whom symptoms persisted for five days. Read More

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December 2018
3 Reads

Lobectomy with ECMO Support in an Infant Who Developed Pulmonary Interstitial Emphysema Following Repair of Hypoplastic Aortic Arch.

Braz J Cardiovasc Surg 2018 Sep-Oct;33(5):528-530

Department of Surgery; Division of Cardiothoracic Surgery; Pediatric and Congenital Cardiac Surgery Section Jackson Memorial Hospital - University of Miami Miller School of Medicine, Miami, USA.

Pulmonary interstitial emphysema (PIE) is a common problem in premature neonates with respiratory distress syndrome. This condition is often related to barotrauma caused by mechanical ventilation or continuous positive airway pressure applied to low birth weight neonates. The clinical diagnosis can be challenging. Read More

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February 2018
2 Reads

Recruitment manoeuvres for adults with acute respiratory distress syndrome receiving mechanical ventilation: a systematic review and meta-analysis.

J Crit Care 2018 Nov 3;50:1-10. Epub 2018 Nov 3.

Department of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, 100020, China. Electronic address:

Purpose: To determine if recruitment manoeuvres (RMs) would decrease 28-day mortality of patients with acute respiratory distress syndrome (ARDS) compared with standard care.

Materials And Methods: Relevant randomized controlled trials (RCTs) published prior to April 26, 2018 were systematically searched. The primary outcome was mortality. Read More

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November 2018
8 Reads

Modes of Neonatal Ventilation: Breathe Deeply!

Authors:
Shawn Hughes

Crit Care Nurs Clin North Am 2018 Dec;30(4):523-531

NICU Respiratory Care Services, Charlotte R. Bloomberg Children's Center, Neonatal Intensive Care Unit, Johns Hopkins Hospital, 8th Floor, 1800 Orleans Street, Baltimore, MD 21287, USA. Electronic address:

The art and science of neonatal ventilation continue to evolve with advances in technology and as a result of evidenced based research. Although some historically administered therapies remain such as nasal continuous positive airway pressure, newer therapies have emerged in the neonatal intensive care unit such as pressure regulated volume control and neurally adjusted ventilatory assist. The challenge for clinicians continues to be which mode will support the patient's medical diagnosis with minimal barotrauma or lung injury. Read More

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December 2018
3 Reads

Higher PEEP improves outcomes in ARDS patients with clinically objective positive oxygenation response to PEEP: a systematic review and meta-analysis.

BMC Anesthesiol 2018 Nov 17;18(1):172. Epub 2018 Nov 17.

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

Background: Mortality in patients with acute respiratory distress syndrome (ARDS) remains high. These patients require mechanical ventilation strategies that include high positive end-expiratory pressure (PEEP). It remains controversial whether high PEEP can improve outcomes for ARDS patients, especially patients who show improvement in oxygenation in response to PEEP. Read More

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November 2018
5 Reads

[Diving and asthma: Literature review].

Authors:
A Muller M Rochoy

Rev Pneumol Clin 2018 Dec 12;74(6):416-426. Epub 2018 Nov 12.

Université de Lille, 59000 Lille, France. Electronic address:

Introduction: Scuba diving has long been contraindicated for asthmatics. Recommendations are evolving towards authorisation under certain conditions. Our objective was to review the literature on the risks associated with scuba diving among asthmatics and about recommendations on this subject. Read More

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December 2018
1 Read

Hemorrhage within the tympanic membrane without perforation.

J Otolaryngol Head Neck Surg 2018 Nov 6;47(1):66. Epub 2018 Nov 6.

Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University School of Medicine, Konkuk University Medical Center, 120-1 Neungdong-ro (Hwayang-dong), Gwangjin-gu, Seoul, 143-729, Republic of Korea.

Background: Hemotympanum refers to both the presence of blood in the middle ear cavity and to ecchymosis of the tympanic membrane (TM), and a systematic study of intra-TM (iTM) hemorrhage without bleeding in the middle ear cavity has not been conducted. The goals of our study were to analyze the causes of iTM hemorrhage without TM perforation or bleeding in the middle ear cavity, and to demonstrate the clinical characteristics of the disease.

Methods: This Case series study included five patients with iTM hemorrhage between August 2014 and August 2017. Read More

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November 2018
6 Reads

Air due to Glue: Spontaneous Pneumothorax in a Young Adult with Glue Sniffing.

