Effects of hyperbaric oxygenation therapy on symptomatic pneumocephalus Wellingson Silva Paiva, Almir Ferreira de Andrade, Eberval Gadelha Figueiredo, Robson Luis Amorim, Marcelo Prudente, Manoel Jacobsen Teixeira Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil Background: Pneumocephalus (PNC) is defined as a pathological collection of gas within the cranial cavity. The authors studied the effects of hyperbaric oxygenation (HBO2) therapy on a group of patients with PNC, comparing them with a control group to determine the relative impact on pneumocephalus volume, clinical symptoms, and duration of hospitalization.Methods: Twenty-four patients with PNC treated at our hospital were consecutively studied. These patients were divided into a treated group (n=13) and a control group (n=11). Thirteen patients (treated group) were treated with HBO2 therapy sessions in a monoplace hyperbaric chamber at 2.5 atmospheres with 100% oxygen concentration. The control

TY - JOUR. T1 - The effect of hyperbaric oxygenation on ischemia-reperfusion injury of the small intestine. AU - Yamada, T.. AU - Taguchi, T.. AU - Hirata, Y.. AU - Toyohara, T.. AU - Hirose, R.. AU - Suita, S.. AU - Yagi, H.. PY - 1994/1/1. Y1 - 1994/1/1. UR - http://www.scopus.com/inward/record.url?scp=0028359583&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0028359583&partnerID=8YFLogxK. M3 - Article. C2 - 8030012. AN - SCOPUS:0028359583. VL - 26. SP - 1506. EP - 1507. JO - Transplantation Proceedings. JF - Transplantation Proceedings. SN - 0041-1345. IS - 3. ER - ...

TY - JOUR. T1 - Effect of hyperbaric oxygenation on forcal ischemia in rat.. AU - Takeda, Yoshimasa. PY - 1996. Y1 - 1996. M3 - Article. VL - 14. SP - 102. EP - 106. JO - Default journal. JF - Default journal. IS - 3. ER - ...

Abstract: Oxygen, under conditions of elevated pressure 303.975 kPi, was shown to alter oxidative phosphorylation in mitochondria of rabbit heart. Inhibition of oxidative phosphorylation in intact animals and stimulation--in rabbits with myocardial ischemia were observed under conditions of high oxygen pressure. With an increase in frequency of the hyperbaric oxygenation treatments the inhibitory effect if high pressure oxygen was strengthened ...

Methods. Experimental design: single arm, prospective study. Setting: ICU hyperbaric division of a University Hospital. Patients: fifteen healthy volunteers (10 male and 5 female, mean age 32±7 years) studied during hyperbaric oxygenation divided at random into two groups: group A (7 subjects) and group B (8 subjects). Interventions: Both groups were consecutively pressurized at 2 atmospheres (2 atm abs) and 2.8 atm abs, with a constant descending rate of 1 m/min; in accordance with the experimental design, group A breathed pure oxygen continuously through facial masks and group B breathed chamber air during pressurization. Measures: Twenty millilitres of blood were drawn from all individuals at the following times: 1) basal, before HBO; 2) after 10 min at 2 atm abs; 3) after 10 min at 2.8 atm abs; 4) 30 min after the end of HBO. In all collected samples thiobarbituric reacting substances were evaluated, using the spectrophotometric technique, IL1 TNF and IL6 serum levels by ELISA and ...

An example of people treated successfully with hyperbaric oxygen therapy at HOTC.. 52 year-old man status post nasopharyngeal cancer with radiation caries. The patient was scheduled for complete tooth extraction and had an abscess on the left side of his mouth. He received 30 hyperbaric oxygen treatments @ 2.5ATA prior to oral surgery. After whole-mouth tooth extractions the patient returned to the center, as scheduled, for an additional ten treatments that greatly reduced post-op swelling, pain and healing time. The patient required additional bone removal in order to fit dentures, and therefore received 10 more hyperbaric sessions after that second surgery. This patient, with severe radiation tissue disease, avoided post-op infection and necrosis and went on to enjoy complete healing of his mouth.. ...

