scholarly journals Hyperbaric Oxygen Treatment for Carbon Monoxide Poisoning in Italy: Retrospective Validation of a Data Collection Tool for the Italian Registry of Carbon Monoxide Poisonings (IRCOP)

2020 ◽  
Vol 17 (2) ◽  
pp. 574
Author(s):  
Lidio Maffi ◽  
Matteo Paganini ◽  
Giuliano Vezzani ◽  
Antonios Soumelis ◽  
Enrico M Camporesi ◽  
...  
Keyword(s):  
Carbon Monoxide ◽  
Data Collection ◽  
Hyperbaric Oxygen ◽  
Carbon Monoxide Poisoning ◽  
The Body ◽  
Co Poisoning ◽  
Data Collection Tool ◽  
Hyperbaric Oxygen Treatment ◽  
Oxygen Treatment ◽  
Co Intoxication

Background: Carbon Monoxide (CO) poisoning is a frequent cause of intoxication. However, CO poisoning incidence is globally underreported, as well as its features, especially in Italy. The aim of this study was to investigate such characteristics of CO intoxication and foster the creation of the Italian Registry of Carbon Monoxide Poisonings. Methods: A data collection tool was developed and organized in five sections: Patient’s characteristics; CO intoxication modality; emergency medical service and emergency department; hyperbaric facility; outcomes. The tool was validated through a retrospective analysis, including CO intoxicated patients treated in 14 Italian hyperbaric facilities between 2015 and 2016. Results: A total of 1383 patients were included. The high completion ratio (85%) of the collection tool suggests its feasibility in practical terms. CO intoxications were mostly accidental (93.64%) and caused by solid fuel (48.59%). There was not a uniform application of hyperbaric oxygen treatment protocols, but most of the patients were adequately treated at least at 2.5 ATA for more than 60 min (44.97%). Conclusion: This analysis provided new information that was previously unavailable in this country. Furthermore, this tool proved to be a valid base for future registry aiming to consolidate the body of knowledge about CO intoxications in Italy.

Provision of emergency hyperbaric oxygen treatment for a patient during the COVID-19 pandemic

2021 ◽  
Vol 51 (1) ◽  
pp. 78-81
Author(s):  
Michelle L Lim ◽  
◽  
Soo J Kim ◽  
Meng K Tan ◽  
Kim H Lim ◽  
...  
Keyword(s):  
Carbon Monoxide ◽  
Infection Control ◽  
Endotracheal Tube ◽  
Hyperbaric Oxygen ◽  
Negative Pressure ◽  
Carbon Monoxide Poisoning ◽  
Infection Risk ◽  
Hyperbaric Oxygen Treatment ◽  
Contact Precautions ◽  
Oxygen Treatment

The experience of managing a critically ill severe carbon monoxide poisoning patient suspected of possibly also suffering COVID-19 and requiring emergency hyperbaric oxygen treatment is described. Strategies used to minimise infection risk, modifications to practice and lessons learnt are described. All aerosol generating procedures such as endotracheal tube manipulation and suctioning should be undertaken in a negative pressure room. In the absence of in-chamber aerosol generating procedures, an intubated patient presents less risk than that of a non-intubated, symptomatically coughing patient. Strict infection control practices, contact precautions, hospital workflows and teamwork are required for the successful HBOT administration to an intubated COVID-19 suspect patient.

Delayed hyperbaric oxygen treatment after acute carbon monoxide poisoning

2011 ◽  
Vol 258 (8) ◽  
pp. 1553-1554 ◽  
Author(s):  
F. Spagnolo ◽  
M. Costa ◽  
M. Impellizzeri ◽  
R. Cardamone ◽  
M. Falautano ◽  
...  
Keyword(s):  
Carbon Monoxide ◽  
Hyperbaric Oxygen ◽  
Carbon Monoxide Poisoning ◽  
Hyperbaric Oxygen Treatment ◽  
Acute Carbon Monoxide Poisoning ◽  
Oxygen Treatment

scholarly journals Delayed hyperbaric oxygen treatment for acute carbon monoxide poisoning.

BMJ ◽  
1984 ◽  
Vol 289 (6450) ◽  
pp. 960-960 ◽  
Author(s):  
A Ziser ◽  
A Shupak ◽  
P Halpern ◽  
D Gozal ◽  
Y Melamed
Keyword(s):  
Carbon Monoxide ◽  
Hyperbaric Oxygen ◽  
Carbon Monoxide Poisoning ◽  
Hyperbaric Oxygen Treatment ◽  
Acute Carbon Monoxide Poisoning ◽  
Oxygen Treatment

Long-term infant outcomes after hyperbaric oxygen treatment for acute carbon monoxide poisoning during pregnancy

2021 ◽  
Vol 51 (3) ◽  
pp. 248-255
Author(s):  
Kubra Ozgok-Kangal ◽  
Keyword(s):  
Carbon Monoxide ◽  
Birth Weight ◽  
Adverse Events ◽  
Pregnant Women ◽  
Hyperbaric Oxygen ◽  
Clinical Severity ◽  
Co Poisoning ◽  
Hyperbaric Oxygen Treatment ◽  
Oxygen Treatment

Introduction: Carbon monoxide (CO) poisoning in pregnant women is linked to foetal mortality of 36–67%. This study assessed long-term fetal outcomes following hyperbaric oxygen treatment (HBOT) for acute CO poisoning in pregnant women. The effects of clinical severity parameters and pregnancy trimester were also analysed. Methods: A retrospective review of 28 pregnant patients who received HBOT for acute CO poisoning between January 2013-June 2016 was made. Adverse events, birth week, birth weight-height, birth complications, and the age of crawling, walking independently, talking (first words) of their children were recorded. Results: Twenty-eight singleton pregnancies were included. One fetus was dead before HBOT. Three adverse events were reported: abortion, premature birth, and limb malformation. All remaining patients (n = 24) delivered healthy term infants and reported normal neurophysiological development. At final interview the median age of babies was 34 (8-44) months and none had any diagnosed disease. There was no relationship between clinical severity parameters and long-term outcomes. However, the pregnancy trimester at the time of CO poisoning had a significant relationship to birth weight (P = 0.029). Also, the week of pregnancy at the time of the incident correlated with the age of walking independently (P = 0.043, r = 0.436). Conclusions: This is the largest relevant series and longest follow-up to date. Adverse outcomes were likely incidental because the mothers’ medical histories revealed alternative aetiologies. There was no definite evidence of fetal morbidity or mortality after HBOT in this study. HBOT may improve long-term fetal outcomes after in-utero CO poisoning without complications.

Selection criteria utilized for hyperbaric oxygen treatment of carbon monoxide poisoning

1995 ◽  
Vol 13 (2) ◽  
pp. 227-231 ◽  
Author(s):  
Neil B. Hampson ◽  
Richard G. Dunford ◽  
Christine C. Kramer ◽  
Diane M. Norkool
Keyword(s):  
Carbon Monoxide ◽  
Hyperbaric Oxygen ◽  
Selection Criteria ◽  
Carbon Monoxide Poisoning ◽  
Hyperbaric Oxygen Treatment ◽  
Oxygen Treatment
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