JNMA J Nepal Med Assoc 2018 Mar-Apr;56(210):621-624

Division of Pulmonary, Critical Care & Sleep Medicine, Department of Internal Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.

Solvent abuse, as inhalant specially, in the form of low cost adhesives like dendrite is common in low income countries among children and the teens. This habit is often a stepping stone to harder drugs. The neurological and neuropsychological effects of solvent abuse are well explored. Read More

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October 2018
1 Read

Surfactant, steroids and non-invasive ventilation in the prevention of BPD.

Semin Perinatol 2018 Nov 2;42(7):444-452. Epub 2018 Oct 2.

Section of Neonatal-Perinatal Medicine, Department of Pediatrics, St. Christopher's Hospital for Children, Drexel University College of Medicine, 160 East Erie Avenue, Philadelphia, PA 19134, United States. Electronic address:

Bronchopulmonary dysplasia (BPD) is a complex disorder with multiple factors implicated in its etiopathogenesis. Despite the scientific advances in the field of neonatology, the incidence of BPD has remained somewhat constant due to increased survival of extremely premature infants. Surfactant deficiency in the immature lung, exposure to invasive mechanical ventilation leading to volutrauma, barotrauma and lung inflammation are some of the critical contributing factors to the pathogenesis of BPD. Read More

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November 2018
5 Reads

Bilateral subdural empyemas with meningitis secondary to acute barosinusitis.

Eur Ann Otorhinolaryngol Head Neck Dis 2018 Dec 15;135(6):457-459. Epub 2018 Oct 15.

Department of Otorhinolaryngology-Head and Neck Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, 50 Seongan-ro, 05355 Gangdong-gu, Seoul, Korea. Electronic address:

Introduction: Intracranial complications of acute rhinosinusitis are rare, but may turn life-threatening.

Case Summary: We report a healthy 30-year-old male who complained of frontal headache, which developed while on a plane. A brain CT showed a low-density lesion on the left frontal convexity with right maxillary and ethmoid sinusitis. Read More

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December 2018
2 Reads

Effect of Apneic Oxygenation on Tracheal Oxygen Levels, Tracheal Pressure, and Carbon Dioxide Accumulation: A Randomized, Controlled Trial of Buccal Oxygen Administration.

Anesth Analg 2018 Oct 8. Epub 2018 Oct 8.

From the Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, Perth, Australia.

Background: Apneic oxygenation via the oral route using a buccal device extends the safe apnea time in most but not all obese patients. Apneic oxygenation techniques are most effective when tracheal oxygen concentrations are maintained >90%. It remains unclear whether buccal oxygen administration consistently achieves this goal and whether significant risks of hypercarbia or barotrauma exist. Read More

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October 2018
1 Read

RESPONSE TO COMMENT ON: "PREVENTION OF OTIC BAROTRAUMA IN AVIATION: A SYSTEMATIC REVIEW".

Otol Neurotol 2018 Dec;39(10):1339

Department of Otolaryngology and Head and Neck Surgery, Royal North Shore Hospital, St Leonards, NSW, Australia Kolling Deafness Research Centre, Macquarie University and University of Sydney, NSW, Australia.

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December 2018
2 Reads

COMMENT ON "PREVENTION OF OTIC BAROTRAUMA IN AVIATION: A SYSTEMATIC REVIEW".

Authors:
Douglas Hetzler

Otol Neurotol 2018 Dec;39(10):1338

Department of Otolaryngology, Palo Alto Medical Foundation - Santa Cruz, Soquel, California.

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December 2018
2 Reads

Improvised Laparostomy Pack to Manage Laparostomy for Injuries due to Improvised Explosive Devices (IEDs).

J Coll Physicians Surg Pak 2018 Oct;28(10):791-793

Department of Surgery, Combined Military Hospital (CMH), Quetta, Pakistan.

Splinters of improvised explosive devices [IEDs] cause multiple intestinal perforations and random pattern visceral injuries causing contamination of peritoneal cavity. This necessitates multiple peritoneal toilets and relook surgeries. Surgical management is to perform laparostomy to avoid life threatening complication, like abdominal compartment syndrome and fulminant sepsis. Read More

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October 2018
2 Reads

In Vivo Measurement of Middle Ear Pressure Changes during Balloon Eustachian Tuboplasty.

Biomed Res Int 2018 6;2018:9519204. Epub 2018 Sep 6.