Hyperbaric oxygen treatment (HBOT) is the process of breathing 100% oxygen in a carefully controlled, pressurized environment, resulting in increased oxygen delivery to the body tissue. Specially designed chambers safely administer the oxygen needed. Patients plasma is saturated with oxygen resulting in increased oxygen delivery to the tissues. This increased oxygen activity enhances the bodys ability to heal. Users may find this page when searching for: HOTC, HBOT, Air or Gas Embolism, Carbon Monoxide Poisoning, Decompression Sickness, Intracranial Abscess, Actinomycosis, Osteomyelitis, Dental Procedures, Radiation Tissue Effects, Gas Gangrene, Non-Healing Wounds, Sports Injuries, Crush Injury, Air Embolism, Traumatic brain injury.. ...

Background: With the increasing popularity of facial filler injections, growing numbers of complications have been reported.. Case Report: We present the case of a 60-year-old female with vision changes and keratitis following hyaluronic acid (HA) facial filler injections who completely recovered following hyperbaric oxygen treatment (HBOT).. Conclusion: Using HBOT to successfully treat ocular ischemia has been reported, but to our knowledge, our case is the first report of successful HBOT use for ocular ischemia and keratitis following cosmetic facial HA injection. ...

Discussion & Research on cancers treated with hyperbaric oxygen treatment therapy - HBOT in San Franciscos Free Standing Hyperbaric Chamber.

Health,The research was done by Stephen Thom MD Ph.D. Professor of Emergen...He said that a course of hyperbaric oxygen treatments would increase...Stem cells are progenitor cells which are totipotent and pluripotent...Stem cells are mainly present only in the bone marrow of the human b...Here they differentiate in the cells that have been injured and repl...,Mobilizing,Stem,Cells,at,the,Injured,Site,Using,Hyperbaric,Oxygen,Treatments.,,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news

Hyperbaric oxygen ameliorates worsening signs and symptoms of post-traumatic stress disorder Benjamin Eovaldi1, Claude Zanetti21Department of Medicine, Chicago College of Osteopathic Medicine, Chicago, IL, USA; 2Department of Hyperbaric Medicine, Swedish Covent Hospital, Chicago, IL, USAAbstract: Hyperbaric oxygen therapy at 2.4 atmospheric pressure absolutes for 90 minutes per day ameliorated the signs and symptoms of agitation, confusion, and emotional distress in a 27-year-old male seven days following a traumatic accident. Hyperbaric oxygen was used to treat the patient's crush injury and underlying nondisplaced pelvic fractures which were sustained in a bicycle versus automobile traffic accident. Its effect on the patient's neuropsychiatric symptoms was surprising and obvious immediately following the initial hyperbaric oxygen treatment. Complete cognitive and psychiatric recovery was achieved by the seventh and final hyperbaric oxygen treatment. We propose that hyperbaric oxygen was

This is a prospective study in a human model examining treatment of patients who have sustained damage to salivary glands following head and neck radiation, subsequent xerostomia, and who are currently indicated for hyperbaric oxygen therapy for treatment of osteoradionecrosis. Salivary flow rates, pH and buffering capacity before and after hyperbaric oxygen treatments will be collected using GC America (Alsip, Illinois) Saliva-Check BUFFER Kit and results will be recorded. The 6 tests take 10 minutes to complete per patient. According to GC America, these tests are simple, demonstrate salivary dysfunction, help identify factors affecting salivary dysfunction, and assist in the diagnosis of xerostomia. Salivary testing and data collection will occur on 8 independent visits over the course of hyperbaric oxygen treatment and during follow-up. Stimulated saliva samples will be used to measure proteins that are involved in salivary gland revascularization and repair. Saliva samples will be stored at ...

The aim of this study was to evaluate the effect of hyperbaric oxygen therapy (HBOT) on microvascular tissue and cell proliferation in the oral mucosa. Twenty patients, aged 51-78 years, were allocated randomly to a treatment or a control group. All had a history of radiotherapy (50-70 Gy) to the or …

The exact mechanisms by which treatment with hyperbaric oxygen (HBOT) exerts its beneficial effects on recovery after brain injury are still unrevealed. Therefore, in this study we investigated the influence of repetitive HBOT on the reactive astrogliosis and expression of mediators of inflammation after cortical stab injury (CSI). CSI was performed on male Wistar rats, divided into control, sham, and lesioned groups with appropriate HBO. The HBOT protocol was as follows: 10 minutes of slow compression, 2.5 atmospheres absolute (ATA) for 60 minutes, and 10 minutes of slow decompression, once a day for 10 consecutive days. Data obtained using real-time polymerase chain reaction, Western blot, and immunohistochemical and immunofluorescence analyses revealed that repetitive HBOT applied after the CSI attenuates reactive astrogliosis and glial scarring, and reduces expression of GFAP (glial fibrillary acidic protein), vimentin, and ICAM-1 (intercellular adhesion molecule-1) both at gene and tissue levels.

