[abstract] 10,000 DIVES: A COMPREHENSIVE REVIEW OF 14 YEARS OF EXPERIENCE.

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[abstract] 10,000 DIVES: A COMPREHENSIVE REVIEW OF 14 YEARS OF EXPERIENCE.

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Title: [abstract] 10,000 DIVES: A COMPREHENSIVE REVIEW OF 14 YEARS OF EXPERIENCE.
Author: Pontani, BA; Alexander, K; Williams, RL
Abstract: BACKGROUND: The Southeast Texas Hyperbaric Medicine Center opened in 1991 with a Reimer’s Multiplace Hyperbaric Chamber. We reached 10,000 hyperbaric treatments in July 2005. A review of our experiences over that time was undertaken to assess our complication rates vs. published statistics, as well as to assess our mix of treatment types. MATERIALS AND METHODS: A comprehensive review of the logbooks for all hyperbaric treatments performed at SETX HMC was undertaken. All events outside a standard 45 fsw/90 minute Oxygen treatment were reviewed. Medical records were reviewed when available. RESULTS: A total of 10028 treatments were reviewed (carried through the end of July 2005 for ease of data tabulation.) 50264 patient treatments occurred during that time. 6 total seizures were documented, rate of 1.2 per 10,000 patient treatments. Three were caused by hypoglycemia, one by ETOH intoxication and two by Oxygen toxicity. 202 patients were aborted due to otic barotrauma, rate of 1 per 250 patient treatments. 48 patients were aborted due to medical causes, ranging from dyspnea, chest pain, nausea or vomiting, and one due to acute latex anaphylaxis to the neck ring; rate of 1 per 1000 patient treatments. 92 gas gangrene treatment tables and 26 carbon monoxide treatment tables were performed. 13 Treatment Table 6 were performed for patient treatments. 6 patients were treated on a ventilator. There were zero events requiring CPR, intubation or chest tube placement in the chamber. None of the medical events requiring extraction resulted in patient mortality. 15 hyperbaric staff decompression events were documented CONCLUSIONS: Our patient complication rates reflect published data regarding CNS toxicity with seizures, as well as other medical problems and otic barotrauma. Only 1.3% of our total hyperbaric treatments were for emergencies requiring other than a standard 45 fsw / 90 minutes oxygen table.
Description: Abstract of the Undersea and Hyperbaric Medical Society, Inc. Annual Scientific Meeting held June 14-16, 2007. Ritz-Carlton Kapalua Maui, Hawaii (http:www.uhms.org)
URI: http://archive.rubicon-foundation.org/5157
Date: 2007

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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