Department of Otorhinolaryngology, Head and Neck Surgery, Ruhr Universität Bochum, Klinikum Bielefeld, Germany.

Background: Balloon Eustachian tuboplasty (BET) is known as a treatment for chronic obstructive Eustachian tube dysfunction (OETD). The precise mechanism of action is not fully understood. Observations in sheep cadavers and human cadavers have shown specific middle ear pressure changes related to BET. Read More

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September 2018
1 Read

[The value of MRI in early diagnosis of dysbaric osteonecrosis].

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2018 Jun;36(6):454-456

Yangpu Hospital, Tongji University, Shanhai 200090, China.

To investigate the value of MRI in the early diagnosis of diagnosis of dysbaric osteonecrosis. Labor hygiene investigation and occupation health were examined on 52 high pressure operating personnel, were selected for the examination of both shoulders, hips and knees with X-ray and CT scan. The cystic sign in dysbaric osteonecrosis as an important imaging feature, which perform in the MRI examination for T1W I sequence showed low or slightly low signal and T2W I sequence showed high signal, and X-ray and CT have a lower detection rate than MRI. Read More

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June 2018
8 Reads

Tympanometric evaluation of Eustachian tube function in Polish scuba divers.

Undersea Hyperb Med 2018 Jul-Aug;45(4):437-443

Division of Biochemistry and Clinical Chemistry, Faculty of Pharmacy, Centre for Preclinical Research, Medical University of Warsaw, Poland.

Background: Scuba divers are subjected to relatively high ambient pressures while descending. Equalizing maneuvers (e.g. Read More

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September 2018
4 Reads

The ineffectiveness of applying moisture to the ear on the incidence and severity of otic barotrauma for air passengers.

J Laryngol Otol 2018 Sep 20;132(9):790-795. Epub 2018 Sep 20.

ENT Department,University Hospital Birmingham,UK.

Objective: The application of moisture to the ear is anecdotally claimed to relieve the pain from otic barotrauma that can arise during aircraft descent. This claim was tested in a randomised double-blind study on an aircraft with eight participants heavily predisposed to barotrauma.

Methods: On the outward flight, half the participants wore 'active' devices that applied moisture to the external ear; the remainder wore placebo devices that contained no moisture, but were otherwise identical. Read More

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September 2018
1 Read

Chemical Contamination Transfer in the Management of War Casualties.

J Spec Oper Med Fall 2018;18(3):67-70

The use of chemical weapons agents (CWAs) was suspected in recent conflicts, during international conflicts, terrorist attacks, or civil wars. Little is known about the prevention needed for caregivers exposed to the risk of contamination transfer. We present a case of chemical contamination of health servicemembers during the management of casualties. Read More

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December 2018
1 Read

Inner ear barotrauma in divers: an evidence-based tool for evaluation and treatment.

Diving Hyperb Med 2018 Sep;48(3):186-193

Corresponding author: Otolaryngology-Head and Neck Surgery, 1 Jarrett White Road, Tripler Army Medical Center, Hawaii, USA,

Objective: To systematically search the literature for studies evaluating the typical presentation and testing that is performed for divers with inner ear symptoms and then to create a tool for clinicians when evaluating a diver with inner ear symptoms.

Methods: Nine databases, including PubMed/MEDLINE were systematically searched through 31 January 2018. The PRISMA statement was followed. Read More

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September 2018
8 Reads

Impact of various pressures on fracture resistance and microleakage of amalgam and composite restorations.

Diving Hyperb Med 2018 Sep;48(3):168-172

Corresponding author: Department of Operative Dentistry, AJA University of Medical Science, Daneshjou Boulevard, Evin, Tehran, Iran, PO 19839,

Background: Pressure changes can influence dental restorations especially among divers. The aim of the current study was to evaluate the fracture resistance and microleakage of mesio-occluso-distal (MOD) amalgam and composite restorations undergoing pressure changes via diving and aviation simulation.

Methods: For the fracture resistance test, 60 sound maxillary premolar teeth were randomly allocated to two groups. Read More

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September 2018
9 Reads
0.610 Impact Factor

Decreased Incidence of Pulmonary Barotrauma After Discontinuation of Emergency Free Ascent Training.