TY - JOUR. T1 - Brain Blood Flow Modulates the Neurotoxic Action of Hyperbaric Oxygen via Neuronal and Endothelial Nitric Oxide. AU - Moskvin, A. N.. AU - Zhilyaev, S. Yu. AU - Sharapov, O. I.. AU - Platonova, T. F.. AU - Gutsaeva, Diana Raisovna. AU - Kostkin, V. B.. AU - Demchenko, I. T.. PY - 2003/11/1. Y1 - 2003/11/1. N2 - Studies on conscious rats with inhibition of NO synthase were used to assess the dynamics of brain blood flow and EEG traces during hyperbaric oxygenation at 4 or 5 atm. Oxygen at a pressure of 4 atm induced cerebral vasoconstriction in intact animals and decreased blood flow by 11-18% (p , 0.05) during 60-min exposure to hyperbaric oxygenation. Paroxysmal EEG activity and oxygen convulsions did not occur in rats at 4 atm of O2. At 5 atm, convulsive activity appeared on the EEG at 41 ± 1.9 min, and blood flow decreased significantly during the first 20 min; blood flow increased by 23 ± 9%, as compared with controls, (p , 0.01) before the appearance of convulsions on the ...

Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room or tube. Hyperbaric oxygen therapy is a well-established treatment for decompression sickness, a hazard of scuba diving. Other conditions treated with hyperbaric oxygen therapy include serious infections, bubbles of air in your blood vessels, and wounds that wont heal as a result of diabetes or radiation injury.. In a hyperbaric oxygen therapy chamber, the air pressure is increased to three times higher than normal air pressure. Under these conditions, your lungs can gather more oxygen than would be possible breathing pure oxygen at normal air pressure.. Your blood carries this oxygen throughout your body. This helps fight bacteria and stimulate the release of substances called growth factors and stem cells, which promote healing.. Your bodys tissues need an adequate supply of oxygen to function. When tissue is injured, it requires even more oxygen to survive. Hyperbaric oxygen therapy increases the amount of oxygen ...

33 New Zealand white rabbits were taken and randomly divided into a control group, a hyperbaric air group, and a hyperbaric oxyengation (HBO) group. All were reirrigated types following the creation of acute, incomplete cerebral ischemia. Respective measurements were taken of the overall carotid artery and interior jugular vein blood gases as well as cortical brain tissue homogenate amounts of 6-Keto-PGF1 and TXB2 contained. In conjunction with this, pathological investigations were made. The results were that: the amounts of 6-Keto-PGF1 contained for the HBO group were clearly greatly increased (P< 0.01). TXB2 clearly dropped (P< 0.05). Blood P02 in the HB0 group clearly went up (P < 0.0l). Pathological investigations showed that the HBO groups brain tissue damage was relatively light. Conclusion: there were clear effects on PGI2 and TXA2 with HBO when there was reirrigation after acute cerebral ischemia in the domestic rabbits. This is possibly one mechanism of HBO

In summary, hyperbaric oxygenation produces remarkable physiologic increases in oxygen transport to body tissues. However, potential benefit from hyperoxygenation in the treatment of ischemic disease appears dependent upon the presence of a partially intact capillary circulation. Improved means for prevention of oxygen toxicity and better technics of oxygen delivery to specific sites are required, if hyperbaric oxygenation is to fulfill present hopes for therapeutic application.. ...

Diabetes leads to widespread complications including pancreatic β-cell damage, nephropathy and impaired wound healing. Hyperbaric oxygen therapy (HBOT) has been shown to improve wound healing through induction of stem cell recruitment and the potential to inhibit progression of diabetic complications. We aimed to determine the efficacy of HBOT in wound healing and organ preservation in a diabetic rat model. Diabetes was induced in male Wistar rats (n = 10/group) using streptozotocin (20 mg/kg sc) daily for 3 days. A wound was inflicted on the skin over the back and the rats were given HBOT (2.3 ATA for 1 h/day) for 1, 3, 5, 7 or 10 days or were not treated. Blood glucose, pancreatic β-cell damage, diabetic nephropathy and wound healing progression were assessed. Diabetic rats not treated with HBOT had significantly higher blood glucose levels compared to controls (26.7 ± 3.3 mmol/L vs. 5.8 ± 0.4 mmol/L; P ≤ 0.05). This was associated with significant increase in the percentage of β-cell damage

