scholarly journals The Safety of Hyperbaric Oxygen Therapy in the Treatment of Covid-19

2020 ◽  
Vol 9 (3) ◽  
pp. 314-320
Author(s):  
O. A. Levina ◽  
A. K. Еvseev ◽  
A. K. Shabanov ◽  
V. V. Kulabukhov ◽  
N. Y. Kutrovskaya ◽  
...  

Relevance. Acute respiratory infection COVID-19 caused by the SARS-CoV-2 (2019-nCov) coronavirus is severe and extremely severe in 15—20% of cases, which is accompanied by the need for respiratory support. Hyperbaric oxygenation is recognized as an effective therapy for replenishing any form of oxygen debt.Aim of study. To study the safety of HBO use in patients with COVID-19.Material and metods. We examined 32 patients with the diagnosis “Coronavirus infection caused by the virus SARS-CoV-2” (10 — moderately severe patients (CT 1–2), 22 — patients in serious condition (CT 3–4), who received course of hyperbaric oxygenation (HBO). The procedures were carried out in a Sechrist 2800 chamber (USA) at a mode of 1.4–1.6 AT for no more than 60 minutes. In total, the patients received 141 HBO sessions. Before and after each HBO session, the subjective indicators of the patient’s condition were assessed and the blood oxygen saturation was measured.Results. An algorithm for HBO course management was developed, which consists in using “soft” modes (up to 1.4 AT) during the first session, followed by pressure adjustment (not higher than 1.6 AT) during the course to achieve maximum therapeutic effect and comfort for the patient. Against the background of the HBO course, the patients showed an increase in blood oxygen saturation in patients in both surveyed groups, as well as positive dynamics in the form of a decrease in shortness of breath, an improvement in general well-being.Conclusion. The inclusion of daily sessions (at least 4) of hyperbaric oxygenation in “soft” modes (1.4–1.6 ATA) in the complex therapy for COVID-19 has shown its safety and preliminary positive effect on the subjective state of the examined patients and the dynamics of blood oxygen saturation.

2018 ◽  
Vol 12 (3) ◽  
pp. 82-85
Author(s):  
Xiaoling Chen ◽  
Yuelan Qin ◽  
Fanghua Gong

BackgroundUndergoing general anesthesia and pneumoperitoneum could affect the lung function and comprise oxygenation in laparoscopic cholecystectomy patients. Position of patients after surgery may affect lung function of these patients.AimTo observe the effect of semi-recumbent position on blood oxygen saturation (SpO2) in postanesthetic patients after laparoscopic cholecystectomy.MethodsA number of 225 patients who admitted to postanesthetic care unit after laparoscopic cholecystectomy from September 2016 to May 2017 were randomly assigned into the intervention group and the control group. The intervention group adopted a semi-recumbent position with head bed elevation by 10 to 20°, while the control received a supine position without lying on a pillow. Both groups received routine postanesthesia care. Data on SpO2 before and after extubation were collected. Independent t-test was used for data analysis.ResultsThere was no vomiting and cough reactions before and after extubation in both groups. Intervention group reported a significantly higher level of SpO2 at 1 minute and 30 minutes after extubation, compared to the control group (both ps < 0.05).ConclusionSemi-recumbent position with the head bed elevation could significantly increase the SpO2 level of postanesthetic patients, thus ensuring the safety of patients when removing the endotracheal tube.


2020 ◽  
Vol 11 (2) ◽  
pp. 87-91
Author(s):  
A. D. Palman ◽  
D. A. Andreev ◽  
S. A. Suchkova

Patients with COVID-19 are typically characterized by severe lung injury with the development of acute respiratory failure. However, in some patients, subjective well-being may remain relatively satisfactory for a long time and, despite severe hypoxemia, they do not complain of shortness of breath. Case report. We observed a 65-year-old man hospitalized with severe SARS-CoV-2 pneumonia, low level of blood oxygen saturation, but at the same time without complaints of shortness of breath. Only as the disease progressed with a decrease in oxygen saturation when breathing atmospheric air (SpO2 ) lower than 85% he began to notice a feeling of lack of air. The patient’s condition worsened and as a result, he died in the intensive care unit from multiple organ failure. Discussion. This case clearly illustrates one more feature of the course of pneumonia associated with the novel SARSCoV-2 coronavirus and shows that SpO2 measurement is one of the leading objective criterion that allows a doctor to assess the real severity of a patient’s condition with COVID-19.


