PMID- 25596835
OWN - NLM
STAT- MEDLINE
DCOM- 20150430
LR  - 20150119
IS  - 1833-3516 (Print)
IS  - 1833-3516 (Linking)
VI  - 44
IP  - 4
DP  - 2014 Dec
TI  - Medical devices and procedures in the hyperbaric chamber.
PG  - 223-7
AB  - The aim of this paper is to present current controversies concerning the safety 
      of medical devices and procedures under pressure in a hyperbaric chamber 
      including: defibrillation in a multiplace chamber; implantable devices during 
      hyperbaric oxygen treatment (HBOT) and the results of a recent European 
      questionnaire on medical devices used inside hyperbaric chambers. Early 
      electrical defibrillation is the only effective therapy for cardiac arrest caused 
      by ventricular fibrillation or pulseless ventricular tachycardia. The procedure 
      of defibrillation under hyperbaric conditions is inherently dangerous owing to 
      the risk of fire, but it can be conducted safely if certain precautions are 
      taken. Recently, new defibrillators have been introduced for hyperbaric medicine, 
      which makes the procedure easier technically, but it must be noted that sparks 
      and fire have been observed during defibrillation, even under normobaric 
      conditions. Therefore, delivery of defibrillation shock in a hyperbaric 
      environment must still be perceived as a hazardous procedure. Implantable devices 
      are being seen with increasing frequency in patients referred for HBOT. These 
      devices create a risk of malfunction when exposed to hyperbaric conditions. Some 
      manufacturers support patients and medical practitioners with information on how 
      their devices behave under increased pressure, but in some cases an individual 
      risk-benefit analysis should be conducted on the patient and the specific 
      implanted device, taking into consideration the patient's clinical condition, the 
      indication for HBOT and the capability of the HBOT facility for monitoring and 
      intervention in the chamber. The results of the recent survey on use of medical 
      devices inside European hyperbaric chambers are also presented. A wide range of 
      non-CE-certified equipment is used in European chambers.
FAU - Kot, Jacek
AU  - Kot J
AD  - Assistant Professor at the National Centre for Hyperbaric Medicine in Gdynia, 
      Medical University of Gdansk, Powstania Styczniowego 9B, 81-519 Gdynia, Poland, 
      Phone: +48-(0)58-6225163, Fax: +48-(0)58-6222789, E-mail: jkot@gumed.edu.pl.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
SB  - IM
MH  - Defibrillators/*adverse effects
MH  - Defibrillators, Implantable/adverse effects
MH  - Equipment Safety
MH  - *Equipment and Supplies
MH  - Europe
MH  - Fires
MH  - Humans
MH  - Hyperbaric Oxygenation/*instrumentation
MH  - Implantable Neurostimulators/*adverse effects
MH  - Infusion Pumps, Implantable/*adverse effects
MH  - Monitoring, Physiologic
OTO - NOTNLM
OT  - Hyperbaric medicine
OT  - equipment
OT  - implantable devices
OT  - patient monitoring
OT  - resuscitation
OT  - review article
OT  - safety
OT  - ventilators
EDAT- 2015/01/19 06:00
MHDA- 2015/05/01 06:00
CRDT- 2015/01/19 06:00
PHST- 2014/10/06 00:00 [received]
PHST- 2014/10/15 00:00 [accepted]
PHST- 2015/01/19 06:00 [entrez]
PHST- 2015/01/19 06:00 [pubmed]
PHST- 2015/05/01 06:00 [medline]
PST - ppublish
SO  - Diving Hyperb Med. 2014 Dec;44(4):223-7.