Intensiv- und Notfallbehandlung, Jahrgang 40 - 3. Quartal (111 - 121)

Emergency indications for hyperbaric oxygen therapy
D. Michaelis, M. Flores
Druckkammerzentren Rhein Main Taunus, Anästhesie/Intensivmedizin, Asklepios Paulinenklinik, Wiesbaden

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DOI 10.5414/IBX00456

Abstrakt

Hyperbaric oxygen therapy is an on physical, mechanism of action based medical therapy. There are strongly recommended, recommended, optional recommended and investigational indications. This article is about strongly recommended indications. As there are decompression sickness (DCS 1 or 2), dysfunction of oxygen transport at carbon monoxide intoxication, gas gangrene, gas embolism. In Germany only 6 decompression chambers left, with 24 hour on call. They are able to treat intensive care patients, even if they are intubated and ventilated. Due to these indications, the biggest problem in Germany is a lack of actual data and high-quality studies. For Carbon Monoxide Intoxications the original data are from 1923! The newest studies and observations suggest, that these old data doesn’t comprehend to actual scientific standards. There is a need of further studies. The cases with decompression sickness have a huge amount of not registered accidents due to the fact, they aren’t insured or members of diving associations. This article is about this 4 strongly recommended indications, pathophysiology and number of cases. Following this work there is an urgent need, to inform, and further educate our physicians.

Autoreninformation

Autoren

Abteilungen

  • Druckkammerzentren Rhein Main Taunus, Anästhesie/Intensivmedizin, Asklepios Paulinenklinik, Wiesbaden

Adresse

Dr. med. D. Michaelis
Druckkammerzentren Rhein Main Taunus
Anästhesie/Intensivmedizin
Asklepios Paulinenklinik Wiesbaden
Geisenheimer Straße 10
D–65197 Wiesbaden
Email: [email protected]

Citation

D. Michaelis und M. Flores.Notfallindikationen für die hyperbare Oxygenierungstherapie (HBO). 2015; 40: 111-121. doi: 10.5414/IBX00456.

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