PMID- 27723016
OWN - NLM
STAT- MEDLINE
DCOM- 20170104
LR  - 20181202
IS  - 1833-3516 (Print)
IS  - 1833-3516 (Linking)
VI  - 46
IP  - 3
DP  - 2016 Sep
TI  - Safety of transport and hyperbaric oxygen treatment in critically-ill patients 
      from Padua hospitals into a centrally-located, stand-alone hyperbaric facility.
PG  - 155-159
AB  - INTRODUCTION: Some patients admitted to the intensive care unit (ICU) might 
      require repetitive hyperbaric oxygen treatment (HBOT) while receiving critical 
      care. In such cases, the presence of a hyperbaric chamber located inside or near 
      an ICU is preferable; however, this set-up is not always possible. In Padua, the 
      "Associazione Tecnici IPerbarici" hyperbaric centre is a stand-alone facility 
      outside of a hospital. Despite this, selected ICU patients receive HBOT at this 
      facility. METHODS: We retrospectively reviewed the medical records from 2003 to 
      2013 of 75 consecutive, critically-ill patients, 28 of whom were initially 
      intubated and mechanically ventilated whilst undergoing HBOT. We evaluated the 
      methods adopted in Padua to guarantee the safety and continuity of care during 
      transfer for and during HBOT in this specially-equipped multiplace chamber. 
      RESULTS: The 75 patients collectively received 315 HBOT sessions, 192 of which 
      were with the patients intubated and mechanically ventilated. The diagnoses 
      ranged from necrotizing fasciitis to post-surgical sepsis and intracranial 
      abscess. We obtained full recovery for 73 patients. Two deaths were recorded not 
      in close time relation to HBOT. CONCLUSIONS: With meticulous monitoring, 
      efficient transport and well-trained personnel, the risks associated with 
      transportation and HBOT can be acceptable for the referring physician.
FAU - Bosco, Gerardo
AU  - Bosco G
AD  - Department of Biomedical Sciences, University of Padua, Padua, Italy.
FAU - Garetto, Giacomo
AU  - Garetto G
AD  - Associazione Tecnici IPerbarici (ATIP) Hyperbaric Medical Centre, Padua, Italy.
FAU - Rubini, Alessandro
AU  - Rubini A
AD  - Department of Biomedical Sciences, University of Padua, Padua, Italy.
FAU - Paoli, Antonio
AU  - Paoli A
AD  - Department of Biomedical Sciences, University of Padua, Padua, Italy.
FAU - Dalvi, Prachiti
AU  - Dalvi P
AD  - TeamHealth Anesthesia, Tampa General Hospital, Tampa, Florida, USA.
FAU - Mangar, Devanand
AU  - Mangar D
AD  - Department of Surgery and TeamHealth Anesthesia, Tampa General Hospital, Tampa, 
      Florida, USA.
FAU - Camporesi, Enrico M
AU  - Camporesi EM
AD  - Department of Surgery and Anesthesiology, University of South Florida, Tampa, 
      Florida ; TeamHealth Anesthesia, Tampa General Hospital, 1 Tampa General Hospital 
      Circle, Suite A327, Tampa, Florida 33606, USA. ecampore@health.usf.edu.
LA  - eng
PT  - Journal Article
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
SB  - IM
MH  - Adult
MH  - Brain Abscess/therapy
MH  - Clinical Protocols
MH  - Critical Care/methods/*standards
MH  - Critical Illness/*therapy
MH  - Fasciitis, Necrotizing/therapy
MH  - Female
MH  - Gas Gangrene/therapy
MH  - Health Facilities
MH  - Humans
MH  - *Hyperbaric Oxygenation/statistics & numerical data
MH  - Italy
MH  - Male
MH  - Middle Aged
MH  - Monitoring, Physiologic
MH  - Patient Safety/*standards
MH  - Postoperative Complications/therapy
MH  - Sepsis/therapy
MH  - Transportation of Patients/*standards/statistics & numerical data
OTO - NOTNLM
OT  - Hyperbaric oxygen therapy
OT  - clinical audit
OT  - fasciitis
OT  - infectious diseases
OT  - intensive care medicine
OT  - necrotizing
OT  - transport
EDAT- 2016/10/11 06:00
MHDA- 2017/01/05 06:00
CRDT- 2016/10/11 06:00
PHST- 2016/07/01 00:00 [received]
PHST- 2016/07/13 00:00 [accepted]
PHST- 2016/10/11 06:00 [entrez]
PHST- 2016/10/11 06:00 [pubmed]
PHST- 2017/01/05 06:00 [medline]
PST - ppublish
SO  - Diving Hyperb Med. 2016 Sep;46(3):155-159.