In:
Emergency Medicine International, Hindawi Limited, Vol. 2018 ( 2018-12-04), p. 1-5
Abstract:
Background . The aim of this study was to identify practice differences in the treatment of carbon monoxide (CO) poisoning with or without hyperbaric oxygen (HBO 2 ) therapy in Japan. Materials and Methods . Using an online survey website (Google form), we created a questionnaire and invited interested institutions to join the COP-J Study, a prospective observational study of CO poisoning in Japan. Results . Forty-eight (63%) of 76 institutions replied to the questionnaire. Thirty-three institutions (69%) administered HBO 2 therapy to patients with CO poisoning, and 15 institutions (31%) did not. Consciousness disturbance on arrival, exposure to CO for a long time, and elevation of arterial carboxyhemoglobin (CO-Hb) were the major indications for HBO 2 therapy. The maximum therapeutic pressures were 2.0, 2.5, and 2.8 atmospheres absolute (ATA) at 19 (58%), 6 (18%), and 8 (24%) institutions, respectively. The number of HBO 2 sessions on the first day was 1–3, and 1–7 sessions were administered on days 2–7. Seventeen (35%) institutions treated patients with delayed neurological sequelae (DNS) and 15 of them used HBO 2 therapy for DNS. Conclusions . This survey indicates that HBO 2 therapy for CO poisoning was varied in both the indications and practice regimens used in Japan.
Type of Medium:
Online Resource
ISSN:
2090-2840
,
2090-2859
DOI:
10.1155/2018/2159147
Language:
English
Publisher:
Hindawi Limited
Publication Date:
2018
detail.hit.zdb_id:
2596429-X