The highly unspecific clinical presentation of carbon monoxide poisoning (COP) entails a delayed diagnosis and treatment that represents an important impact on the probability of short and long-term neurological sequelae that are directly related to an early cognitive decline. In the last two decades, several studies have been focused on expedited diagnosis which in turn leads to prompt treatments and possibly better outcomes. The main controversy has been whether to use HBO or NBO. Historically, Henshaw in 1662, first applied compressed air, trying to prove the HBO theory but the experiment barely reached the pressure of 1.3 atm due to the inefficiency of his equipment [28]. This therapy elevates arterial and tissue oxygen tension, therefore, it enhances the elimination of carbon monoxide, meanwhile, increasing the adenosine triphosphate (ATP) production, reducing the oxidative stress and inflammation [7,8,29].. The half-life of the COHb is three to four hours when breathing room air, which is ...

Hyberbaric oxygenation in altitude chambers OKA-MT was used in the complex of prophylactic measures against wound infection in 91 patients with open traumas of the extremities (fractures, amputations, etc.). The effect of hyperbaric oxygenation on the external respiration was studied by the method of spirography. Tetrapolar rheography was used to follow the central hemodynamics. A number of immune parameteres were also studied. Hyperbaric oxygenation was established to abolish hyperventilation and myocardium hyperdynamia, to accelerate the recovery of the neutrophil phagocytic activity and immunoglobulin level, to contribute to the quicker diminishing of edema in the wound area and healing of the stump and open fracture without suppuration, early formation of dry necrosis with a distinct line of demarcation ...

Preliminary Report of Clinical Xenon (XE) Anaesthesia and Xenon Recycling System -- Biochemistry of Neurotransmission: an Update -- Continuous Measurement of the Systolic Time Intervals Integrated on a Hemodynamic Profile. Successful Method to Monitor Left Ventricular Function -- Relationship Between the PetC02 and the Hemodynamic Parameter -- Oxygen Transport and Cellular Mechanisms during Hyperbaric Oxygenation -- Hyperosmolar Syndrome -- Basic Components of Immune System Regulation -- Growth Hormone in Critical Care Practice -- Oxygen Consumption and Carbon Dioxide Production: Physiological Basis and Practical Application in Intensive Care -- Clinical Aspects of Capnography -- Capnography and Circulation -- Pain Control: From Basic Research to Clinical Application -- Theoretical Aspects of Respiratory Mechanics -- The Effect of Age on the Cardiovascular Response to Stress -- Heart Failure Due to Pressure Overload and Volume Overload -- Choice of Pharmacological Agents in Hypoperfusion ...

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Between the 10th and 12th August, many of the the most influential names in the world of Hyperbaric Medicine gathered at the eighth IHMA HBOT 2012 conference in Long Beach, California. Distinguished speakers , including Prof. Paul G Harch MD, Prof. Philip James MD, Kenneth Stoller MD, and James Wright MD, who all gave presentations that provided further empirical evidence for the benefits of hyperbaric oxygen treatment and advancements in Oxygen Therapy perspectives.. A presentation by James Wright MD USAF (Rtd.) instigated the use of the SOS Hyperlite hyperbaric chambers for the transportation of casualties from the battlefront to the nearest available medical facility. The paper investigated the benefits of immediate hyperbaric oxygen treatment and provided evidence to suggest that the availability of on-scene hyperbaric chambers for immediate treatment or transfer-under-pressure capabilities would provide a capability to oxygenate wounds rapidly thus preventing hypoxia. The availability of a ...

BACKGROUND: The occurrence of hypoxia-ischemia during the perinatal period leads to neuronal damage resulting in behavioral and psychological dysfunctions, cerebral palsy, epilepsy or even death. Despite the critical clinical and socio-economic consequences of perinatal brain damage, no effective clinical therapeutic strategy has yet to be developed. Herein, we sought to determine if hyperbaric oxygen (HBO) is able to offer neuroprotectivity against a hypoxia-ischemia insult. METHODS: Seven-day-old rat pups were subjected to unilateral carotid artery ligation followed by 2-2.5 hrs of hypoxia (8percent O2 at 37aC). Pups were treated with 100percent oxygen one hour after the hypoxia-ischemia insult in an HBO chamber pressurized to 3 atmospheres absolute (ATA) for a duration of 1hr. Brain injury was assessed by brain weight (ipsilateral/contralateral) , light microscopy, and sensorimotor functional tests 2wks, 5wks, and 6wks after hypoxia-ischemia. Apoptotic cell death was examined by EM, TUNEL ...

