PMID- 25964038
OWN - NLM
STAT- MEDLINE
DCOM- 20151124
LR  - 20150512
IS  - 1833-3516 (Print)
IS  - 1833-3516 (Linking)
VI  - 45
IP  - 1
DP  - 2015 Mar
TI  - Hyperbaric oxygen therapy for intensive care patients: position statement by the 
      European Committee for Hyperbaric Medicine.
PG  - 42-6
AB  - Many of the accepted indications for hyperbaric oxygen treatment (HBOT) may occur 
      in critically ill patients. HBOT itself may cause a number of physiological 
      changes which may further compromise the patient's state. Guidelines on the 
      management of critically ill patients in a hyperbaric facility have been founded 
      on the conclusions of the 2007 European Committee for Hyperbaric Medicine (ECHM) 
      meeting. With regard to patient management, HBOT should be included in the 
      overall care of ICU patients only after a risk/benefit assessment related to the 
      specifics of both the hyperbaric centre and the patient's clinical condition and 
      should not delay or interrupt their overall management. Neither patient 
      monitoring nor treatment should be altered or stopped due to HBOT, and any HBOT 
      effects must be strictly evaluated and appropriately mitigated. With regard to 
      the hyperbaric facility itself, the hyperbaric chamber should be specifically 
      designed for ICU patients and should be fully equipped to allow continuation of 
      patient monitoring and treatment. The hyperbaric chamber ideally should be 
      located in, or around the immediate vicinity of the ICU, and be run by a 
      sufficiently large and well-trained team of physicians, nurses, chamber operators 
      and technicians. All devices to be introduced into the chamber should be 
      evaluated, tested and acknowledged as safe for use in a hyperbaric environment 
      and all procedures (standard and emergency) should be tested and written before 
      being implemented.
FAU - Mathieu, Daniel
AU  - Mathieu D
AD  - Centre Hyperbare - Pole de Reanimation, Hopital Roger Salengro, Centre 
      Hospitalier et Universitaire, 59037 Lille, France, E-mail: 
      daniel.mathieu@chru-lille.fr.
FAU - Ratzenhofer-Komenda, Beatrice
AU  - Ratzenhofer-Komenda B
AD  - Department of Anaesthesiology and Intensive Care, University Medical School, 
      Graz, Austria.
FAU - Kot, Jacek
AU  - Kot J
AD  - National Centre for Hyperbaric Medicine, Institute of Maritime and Tropical 
      Medicine in Gdynia and Medical University of Gdansk, Poland.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
SB  - IM
MH  - Advisory Committees
MH  - Critical Care/*methods
MH  - Critical Illness/therapy
MH  - Equipment and Supplies, Hospital/standards
MH  - Europe
MH  - Facility Design and Construction/standards
MH  - Hemodynamics/physiology
MH  - Humans
MH  - Hyperbaric Oxygenation/*standards
MH  - Intensive Care Units
MH  - Monitoring, Physiologic/methods/standards
MH  - Patient Safety/standards
MH  - Personnel Staffing and Scheduling
MH  - Respiration
MH  - Risk Assessment
OTO - NOTNLM
OT  - ECHM - European Committee for Hyperbaric Medicine
OT  - hyperbaric facilities
OT  - hyperbaric oxygen treatment
OT  - intensive care medicine
OT  - patient monitoring
OT  - safety
OT  - standards
OT  - training
OT  - ventilators
EDAT- 2015/05/13 06:00
MHDA- 2015/12/15 06:00
CRDT- 2015/05/13 06:00
PHST- 2015/01/30 00:00 [received]
PHST- 2015/02/02 00:00 [accepted]
PHST- 2015/05/13 06:00 [entrez]
PHST- 2015/05/13 06:00 [pubmed]
PHST- 2015/12/15 06:00 [medline]
PST - ppublish
SO  - Diving Hyperb Med. 2015 Mar;45(1):42-6.