Aerosp Med Hum Perform 2018 Sep;89(9):816-821

Introduction: Because a significant association between training to perform emergency free ascent (EFA) and the occurrence of pulmonary barotrauma (PBT) was demonstrated in 2006, the Belgian Underwater Federation (BUF) decided to discontinue this procedure. An evaluation was needed 10 yr after the implementation of this change.

Methods: All medical records with a diagnosis of PBT that occurred in Belgium from November 2006 to September 2016 were prospectively collected. Read More

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September 2018
2 Reads

Retrospective Evaluation of Clinical Symptoms Due to Mild Hypobaric Hypoxia Exposure in Microgravity.

Aerosp Med Hum Perform 2018 Sep;89(9):792-797

Introduction: A habitat atmosphere of 34% oxygen (O2) and 66% nitrogen (N2) at 8.2 psia (56.5 kPa) is proposed to minimize the risk of decompression sickness during extravehicular activity. Read More

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September 2018
1 Read

White Matter Status of Participants in Altitude Chamber Research and Training.

Aerosp Med Hum Perform 2018 Sep;89(9):777-786

Introduction: Magnetic resonance imaging (MRI) brain scans of U.S. Air Force (USAF) altitude workers show increased white matter hyperintensities (WMH) that appear related to decompression stress. Read More

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September 2018
15 Reads

White matter microstructural abnormalities in blast-exposed combat veterans: accounting for potential pre-injury factors using consanguineous controls.

Neuroradiology 2018 Oct 17;60(10):1019-1033. Epub 2018 Aug 17.

The Gruss Magnetic Resonance Research Center, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.

Purpose: Assess the prevalence of white matter microstructural changes in combat veterans, within the context of a highly matched control group comprising unexposed close relatives.

Methods: This prospective study had institutional review board approval, included written informed consent, and is HIPAA-compliant. Diffusion tensor imaging was analyzed in 16 male blast-exposed combat veterans of Operation Iraqi Freedom/Operation Enduring Freedom (mean age 31. Read More

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October 2018

Acute decompression following simulated dive conditions alters mitochondrial respiration and motility.

Am J Physiol Cell Physiol 2018 Aug 15. Epub 2018 Aug 15.

Anesthesiology & Critical Care, University of Pennsylvania, United States.

While barotrauma, decompression sickness and drowning-related injuries are common morbidities associated with diving and decompression from depth, it remains unclear what impact rapid decompression has on mitochondrial function. In vitro diving simulation was performed with human dermal fibroblast cells subjected to control, air, nitrogen and oxygen dive conditions. With the exception of gas mixture, all other related variables including absolute pressure exposure, dive and decompression rates, and temperature were held constant. Read More

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August 2018
7 Reads

Resting Metabolic Rate and Lung Function in Wild Offshore Common Bottlenose Dolphins, , Near Bermuda.

Front Physiol 2018 17;9:886. Epub 2018 Jul 17.

Chicago Zoological Society's Sarasota Dolphin Research Program, Mote Marine Laboratory, Sarasota, FL, United States.

Diving mammals have evolved a suite of physiological adaptations to manage respiratory gases during extended breath-hold dives. To test the hypothesis that offshore bottlenose dolphins have evolved physiological adaptations to improve their ability for extended deep dives and as protection for lung barotrauma, we investigated the lung function and respiratory physiology of four wild common bottlenose dolphins () near the island of Bermuda. We measured blood hematocrit (Hct, %), resting metabolic rate (RMR, l O ⋅ min), tidal volume (, l), respiratory frequency (, breaths ⋅ min), respiratory flow (l ⋅ min), and dynamic lung compliance (, l ⋅ cmHO) in air and in water, and compared measurements with published results from coastal, shallow-diving dolphins. Read More

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July 2018
10 Reads

[Analysis on treatment of extremely severe burn patients with severe inhalation injury in August 2nd Kunshan factory aluminum dust explosion accident].

Zhonghua Shao Shang Za Zhi 2018 Jul;34(7):455-458

Department of Burns and Plastic Surgery, the First Affiliated Hospital of Soochow University, Suzhou 215000, China.

To summarize the measures and experience in diagnosis and treatment of extremely severe burn patients with severe inhalation injury in dust explosion accident. The medical records of 13 patients with extremely severe burn complicated with severe inhalation injury in August 2nd Kunshan factory aluminum dust explosion accident who were treated at the First Affiliated Hospital of Soochow University (hereinafter referred to as our hospital) on August 2nd, 2014, were retrospectively analyzed. All the patients were transferred to our hospital 3-8 hours after injury under the condition of inhalation of pure oxygen. Read More

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July 2018
7 Reads

[Analysis on clinical characteristics of 13 extremely severe burn patients complicated with severe inhalation injury in August 2nd Kunshan factory aluminum dust explosion accident].

