Hyperbaric oxygen therapy: its use in medical emergencies and its development in Hong Kong
Hyperbaric oxygen therapy is widely accepted as life-saving treatment for decompression illness. Yet its use in acute carbon monoxide poisoning has remained controversial because of inconsistent findings in clinical trials. Hyperbaric oxygen therapy has an adjunctive role in managing gas gangrene, n...
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Published in | Hong Kong medical journal = Xianggang yi xue za zhi Vol. 24; no. 2; pp. 191 - 199 |
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Main Authors | , |
Format | Journal Article |
Language | English Chinese |
Published |
China
Hong Kong Academy of Medicine
01.04.2018
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Subjects | |
Online Access | Get full text |
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Abstract | Hyperbaric oxygen therapy is widely accepted as life-saving treatment for decompression illness. Yet its use in acute carbon monoxide poisoning has remained controversial because of inconsistent findings in clinical trials. Hyperbaric oxygen therapy has an adjunctive role in managing gas gangrene, necrotising soft-tissue infection, and crush injury, as supported by case series. Several cases have been reported in the literature detailing the use of hyperbaric oxygen therapy in patients with severe anaemia in whom blood transfusion is not possible. Today, use of hyperbaric oxygen therapy in Hong Kong is limited by low awareness among physicians and patients, a lack of service access, and inadequate hospital and critical care support for the existing non-hospital facility. The recent introduction of a hospital-based facility is expected to benefit more patients for whom hyperbaric oxygen therapy is appropriate. This article reviews the mechanistic basis of and emerging scientific evidence to support the use of hyperbaric oxygen therapy in a number of acute medical emergencies, as well as the past and future development of hyperbaric oxygen therapy in Hong Kong. |
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AbstractList | Hyperbaric oxygen therapy is widely accepted as life-saving treatment for decompression illness. Yet its use in acute carbon monoxide poisoning has remained controversial because of inconsistent findings in clinical trials. Hyperbaric oxygen therapy has an adjunctive role in managing gas gangrene, necrotising soft-tissue infection, and crush injury, as supported by case series. Several cases have been reported in the literature detailing the use of hyperbaric oxygen therapy in patients with severe anaemia in whom blood transfusion is not possible. Today, use of hyperbaric oxygen therapy in Hong Kong is limited by low awareness among physicians and patients, a lack of service access, and inadequate hospital and critical care support for the existing non-hospital facility. The recent introduction of a hospital-based facility is expected to benefit more patients for whom hyperbaric oxygen therapy is appropriate. This article reviews the mechanistic basis of and emerging scientific evidence to support the use of hyperbaric oxygen therapy in a number of acute medical emergencies, as well as the past and future development of hyperbaric oxygen therapy in Hong Kong. |
Author | Leung, J Ks Lam, R Pk |
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SubjectTerms | Acute Disease Age Bubbles Carbon monoxide Carbon Monoxide Poisoning - therapy Consciousness Crush Injuries - therapy Decompression Sickness - therapy Edema Embolisms Emergencies Fainting Gases Hong Kong Humans Hyperbaric Oxygenation Hyperoxia Hypoxia Iatrogenesis Illnesses Ischemia Nitrogen Oxygen therapy Patients Poisoning Veins & arteries |
Title | Hyperbaric oxygen therapy: its use in medical emergencies and its development in Hong Kong |
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