Diving Hyperb Med
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We reviewed the occurrence, trends, definition and severity of the Irukandji syndrome for the Cairns region of North Queensland, Australia. ⋯ The duration of the Irukandji season appears to be increasing. Conversely the number of envenomings appears to be decreasing, possibly because of improved beach management in recent years. Offshore envenomings appear to have a higher potential for more severe envenomings with five associated major symptoms.
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This retrospective review examined the influence of delay to recompression on mild/moderate neurological decompression sickness (DCS) in divers, as a pilot for an abandoned prospective study. ⋯ Neither more HBOT nor a worse outcome of DCS could be related to delay to treatment longer than 17 hours. The amount of oxygen that had to be administered in total during the whole HBOT course was lower in cases that responded better to the initial HBOT.
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Patients suffering from necrotizing fasciitis (NF) are often haemodynamically unstable and require extended monitoring of cardiovascular parameters; yet this is limited during hyperbaric oxygen treatment (HBOT). We aimed to evaluate the use and safety of transoesophageal Doppler (TED) monitoring of cardiac output (CO) under hyperbaric conditions in haemodynamically unstable patients diagnosed with NF and sepsis or septic shock. ⋯ This is, to the best of our knowledge, the first study to document that TED can provide a minimally-invasive estimate of CO in haemodynamically unstable patients with NF and sepsis or septic shock during HBOT.