Zhonghua Shao Shang Za Zhi 2018 Jul;34(7):450-454

Department of Intensive Care Unit, the First Affiliated Hospital of Soochow University, Suzhou 215000, China.

To investigate the clinical characteristics of extremely severe burn patients complicated with severe inhalation injury caused by dust explosion. The medical records of 13 extremely severe burn patients complicated with severe inhalation injury in August 2nd Kunshan factory aluminum dust explosion accident, who were admitted to the First Affiliated Hospital of Soochow University on August 2nd, 2014, were retrospectively analyzed. The following indicators were collected: (1) Acute Physiology and Chronic Health Evaluation Ⅱ (APACHE Ⅱ) score and Sequential Organ Failure Assessment (SOFA) score at post admission hour (PAH) 24. Read More

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July 2018
8 Reads

Stability of residual hearing and cochlear implant function following multiple scuba dives: case report.

Undersea Hyperb Med 2018 May-Jun;45(3):371-376

Center for Hyperbaric Medicine, Department of Medicine, Virginia Mason Medical Center, Seattle, Washington U.S.

Objectives: There are limited data regarding the safety of cochlear implants during exposure to pressure changes associated with scuba and hyperbaric oxygen therapy. There are no data regarding the effects of barometric pressure changes on preserved low-frequency hearing after cochlear implantation. This case report evaluates the effect of barometric pressure changes on preserved low-frequency hearing after cochlear implantation. Read More

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July 2018
1 Read

Incidence of otic barotrauma in Canadian Armed Forces shallow-water diver candidate students 2011-2015.

Undersea Hyperb Med 2018 May-Jun;45(3):249-255

Division of Health Systems and Public Health, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.

Introduction: While otic barotrauma (OBT) is a common condition experienced by divers, data related to military divers is limited. This study aimed to determine the incidence of OBT in Canadian armed forces (CAF) shallow-water diver (SWD) students trained through the Fleet Dive Unit (Atlantic) (FDU[A]) between 2011-2015.

Methods: A retrospective cohort evaluation was performed. Read More

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July 2018
1 Read

Barotrauma after liquid nitrogen ingestion: a case report and literature review.

Postgrad Med 2018 Aug 16;130(6):511-514. Epub 2018 Jul 16.

a Department of Anesthesiology , General Hospital of Ningxia Medical University , Yinchuan , China.

A 25-year-old man developed a gastric perforation after ingesting a homemade drink containing liquid nitrogen. Surgical repair had to be postponed to seek consultations with experts because the available practitioners in this case, including emergency physicians, surgeons, and anesthesiologists, had little experience and knowledge about the source of the patient's pneumothorax and subcutaneous emphysema. The patient ultimately underwent exploratory laparotomy with general anesthesia, considering that delaying the operation would lead to a longer duration of bacterial peritonitis and delay the standard treatment of postoperative systemic infectious complications. Read More

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August 2018
16 Reads

Concentrated Conditioned Media from Adipose Tissue Derived Mesenchymal Stem Cells Mitigates Visual Deficits and Retinal Inflammation Following Mild Traumatic Brain Injury.

Int J Mol Sci 2018 Jul 11;19(7). Epub 2018 Jul 11.

Department of Ophthalmology, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA.

Blast concussions are a common injury sustained in military combat today. Inflammation due to microglial polarization can drive the development of visual defects following blast injuries. In this study, we assessed whether anti-inflammatory factors released by the mesenchymal stem cells derived from adipose tissue (adipose stem cells, ASC) can limit retinal tissue damage and improve visual function in a mouse model of visual deficits following mild traumatic brain injury. Read More

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July 2018
6 Reads

Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of stay and lung injury in adults without acute lung injury.

Cochrane Database Syst Rev 2018 07 9;7:CD011151. Epub 2018 Jul 9.

Department of Anesthesiology, Faculty of Medicine, University of Sherbrooke, Sherbrooke, Quebec, Canada.

Background: Since the 2000s, there has been a trend towards decreasing tidal volumes for positive pressure ventilation during surgery. This an update of a review first published in 2015, trying to determine if lower tidal volumes are beneficial or harmful for patients.

