lunes, 15 de diciembre de 2008

EMBOLISMO AEREO Y HBOT

AIR OR GAS EMBOLISM

The treatment of choice for air or gas embolism of the arterial or venous system is recompression in a hyperbaric chamber. Recompression is indicated for the following types of air emboli:

* Surgical
* Diagnostic Procedures
* Renal Dialysis
* Pulmonary Over-Pressure During Scuba Diving
* Cardiovascular Surgery

When gases enter the vasculature in sufficient volume to compromise the function of an organ or body part, the process can create varying degrees of ischemia to the affected areas. Treatment is most effective when initiated within minutes of the incident. However, evidence has shown that delayed and repeat treatment has demonstrated a means to a more expedient recovery.

RATIONALE: Recompression of gas bubbles as well as the rescue of hypoxic tissue by way of HBO2 treatment is the only form of treatment known. HBO2 reduces the mortality rate and remedies the development of permanent neurological damage. Repeated HBO2 treatments after the initial recompression hastens the resolution of residual signs in some cases.

Source: Hyperbaric Oxygen Therapy: A Committee Report. Undersea and Hyperbaric Medical Society. 1996 Revision.

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