2021 ◽  
Vol 11 (4) ◽  
pp. 55-61
Author(s):  
Rajesh Prabhakar Gaikwad ◽  
Akshaya Bhupesh Banodkar ◽  
Vaibhavi Pandurang Nandgaonkar

Background: Outbreak of novel corona virus has led World Health Organization (WHO) to come up with healthcare guidelines which includes wearing of N95 mask. The aim of this study was to evaluate whether blood oxygen saturation level is affected by wearing of N95 mask for the duration of 4 hours. Materials and Methods: A total of 90 exam going students were included in this study, who were instructed to wear N95 mask. Blood oxygen saturation level (SpO2) was checked both before and after wearing of N95 mask for a period of 4 hours. Results: It was observed that, before wearing N95 mask at 9 am, SpO2 values were 96.64±0.196 while at 1 pm after removing N95 mask, the saturation values were 95.68±0.235 (p=0.000) among all the students. There was a statistically highly significant difference seen for the values between the time intervals (p<0.01) with higher values at 9 am and lesser at 1pm. On comparing the SpO2 levels among males and females, a statistically nonsignificant difference was seen. Thus, reduction in blood oxygen saturation level can be a major parameter to evaluate the respiratory consequences of N95 mask. Conclusion: Various adverse effects of N95 mask were quoted in literature but respiratory consequences due to reduction in blood oxygen saturation level can be harmful. Thus, to avoid such consequences, precautionary measures are advised to be taken. Key words: N95 mask, SpO2, Blood oxygen saturation, COVID-19.


2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Brenda N. E. Pelealu ◽  
Maya E.W. Moningka ◽  
Jimmy F. Rumampuk

Abstract: During physical activity, blood flow and oxygen usage will increase in order to transport oxygen which is required by muscles during exercise. One of the parameters to check the amount of oxygen that is bound to hemoglobin is oxygen saturation. This study aimed to determine the level of blood oxygen saturation of those who consumed mineral water and high oxygenated water during zumba gymnastics. This was an analytical experiments method with pre and post test approach. Total samples were 31 people who met the criteria and were willing to become the respondents. Data were analyzed using Wilcoxon Test. The results showed that the oxygen saturation before and after consuming mineral water (97.5±0.9) and (97.7±1.03) meanwhile before and after consuming high oxygenated water (97.6±0.75) and (98.7±0.44). The Wilcoxon test showed that there was a significant difference of blood oxygen saturation between before and after consuming high-oxygenated water (p=0.000) whereas for other respondents who consumed mineral water, there was no significant difference in their condition before and after consuming mineral water (p=0.198). Conclusion: There was a higher increase in blood oxygen saturation value before and after consuming oxygenated water compared to before and after consuming mineral water.Keywords: oxygen saturation, mineral water, and oxygenated water.Abstrak: Ketika beraktivitas fisik, aliran darah dan penggunaan oksigen akan meningkat untuk mengangkut oksigen yang diperlukan pada otot selama latihan. Salah satu parameter untuk melihat kadar oksigen yang berikatan dengan hemoglobin adalah Saturasi Oksigen. Penelitian ini bertujuan untuk mengetahui nilai saturasi oksigen darah pada orang yang mengkonsumsi air mineral dan air beroksigen tinggi pada senam zumba. Penelitian ini menggunakan metode analitik eksperimental dengan pendekatan pre and post test. Sampel penelitian berjumlah 31 orang yang memenuhi kriteria dan bersedia menjadi responden. Analisis data dilakukan dengan menggunakan uji Wilcoxon test. Hasil penelitian menunjukkan bahwa saturasi oksigen sebelum dan sesudah mengonsumsi air mineral (97,5±0,9) dan (97,7±1,03) sedangkan sebelum dan sesudah mengonsumsi air beroksigen tinggi (97,6±0,75) dan (98,7±0,44). Hasil uji Wilcoxon test menunjukkan perbedaan yang signifikan pada responden sebelum dan sesudah mengonsumsi air beroksigen (p=0,000) sedangkan ketika responden mengonsumsi air mineral terdapat perbedaan yang tidak signifikan pada kondisi sebelum dan sesudah mengkonsumsi air mineral (p=0,198). Simpulan: Terjadi peningkatan yang lebih tinggi dalam nilai saturasi oksigen darah sebelum dan sesudah mengkonsumsi air beroksigen dibandingkan dengan air mineral.Kata kunci: saturasi oksigen, air mineral, air beroksigen.


