PMID- 25311319
OWN - NLM
STAT- MEDLINE
DCOM- 20150428
LR  - 20150825
IS  - 1833-3516 (Print)
IS  - 1833-3516 (Linking)
VI  - 44
IP  - 3
DP  - 2014 Sep
TI  - Retrospective review of grommet procedures under general versus local anaesthesia 
      among patients undergoing hyperbaric oxygen therapy.
PG  - 137-40
AB  - INTRODUCTION: One significant side effect of hyperbaric oxygen treatment (HBOT) 
      is middle ear barotrauma (MEBT) may require tympanostomy tube (grommet) insertion 
      by the Ear, Nose and Throat service. Where timely HBOT is needed, routine 
      insertion of grommets under local anaesthesia (LA) is becoming common. AIMS: To 
      investigate the differences between patients receiving HBOT and concurrent 
      grommets under LA versus general anesthesia (GA) at The Townsville Hospital 
      (TTH). METHODS: A retrospective chart analysis of patients receiving HBOT between 
      2008 and 2012 and requiring grommets was undertaken. RESULTS: Thirty-one (5%) out 
      of 685 patients treated with HBOT from 2008 to 2012 received grommets. Twelve 
      cases received grommets under LA, and 19 under GA. Twenty out of the 31 cases had 
      grommets following MEBT and the remainder prophylactically. Complications of 
      grommet insertion comprised two cases with blocked grommets. There was a 
      significant difference (P = 0.005) in the time in days from ENT referral to HBOT 
      between the LA group (median 1 day, range 0-13 days) and the GA group (median 8 
      days, range 0-98 days). CONCLUSION: A greater number of hyperbaric patients 
      received grommets under GA than LA at the TTH. Insertion of grommets under LA was 
      safe, offering advantages to both the patient and the treating team in the 
      setting of HBOT-associated otic barotrauma.
FAU - Lamprell, Laura
AU  - Lamprell L
AD  - Department of Otolaryngology Head and Neck Surgery, The Townsville Hospital, 100 
      Angus Smith Drive, Douglas, Queensland 4814, Australia, Phone: 
      +61-(0)7-4433-1111, Email: laura.lamprell@gmail.com.
FAU - Young, Derelle
AU  - Young D
AD  - Hyperbaric Medicine Unit, The Townsville Hospital, Queensland.
FAU - Vangaveti, Venkat
AU  - Vangaveti V
AD  - School of Medicine and Dentistry, James Cook University, Townsville, Queensland.
FAU - Orton, John
AU  - Orton J
AD  - Hyperbaric Medicine Unit, The Townsville Hospital, Queensland.
FAU - Suruliraj, Anand
AU  - Suruliraj A
AD  - Department of Otolaryngology, Head and Neck Surgery, The Townsville Hospital, 
      Queensland.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
SB  - IM
CIN - Diving Hyperb Med. 2015 Jun;45(2):136. PMID: 26165541
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Anesthesia, General
MH  - *Anesthesia, Local
MH  - Barotrauma/etiology/*surgery
MH  - Ear, Middle
MH  - Female
MH  - Humans
MH  - Hyperbaric Oxygenation/*adverse effects/methods
MH  - Male
MH  - Middle Aged
MH  - Middle Ear Ventilation/*methods
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Barotrauma
OT  - ENT
OT  - ear barotrauma
OT  - hyperbaric oxygen
OT  - hyperbaric oxygen therapy
EDAT- 2014/10/15 06:00
MHDA- 2015/04/29 06:00
CRDT- 2014/10/15 06:00
PHST- 2014/03/02 00:00 [received]
PHST- 2014/07/16 00:00 [accepted]
PHST- 2014/10/15 06:00 [entrez]
PHST- 2014/10/15 06:00 [pubmed]
PHST- 2015/04/29 06:00 [medline]
PST - ppublish
SO  - Diving Hyperb Med. 2014 Sep;44(3):137-40.