Fingerprint Dive into the research topics of Hyperbaric oxygen treatment of hemorrhagic radiation-induced gastritis after esophagectomy. Together they form a unique fingerprint. ...

This study was undertaken to investigate the preventive or therapeutic effect of hyperbaric oxygen therapy (HBOT) on cerebral vasospasm following experimental subarachnoid hemorrhage (SAH). Twenty rabbits were assigned randomly to one of four groups. Animals in Group I were not subjected to SAH or sham operation (control group, n = 5). Animals in Group II were subjected to sham operation and received no treatment after the procedure (sham group, n = 5). Animals in Group III were subjected to SAH and received no treatment after SAH induction (SAH group, n = 5). Animals in Group IV were subjected to SAH and received five sessions of HBOT at 2.4 atmospheres absolute (ATA) for 2 h (treatment group, n = 5). Animals were euthanized by perfusion and fixation 72 h after procedures. Basilar artery vasospasm indices, arterial wall thicknesses, and cross-sectional luminal areas were evaluated. Statistical comparisons were performed using Kruskal-Wallis and Mann-Whitney U tests. Mean basilar artery ...

The objective of this study was to evaluate the changes in vascular reactivity of mesenteric arteries resulting from hyperbaric oxygen treatment. It was hypothesized that hyperbaric oxygen treatment alters vascular reactivity in mesenteric arteries due to enhanced production of ATP resulting in significantly larger responses to vasoactive stimuli. All arteries were dissected from porcine mesenteries and placed in Krebs- Henseleit solution. Arteries were initially mounted in isolated organ baths and passively loaded with tensions ranging from 1 to 25 grams at odd intervals to ascertain the optimal passive tension for studying mesenteric arteries. Following a 1-hour equilibration in Krebs-Henseleit solution, arteries were treated with potassium chloride (a nonreceptormediated vasoconstrictor; KCl; 15 - 60 mM) to assess vascular reactivity. Following determination of the optimal passive tension, additional arteries were dissected and tested for viability with KCl. Viable arteries were then subjected to a 2

By: G. Heuser, MD, PhD, O. Aguilera, MD, S. Heuser, MA, J. Reeves, and C. Rogowski Introduction Toxic chemical exposure (solvents, pesticides…

|i|Background.|/i| While research suggests a benefit of hyperbaric oxygen therapy (HBOT) for neurologic injury, controlled clinical trials have not been able to clearly define the benefits.|i| Objective.|/i| To investigate the effects of HBOT on physical and cognitive impairments resulting from an ischemic stroke.|i| Methods.|/i| Using a within-subject design a baseline for current functional abilities was established over a 3-month period for all subjects (n=7). Each subject then received two 4-week periods of HBOT for a total of 40 90-minute treatments over a 12-week period. Subjects completed a battery of assessments and had blood drawn six times over the 9-month total duration of the study.|i| Results.|/i| We found improvements in cognition and executive function as well as physical abilities, specifically, improved gait. Participants reported improved sleep and quality of life following HBOT treatment. We also saw changes in serum levels of biomarkers for inflammation and neural recovery. In the

Autism is a neurodevelopmental disorder currently affecting as many as 1 out of 150 individuals in the United States [1]. Autism is characterized by impairments in social interaction, difficulty with communication, and restrictive and repetitive behaviors [2]. Autism traditionally is considered a static neurological disorder [3] and improvements in core autistic features are not common [4, 5]. Furthermore, three rigorously performed epidemiological studies demonstrate that the prevalence of autism has increased in recent years [6-8]. These facts might explain why parents of children with autism are more likely to seek alternative and off-label medical therapies than parents of children in the general population [9]. One off-label therapy that has recently increased in popularity as a treatment for autism is hyperbaric oxygen therapy (HBOT) [10, 11]. Traditionally, HBOT involves inhaling up to 100% oxygen at a pressure greater than one atmosphere (atm) in a pressurized chamber [12]. Most ...