2017 ◽  
Vol 98 (1) ◽  
pp. 18-20
Author(s):  
Z M Sigal ◽  
S N Styazhkina ◽  
S Yu Meshchanov ◽  
S Z Sigal

Aim. To determine the change of cardiovascular system parameters after extracorporeal lithotripsy.Methods. The study involved 25 patients with urolithiasis from Urology Department of «The first Republican Clinical Hospital of Ministry of Healthcare of Udmurtia» in Izhevsk at the age of 25 to 45 years, of these, 10 females and 15 males. Lithotripsy was performed on all patients. Blood pressure, heart rate, stress index, blood oxygen saturation were measured before and after intervention.Results. The data obtained allow us to conclude that in patients with urolithiasis after extracorporeal lithotripsy no specific changes in baseline cardiovascular system parameters occur. Systolic and diastolic blood pressure ranged between 5 to 10 mm Hg. Heart rate before and after extracorporeal lithotripsy practically did not change, blood oxygen saturation remained unchanged as well. Statistically significant reduction of stress index after extracorporeal lithotripsy was observed.Conclusion. Functional monitoring of patients with urolithiasis after extracorporeal lithotripsy did not reveal any significant changes in blood pressure, heart rate, and blood oxygen saturation; stress index after the intervention statistically significantly decreased, but remains higher than normal.


2020 ◽  
Vol 98 (Supplement_4) ◽  
pp. 422-422
Author(s):  
Rebecca L Moore ◽  
Cierrah J Kassetas ◽  
Leslie A LeKatz ◽  
Bryan W Neville

Abstract One hundred and twenty-six yearling angus steers (initial body weight 445.87 ± 7.13 kg) were utilized in a 2 x 2 factorial design to evaluate the impacts of bunk management and modified distillers grains plus solubles (mDGS) inclusion on feedlot performance, hydrogen sulfide concentrations and blood oxygen saturation. Treatments included bunk management strategy either control bunk management (CON; clean bunks at the time of next day’s feeding) or long bunk management (LONG; feed remaining at time of next day’s feeding), and two inclusion rates of mDGS either 25% or 50% (DM Basis). On d 0, 7, 14, 21, 28 and 35 rumen gas samples were collected via rumenocentesis, and arterial blood samples were collected on two steers from each pen. No differences (P ≥ 0.09) were observed for dry matter intake, average daily gain and gain-to-feed ratio for bunk management or mDGS inclusion. Hot carcass weight, ribeye area, marbling score and quality grade were not affected (P ≥ 0.48) by either bunk management or mDGS inclusion. Back fat was greater (P = 0.04) for CON steers compared to LONG (1.30 vs 1.12 ± 0.05cm, respectively), but was not affected (P = 0.59) by mDGS inclusion. Steers on CON had greater (P = 0.03) yield grades compared to LONG (3.21 vs 2.96 ± 0.11, respectively). Bunk management strategy did not impact hydrogen sulfide concentrations or blood oxygen saturation (P = 0.82). Hydrogen sulfide concentrations increased (P &lt; 0.001) with increasing mDGS inclusion. Blood oxygen saturation was influenced by day of sampling (P = 0.01). Blood oxygen saturation was not affected (P = 0.07) by mDGS inclusion. The fact that ruminal hydrogen sulfide concentrations increased while blood oxygen saturation remained similar raises questions about the quantity of hydrogen sulfide and metabolic fate of excess hydrogen sulfide in the blood of ruminant animals.


Author(s):  
Juan Pablo Pizarro-Ruiz ◽  
Nuria Ordóñez-Camblor ◽  
Mario Del-Líbano ◽  
María-Camino Escolar-LLamazares

Mindfulness-based interventions (MBI) are a recognized effective psychological practice characterized by attention control, awareness, acceptance, non-reactivity, and non-judgmental thinking obtained through the practice of meditation. They have been shown to be useful in reducing stress and enhancing well-being in different contexts. In this research, the effectiveness of an MBI was evaluated on variables that can promote successful job performance such as mindfulness trait, positive and negative affect, forgiveness, personality strengths and satisfaction with life. The intervention was carried out through a smartphone application called “Aire Fresco” (Fresh Air) during 14 days in the middle of the quarantine produced by the Covid-19 pandemic. The study sample was composed of 164 Spanish people who were distributed in two groups: control group and experimental group, which were evaluated before and after the intervention. The MANCOVA performed showed an overall positive effect of the intervention on the variables evaluated. The different ANCOVAs carried out showed that the intervention was beneficial in increasing mindfulness trait, reducing negative affect or increasing life satisfaction, among others. Our study is, as far as we know, the first to demonstrate the effectiveness of a brief intervention in mindfulness conducted using a smartphone application in Spanish.


Biofeedback ◽  
2012 ◽  
Vol 40 (4) ◽  
pp. 137-141 ◽  
Author(s):  
Christopher Gilbert

Small pulse oximeters have become widely available and can be useful for noninvasive monitoring of blood oxygen saturation by nonmedical personnel. When training control of breathing, an oximeter helps to reassure clients who hyperventilate that their oxygenation is adequate, offsetting their perception that they are not getting enough air. Low saturation may indicate a medical condition that impairs oxygen absorption. In that case, hyperventilation is a biological compensation that should not be tampered with.


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