Treatment of carbon monoxide poisoning: a critical review of human outcome studies comparing normobaric oxygen with hyperbaric oxygen.
نویسندگان
چکیده
Searching MEDLINE and government databases (e.g. the Defense Technical Information Centre, the National Technical Information Service, and the Undersea and Hyperbaric Medical Society database) were searched using the terms 'carbon monoxide', 'carbon monoxide poisoning', 'delayed neurologic sequelae', 'hyperbaric oxygen', 'normobaric oxygen' and 'hyperbaric therapy'. Bibliographies of retrieved articles were examined for additional material.
منابع مشابه
Severe carbon monoxide poisoning: outcome after hyperbaric oxygen therapy.
This paper reports the outcome after carbon monoxide poisoning in 31 consecutive patients treated with mechanical ventilation and hyperbaric oxygen therapy, compared with another study of mechanically ventilated patients treated with normobaric oxygen. We found 16.1% hospital mortality and 3.8% severe short-term memory loss, compared with 30% hospital mortality and 20% incidence of serious neur...
متن کاملTreatment of nervous system injuries by hyperbaric oxygen: a review of molecular mechanisms
Background and aims: The use of hyperbaric oxygen therapy is one of the treatment methods to treat many diseases and injuries such as decompression sickness, wound healing, carbon monoxide poisoning, thermal burns, and nervous system injuries. This article aims to review the possible mechanisms of the effectiveness of this treatment in neurological injuries according to the available studies...
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BACKGROUND Patients with acute carbon monoxide poisoning commonly have cognitive sequelae. We conducted a double-blind, randomized trial to evaluate the effect of hyperbaric-oxygen treatment on such cognitive sequelae. METHODS We randomly assigned patients with symptomatic acute carbon monoxide poisoning in equal proportions to three chamber sessions within a 24-hour period, consisting of eit...
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The use of normobaric versus hyperbaric (>2 atm) oxygen in the treatment of carbon monoxide intoxication continues to be a matter of debate despite reports of increased efficacy with hyperbaric oxygen. When hyperbaric oxygen is used, immediate treatment is preferred for best results. The therapeutic window of time, however, is unknown. A patient presented with acute confusion and partial retrog...
متن کاملHyperbaric oxygen and carbon monoxide poisoning: a critical review.
CO is likely to be the most common cause of poisoning worldwide and often results in persistent neuropathologic and cognitive sequelae. While the displacement of oxygen from hemoglobin by CO has overshadowed the myriad mechanisms by which CO causes injury, mere oxygen displacement has endured as the etiology of CO poisonings and perpetuated a cascade of misdiagnosis, misunderstandings and confu...
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ورودعنوان ژورنال:
- Annals of emergency medicine
دوره 24 2 شماره
صفحات -
تاریخ انتشار 1994