Objectives: To assess the benefit of intraoperative use of low tidal volume ventilation (less than 10 mL/kg of predicted body weight) compared with high tidal volumes (10 mL/kg or greater) to decrease postoperative complications in adults without acute lung injury. Read More

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July 2018
17 Reads

Severe Progressive Diffuse Alveolar Hemorrhage in a Patient with Systemic Lupus Erythematosus.

Case Rep Crit Care 2018 7;2018:9790459. Epub 2018 Jun 7.

Department of Anesthesiology, Kansai Medical University Hospital, Osaka, Japan.

Diffuse alveolar hemorrhage (DAH) refers to the effusion of blood into the alveoli due to damaged pulmonary microvasculature. The ensuing alveolar collapse can lead to severe hypoxemia with poor prognosis. In these cases, it is crucial to provide respiratory care for hypoxemia in addition to treating the underlying disease. Read More

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June 2018
4 Reads

Recruitment maneuver does not provide any mortality benefit over lung protective strategy ventilation in adult patients with acute respiratory distress syndrome: a meta-analysis and systematic review of the randomized controlled trials.

J Intensive Care 2018 26;6:35. Epub 2018 Jun 26.

1Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, Room No. 5011, 5th Floor Teaching block, Ansari Nagar New Delhi, 110029 India.

Background: Clinical benefits of recruitment maneuver in ARDS patients are controversial. A number of previous studies showed possible benefits; a large recent study reported that recruitment maneuver and PEEP titration may even be harmful. This meta-analysis was designed to compare the clinical utility of recruitment maneuver with low tidal volume ventilation in adult patients with ARDS. Read More

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June 2018
4 Reads

Plane palsy: a case of transient facial weakness during an aircraft flight.

BMJ Case Rep 2018 Jul 6;2018. Epub 2018 Jul 6.

Emergency Department, West Middlesex University Hospital, Chelsea and Westminster NHS Foundation Trust, Isleworth, London, UK.

Changes in atmospheric pressure have been reported to cause a transient lower motor neuron weakness of the facial nerve. We report the case of a passenger on an international flight who developed a unilateral facial weakness after take-off which resolved within 45 min. The effect is thought to be due to an ischaemic neuropraxia of the facial nerve caused by increased middle ear pressure compressing the facial nerve in an exposed facial canal. Read More

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July 2018
1 Read

[Changes of helper T lymphocytes 17 and regulatory T lymphocytes in peripheral blood of patients with extensive burn at early stage in August 2nd Kunshan factory aluminum dust explosion accident and the significance].

Zhonghua Shao Shang Za Zhi 2018 Jun;34(6):360-364

Department of Anaesthesia, the Third People's Hospital of Wuxi City, Wuxi 214041, China.

To explore the changes of helper T lymphocytes 17 (Th17) and regulatory T lymphocytes (Tregs) in peripheral blood of patients with extensive burn at early stage in August 2nd aluminum dust explosion accident in Kunshan factory (hereinafter referred to as Kunshan explosion accident) and the significance. Twenty patients with extensive burn in Kunshan explosion accident admitted to our department of burns and plastic surgery were enrolled in burn group, and 10 healthy adult volunteers with no history of smoking were enrolled in healthy control group. Five mL of peripheral venous blood samples were collected from patients in burn group at admission (≤post injury hour 6, PIH 6) and PIH 24, and on post injury day (PID) 7, and from volunteers in healthy control group respectively. Read More

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June 2018
4 Reads

[Effects of airway management team in the treatment of severely mass burn patients combined with inhalation injury].

Zhonghua Shao Shang Za Zhi 2018 Jun;34(6):354-359

Department of Burns and Plastic Surgery, the Third People's Hospital of Wuxi City, Wuxi 214041, China.

To explore and analyze the effects of airway management team (AMT) in the treatment of severely mass burn patients combined with inhalation injury. The clinical data of 58 severely burned patients combined with inhalation injury hospitalized in our unit from January 2012 to August 2014, conforming to the inclusion criteria, were retrospectively analyzed. According to whether airway management was implemented by AMT or not, patients hospitalized from January 2012 to July 2014 were divided into control group (=27), while patients in Kunshan factory aluminum dust explosion accident hospitalized on 2nd August 2014 were divided into observation group (=31). Read More

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June 2018
9 Reads

[Analysis of effects of discipline cooperation on rescue and treatment of severe mass burn patients involved in August 2nd Kunshan factory aluminum dust explosion accident].