But Dr. Carol Henricks, a neurologist at Northstar Hyperbaric in Arizona, calls the FDAs narrow focus a terrible shame. She believes the nation could dramatically reduce pain and suffering if we used hyperbaric oxygen therapy to its true potential. The International Hyperbaric Medical Association, for example, recognizes the use of hyperbaric oxygen therapy for neurological conditions. These days, Henricks biggest focus is treating veterans suffering from brain blast injury as a result of being exposed to explosions. These veterans develop brain injuries and post-traumatic stress disorder with symptoms such as sleep difficulties, headaches, short-term memory loss and chronic confusion. The first thing to happen (after hyperbaric treatment) is that they sleep through the night for the first time since being injured, she says. Then their headaches go away and over time they get more clear thinking. Henricks began using hyperbaric oxygen therapy 11 years ago after hearing from ...

Chronic radiation injuries, although uncommon, are associated with poor quality of life in oncology patients. The present study assesses the efficacy and safety of hyperbaric oxygen therapy in the management of chronic radiation-induced tissue injuries.A retrospective analysis was performed in 276 consecutive patients treated with hyperbaric oxygen therapy for chronic radiation-induced tissue injuries at the Hyperbaric Medicine Unit, Townsville, Queensland, between March 1995 and March 2008. Of these patients, 189 (68%) had complete follow-up data and were assessed.A total of 265 events of chronic radiation tissue injury were experienced by the 189 patients treated with hyperbaric oxygen therapy. Osteoradionecrosis prophylaxis due to radiation-induced dental disease had an overall response rate of 96% (P=0.00003; Wilcoxon matched-pairs signed-rank test). The overall response rates for established osteoradionecrosis of mandible, soft tissue necrosis of head and neck, and xerostomia were 86% ...

Complication in diabetes mellitus may occur due to the decline of vasculature resistance and the increased level of oxidative stress matters that lead to the blockage of fibroblast and collagen formation. This, will eventually prolong the wound healing in diabetes mellitus patient, and is recognized as gangrene. This study, therefore, was conducted to elaborate the outcome of metformin and hyperbaric oxygen (HBO) therapy in accelerating the wound healing of hyperglycemic rats which wound was Pseudomonas spp-inoculated by identifying the nucllear factor kappa B (NF-KB) and fibroblast growth factor (FGF) expression. In this study, 50 males Wistar rats were used. The rats were grouped into 5 groups, consisted of 2 control groups and 3 treatment groups. The treatment groups were administered by aloxan, wounded at the right posterior area, and subcutaneously Pseudomonas spp-inoculated. Some groups were administered by metformin or combination of metformin-HBO therapy. Collected data was analyzed ...

Context: Middle ear barotrauma (MEB) is common during chamber compression in hyperbaric oxygen therapy. However, little evidence exists on an optimal compression protocol to minimize the incidence and severity of MEB.. Objective: To compare the incidence of MEB during hyperbaric oxygen therapy using two different chamber compression protocols.. Design: Double-blinded, randomized controlled trial.. Setting: Hyperbaric Medicine Unit, The Townsville Hospital, Queensland, Australia, September 2012 to December 2014.Patients: 100 participants undergoing their first hyperbaric oxygen therapy session.. Intervention: Random assignment to a staged (n=50) or a linear (n=50) compression protocols. Photographs of tympanic membranes were taken pre- and post-treatment and then graded. Middle ear barotrauma was defined as an increase of at least one grade on a modified TEED scale. Results: The observed MEB incidence under the staged protocol was 48% compared to 62% using the linear protocol (P=0.12, exact ...

Hyperbaric oxygen therapy is a therapeutic procedure the administration of which requires placing the whole body of the patients inside a compartment where the pressure is fixed at a level that is considerably higher than the normal atmospheric pressure. In the hyperbaric chamber the patient breathes 100% pure oxygen. This therapy is used worldwide as an aid to various surgical procedures and medical emergencies.. The service of this therapy is sought to supply oxygen to the tissues and cells that fail to respond to the normal atmospheric level of oxygen. Hyperbaric oxygen therapy is premised upon the hypotheses where the increment of atmospheric pressure leads to the intensification of the available oxygen without facilitating any extra oxygen supply. This whole therapy is based on Henrys gas pressure assumption which relates that the rate and the amount at which a gas dissolves in a liquid is directly proportional to the pressure that is exerted on the gaseous element.. Blood cells differ in ...

