British Hyperbaric Association carbon monoxide database, 1993-96.
نویسنده
چکیده
OBJECTIVES To study the referral pattern of patients, poisoned with carbon monoxide and subsequently transferred to British hyperbaric oxygen facilities, from April 1993 until March 1996 inclusive. METHODS A standard dataset was used by hyperbaric facilities within the British Hyperbaric Association. The data on each patient were sent in confidence to the Hyperbaric Unit at Whipps Cross Hospital for analysis. The epidemiology of poisoning and the population studied were analysed. Times of removal from exposure, referral to a hyperbaric facility, arrival at the hyperbaric facility, and start of treatment were recorded. Data on the outcome of the episode were documented in one of the contributing facilities. RESULTS 575 patients exposed to carbon monoxide were reported as being referred to British hyperbaric facilities in the three years, the busiest facilities being in London and Peterborough. The proportions of accidental and non-accidental exposures were 1:1.05. Of the accidental exposures, central heating faults were responsible in 71.5% of cases (n = 206). Smoke inhalation from fires was responsible for a further 13.5% (n = 39). The mean delay to arrival in a hyperbaric oxygen facility was 9 hours and 15 minutes after removal from exposure. Recovery after treatment was sometimes incomplete. CONCLUSIONS The reported pattern of referral was regionally weighted towards the south east of England. Smoke inhalation victims were often not referred for hyperbaric oxygen treatment. The delay to treatment was multifactorial; and the mean delay was well in excess of six hours. There is room for improvement in the consistency and speed of referral. Treatment schedules require standardisation. A central advice and referral service would be helpful.
منابع مشابه
Treatment of carbon monoxide poisoning: a critical review of human outcome studies comparing normobaric oxygen with hyperbaric oxygen.
Searching MEDLINE and government databases (e.g. the Defense Technical Information Centre, the National Technical Information Service, and the Undersea and Hyperbaric Medical Society database) were searched using the terms 'carbon monoxide', 'carbon monoxide poisoning', 'delayed neurologic sequelae', 'hyperbaric oxygen', 'normobaric oxygen' and 'hyperbaric therapy'. Bibliographies of retrieved ...
متن کاملCarbon monoxide poisoning: an update.
oxygen. Anecdotal reports of alternative approaches have not been followed up.'0 There is little evidence from clinical studies that normobaric oxygen is effective, and even the evidence concerning hyperbaric oxygen is difficult to interpret despite animal studies and cellular research which provide strong evidence in its favour. One important factor is that it reduces free radical concentratio...
متن کاملSevere carbon monoxide poisoning: outcome after hyperbaric oxygen therapy.
This paper reports the outcome after carbon monoxide poisoning in 31 consecutive patients treated with mechanical ventilation and hyperbaric oxygen therapy, compared with another study of mechanically ventilated patients treated with normobaric oxygen. We found 16.1% hospital mortality and 3.8% severe short-term memory loss, compared with 30% hospital mortality and 20% incidence of serious neur...
متن کاملTreatment of severe carbon monoxide poisoning using a portable hyperbaric oxygen chamber.
We report the first case of suspected carbon monoxide poisoning treated by hyperbaric oxygen therapy by using a portable hyperbaric stretcher. A 40-year-old British man in Kabul, Afghanistan, was found unresponsive in his apartment. Initial treatment consisted of oxygen by mask at a Combat Support Hospital for several hours, with minimal improvement. Operational security and risk prevented his ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of accident & emergency medicine
دوره 16 2 شماره
صفحات -
تاریخ انتشار 1999