Zhonghua Shao Shang Za Zhi 2018 Jun;34(6):349-353

Department of Burns, Beijing Jishuitan Hospital, Beijing 100035, China.

To analyze effects of cooperation between physicians in department of burn surgery and department of intensive care medicine on rescue and treatment of severe mass burn patients involved in August 2nd Kunshan factory aluminum dust explosion accident. On August 2nd, 2014, 15 extremely severe burn patients involved in August 2nd Kunshan factory aluminum dust explosion accident were admitted to temporary burn treatment center established in Department of Critical Care Medicine of the Second Affiliated Hospital of Soochow University. The 15 patients were equally divided into 3 groups, with 5 patients in each group. Read More

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June 2018
10 Reads

[Experience of wound treatment on extremely severe mass burn patients involved in August 2nd Kunshan factory aluminum dust explosion accident].

Zhonghua Shao Shang Za Zhi 2018 Jun;34(6):339-342

Department of Burns and Plastic Surgery, Nanjing Fire Service Hospital, Nanjing 210003, China.

To explore experience of wound treatment of extremely severe mass burn patients involved in August 2nd Kunshan factory aluminum dust explosion accident. On August 2nd, 2014, 98 extremely severe burn mass patients involved in August 2nd Kunshan factory aluminum dust explosion accident were admitted to 20 hospitals in China. The patients with complete medical record were enrolled in the study and divided into microskin graft group with 56 patients and Meek skin graft group with 42 patients. Read More

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June 2018
2 Reads

[Analysis on treatment of eight extremely severe burn patients in August 2nd Kunshan factory aluminum dust explosion accident].

Zhonghua Shao Shang Za Zhi 2018 Jun;34(6):332-338

Burn Institute, the First Affiliated Hospital of PLA General Hospital, Beijing 100048, China.

To summarize the measures and experience of treatment in mass extremely severe burn patients. The clinical data and treatment of 8 extremely severe burn patients in August 2 Kunshan factory aluminum dust explosion accident who were admitted in the 100th Hospital of PLA on August 2nd, 2014, were retrospectively analyzed. There were 4 males and 4 females, aging 22-45 (34±7) years, with total burn area of 55%-98% [(89±15)%] total body surface area (TBSA) and full-thickness burn area of 45%-97% [(80±21)%] TBSA. Read More

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June 2018
20 Reads

[Challenges for rescue and treatment of mass burns: the experience of rescue and treatment for casualties in August 2nd Kunshan factory aluminum dust explosion accident].

Authors:
Q Tan

Zhonghua Shao Shang Za Zhi 2018 Jun;34(6):329-331

Department of Plastic Surgery and Burns, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China.

The Kunshan factory aluminum dust explosion accident in August 2nd, 2014 caused the largest number of serious burn casualties in China in the recent 30 years. With the support of the whole country and the multidisciplinary cooperation, 185 severely burned patients were rescued and treated at 20 hospitals in Jiangsu province and Shanghai with satisfactory results. The rescue and treatment of mass burn is a complicated and systematic project on account of its suddenness, uncertainty, and non-repeatability. Read More

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[Reflection on rescue and treatment of mass burn patients involved in August 2nd Kunshan factory aluminum dust explosion accident].

Authors:
G Z Lyu Y J Xie

Zhonghua Shao Shang Za Zhi 2018 Jun;34(6):326-328

Department of Burns and Plastic Surgery, the Third People's Hospital of Wuxi City, Wuxi 214041, China.

The treatment of mass burn patients is related to social stability, life saving, and disability reducing. It is also an important opportunity to accumulate, summarize, and improve clinical rescue and treatment experience. Aiming at August 2nd Kunshan factory aluminum dust explosion, this article reviews and summarizes experience and problems about rescue reserve, first-aid system, multidisciplinary cooperation, and integration of usual time and emergent time treatment, so as to propose corresponding strategies and provide reference for the treatment of mass burn patients and critically burned patients. Read More

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Uncommon barotrauma while on high-flow nasal cannula.

Intensive Care Med 2018 Dec 30;44(12):2288-2289. Epub 2018 Jun 30.

Pediatric ICU and Trauma Center, "A.Gemelli" University Hospital, Rome, Italy.

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December 2018
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