Anest. intenziv. Med. 2020;31(3):106-113 | DOI: 10.36290/aim.2020.024

Importance of hyperbaric medicine and current recommendations for selected acute indications in emergency medicine and intensive careReview Article

Hájek M.^1,2, Klugar M.³, Chmelař D.^2,4

¹ Centrum hyperbarické medicíny, Městská nemocnice Ostrava

² Katedra biomedicínských oborů, LF Ostravské univerzity v Ostravě

³ České národní centrum Evidence‑Based Healthcare a Knowledge Translation, Institut biostatistiky a analýz, Lékařská fakulta, Masarykova Univerzita, Brno

⁴ Referenční laboratoř ČR pro anaerobní bakterie, LF Ostravské univerzity v Ostravě

The European Committee for Hyperbaric Medicine (ECHM) focuses its activities on supporting the improvement of the quality of care and safety in hyperbaric medicine. The last 10th ECHM Consensus Conference was held in April 2016 in Lille. The current situation of hyperbaric medicine in the Czech Republic concerning clinical practice in this segment of health care is described. The specifics of hyperbaric oxygen treatment in patients requiring intensive care are emphasized, especially in relation to physiological changes occurring in critically ill patients. In conclusion, a review of recommendations for hyperbaric oxygen treatment according to the 10th ECHM Consensus Conference for selected urgent indications and clinical conditions, such as necrotizing soft tissue infections, carbon monoxide intoxication, gas embolism, decompression illness, etc. is briefly summarized.

Keywords: hyperbaric medicine, hyperbaric oxygen therapy, clinical practice guidelines, necrotizing soft tissue infections, carbon monoxide intoxication, gas embolism, decompression injury.

Received: May 11, 2020; Revised: June 11, 2020; Accepted: June 12, 2020; Prepublished online: June 24, 2020; Published: July 7, 2020  Show citation