TRIAL OF NORMOBARIC AND HYPERBARIC OXYGEN FOR ACUTE CARBON MONOXIDE INTOXICATION

@article{Raphael1989TRIALON,
  title={TRIAL OF NORMOBARIC AND HYPERBARIC OXYGEN FOR ACUTE CARBON MONOXIDE INTOXICATION},
  author={Jean Claude Raphael and David Elkharrat and Marie Claude Jars-Guincestre and Claude Chastang and J B Vercken and Val{\'e}rie Chasles and Philippe Gajdos},
  journal={The Lancet},
  year={1989},
  volume={334},
  pages={414-419}
}
The value of hyperbaric oxygen in the treatment of acute carbon monoxide intoxication was assessed in 629 adults who had been poisoned at home in the 12 h before admission to hospital. In patients without initial impairment of consciousness (group A) the effect of 6 h of normobaric oxygen (NBO) (group A0, n = 170) was compared with that of 2 h of hyperbaric oxygen (HBO) at 2 atmospheres absolute (ATA) plus 4 h NBO (group A1, n = 173). At the 1 month follow-up 66% of A0 and 68% of A1 patients… 
Acute carbon monoxide intoxication and hyperbaric oxygen in pregnancy
TLDR
It is concluded that HBO may be carried out in pregnant women acutely intoxicated with carbon monoxide, irrespective of the clinical severity of the intoxication and of the age of pregnancy.
Hyperbaric oxygen therapy for acute domestic carbon monoxide poisoning: two randomized controlled trials
TLDR
In patients with transient loss of consciousness, there was no evidence of superiority of HBO over NBO, and in comatose patients, two HBO sessions were associated with worse outcomes than one HBO session.
Optimal sessions of hyperbaric oxygen therapy in patients with carbon monoxide poisoning: A prospective observational study.
TLDR
There is a critical need to determine the optimal number of HBO therapy sessions for patients with acute CO poisoning, as this study showed no difference in DNS development after 3 and > 3 sessions of HBO Therapy.
HYPERBARIC OXYGEN FOR ACUTE CARBON MONOXIDE POISONING L
A BSTRACT Background Patients with acute carbon monoxide poisoning commonly have cognitive sequelae. We conducted a double-blind, randomized trial to evaluate the effect of hyperbaric-oxygen
Hyperbaric Oxygen for Carbon Monoxide Poisoning
TLDR
There should be greater awareness of the danger of CO poisoning and the means of preventing it, both among medical staff and the population as a whole, mainly in areas in which cold weather requires use of heating systems, which may be gas-fired.
Hyperbaric oxygen for acute carbon monoxide poisoning.
TLDR
Three hyperbaric-oxygen treatments within a 24-hour period appeared to reduce the risk of cognitive sequelae 6 weeks and 12 months after acute carbon monoxide poisoning.
Delayed neuropsychologic sequelae after carbon monoxide poisoning: prevention by treatment with hyperbaric oxygen.
TLDR
DNS after CO poisoning cannot be predicted on the basis of a patient's clinical history or CO level, and HBO treatment decreased the incidence of DNS.
Carbon monoxide poisoning treated with hyperbaric oxygen: metabolic acidosis as a predictor of treatment requirements.
TLDR
A retrospective case note analysis was made of patients who received hyperbaric oxygen for carbon monoxide poisoning and were admitted to the Royal Naval Hospital Haslar between 1991 and 1995, suggesting that initial acidosis is a better predictor of treatment requirements and severity than initial COHb.
Carbon monoxide poisoning and hyperbaric oxygen therapy.
TLDR
Carbon monoxide poisoning is the commonest cause of fatal poisoning in the UK and HBO is an underused treatment modality, but the trend has been to re-treat patients more than once in the first 24 hours to increase efficacy and decrease the serious sequelae that can occur following CO poisoning.
Severe carbon monoxide poisoning: outcome after hyperbaric oxygen therapy.
TLDR
Cerebral oedema caused three of five deaths despite hyperbaric therapy, occurring at 24-48 h after poisoning, and intracranial pressure monitoring and CT scan of the head before wakening should be considered in any severely poisoned patient.
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References

SHOWING 1-10 OF 28 REFERENCES
Acute carbon monoxide poisoning. Risk of late sequelae and treatment by hyperbaric oxygen.
TLDR
In this opinion, HBO should be used on much wider indications than is usual, not only because of the rapid relief from symptoms it provides but mainly because it may prevent severe delayed sequelae.
Treatment of acute carbon monoxide poisoning with hyperbaric oxygen: a review of 115 cases.
TLDR
Hyperbaric oxygen therapy facilitates the rapid removal of carbon monoxide from the hemoglobin and cytochrome systems while reoxygenating compromised tissues, and it can be an effective treatment in reducing mortality and morbidity.
Hyperbaric oxygen for carbon monoxide poisoning.
TLDR
It does appear that hyperbaric oxygen therapy can shorten the length of coma after carbon monoxide poisoning, even when carboxyhemoglobin levels have already returned to normal.
Value of hyperbaric oxygen in suspected carbon monoxide poisoning.
TLDR
Hyperbaric oxygen should be used for severe cases of suspected CO poisoning, regardless of the time between exposure and presentation, especially when the delay is sufficient to preclude a diagnosis by standard laboratory methods.
Delayed neurologic sequelae in carbon monoxide intoxication.
  • I. Choi
  • Medicine
    Archives of neurology
  • 1983
TLDR
Of 2,360 victims of acute carbon monoxide intoxication examined between 1976 and 1981, delayed neurologic sequelae were diagnosed in 65 (2.75% of the total group, 11.8% of those admitted), with the peak incidence in the sixth and seventh decades.
Hyperbaric medicine: state of the art, 1979.
TLDR
During the survey period, the use of hyperbaric oxygen increased, particularly in the treatment of decompression sickness, carbon monoxide poisoning, and osteomyelitis and osteoradionecrosis.
Morbidity from Acute Carbon Monoxide Poisoning at Three-year Follow-up
TLDR
The importance of prompt and efficient treatment of carbon monoxide poisoning and the need to follow-up all cases in the anticipation of a relapsing course or the development of sequelae are emphasized.
Chemical pulmonary burn injury and chemical intoxication.
TLDR
In order to treat chemical intoxication in the patient with chemical pulmonary burns successfully, the regimen of 'over-loading fluid resuscitation', together with diuretics and positive end expiratory pressure (PEEP) under the monitoring of central venous pressure is adopted.
Hyperbaric oxygen. A therapy in search of diseases.
TLDR
If there is some patient benefit to come from the experience of the last 300 years, changes in approach, initiated by baromedical devotees or by medicine generally, or resulting from pressures outside of medicine, will be required.
The central nervous system and carbon monoxide poisoning. II. Anatomical study of brain lesions following intoxication with carbon monixide (22 cases).
TLDR
This chapter presents studies on the brain lesions caused by carbon monoxide intoxication in 22 cases, survival of which varied from 1–139 days, all of which constitute a continuum of lesions of which the myelinopathy of Grinker is only one particular aspect.
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