Hyperbaric oxygen therapy significantly improves 6-year survival for patients with chronic diabetic foot ulcers, according to a study presented here on September 15 at the 51st Annual Meeting of the European Association for the Study of Diabetes (EASD).. Patients with chronic diabetic foot ulcers are known to show increased mortality. Their condition is also associated with neuropathy and microvascular and macrovascular disease.. Hyperbaric oxygen therapy can increase tissue oxygen concentrations, and appears to improve microvascular function, with stimulation of angiogenesis and restoration of stem-cell mobilisation.. Magnus Löndahl, MD, Skåne University Hospital, Lund University, Lund, Sweden, and colleagues evaluated the long-term effects of hyperbaric oxygen therapy on survival in 94 patients with chronic diabetic foot ulcers. Patients were randomised to hyperbaric air (n = 45) or hyperbaric oxygen (n = 49), of which 37 and 38, respectively, completed the study. Non-completers were ...

This double blind, randomised trial compared treatment of acute carbon monoxide poisoning with three sessions of either hyperbaric oxygen (100% oxygen at 3 atmospheres during the first session and then 2 atmospheres absolute in the subsequent two sessions) or normobaric oxygen (air at 1 atmosphere absolute during all three sessions). The incidence of neurological sequelae at 6 weeks was used as the primary outcome and assessment included a neurological examination, neuropsychological tests, and a questionnaire based on symptoms. Cognitive sequelae occurred in 25% of patients in the hyperbaric oxygen group compared with 46% in the normobaric oxygen group (unadjusted odds ratio 0.39; p=0.007). There was also a reduction in cognitive sequelae at 6 and 12 months in the hyperbaric oxygen group.. The study shows that hyperbaric oxygen therapy reduces the risk of neurological sequelae at 6 weeks and 12 months after acute carbon monoxide poisoning.. ...

Homonymous visual-field defects result from insult to the retrochiasmal visual pathway, with 17 - 30 following acute stroke. Any recovery of a complete homonymous hemianopia typically occurs within the first 10 days after the ischemic event and improvement after 10-12 weeks is negligible. Only 38 - 48 of patients demonstrate any measurable improvement. No proven treatment exists for recovery of the impacted visual field. This is a report of a 69 year old male hospitalized for 8 weeks with septic shock. He was discharged as a quadruple amputee due to necrotizing fasciitis and pressor-induced ischemia. On the day of admission the patient experienced cardiac arrest for approximately 15 minutes and was subsequently noted to have large areas of ischemic change in the occipital and parietal lobes bilaterally. Following discharge a complete left homonymous hemianopia was noted and approximately 5 months after initial insult hyperbaric oxygen treatments were initiated.

A sizable portion of the United States population currently suffers from CRPS, or complex regional pain syndrome. Because of this condition, individuals often experience prolonged throbbing pains in the arms or legs. In the past, people whove suffered from CRPS have had to endure the physical pain and vast discomfort of their disease because of a lack of appropriate treatment options. Thankfully, thats no longer the case. Hyperbaric oxygen therapy has become a viable remedy to ease the suffering of those affected by CRPS, which is also referred to as reflex sympathetic dystrophy, or RSD.. What do these hyperbaric oxygen chambers do?. As humans, were constantly breathing in the air around us because we need oxygen to survive. But the atmospheric air is actually made up of s. ...

The aim of one study was to evaluate the efficacy of hyperbaric oxygen therapy as an adjunctive therapy in patients treated with a combination of rifampin and clindamycin. Adjunctive hyperbaric oxygen... more

Download oxygen therapy - stock images and photos in the best photography agency reasonable prices millions of high quality and royalty-free stock photos and images. , hyperbaric oxygen mask oxygen mask prices size HBOT Hyperbaric Oxygen Therapy treatment chamber. , hyperbaric oxygen mask oxygen mask prices size by the mask of inhaler. Image of a cute kid with respiratory problem or asthma. View of nebulizer with smoke from , hyperbaric oxygen mask oxygen mask prices ...

Persistent postconcussion syndrome (PPCS) after mild traumatic brain injury (mTBI) is a significant public health and military problem with limited treatment evidence. This study, conducted through the Department of Medicine and Psychiatry, School of Medicine at the Louisiana State University Health Sciences Center, aimed to determine whether forty 150 kPa hyperbaric oxygen therapies (HBOTs) can improve symptoms and cognitive function. Sixty-three civilian and military individuals with mTBI/PPCS were randomized to either 40 HBOTs at 150 kPa/60 minutes, once daily, five days per week for eight weeks, or an equivalent no-treatment control period. Participants underwent symptom, neuropsychological, and psychological testing before and after treatment. HBOT subjects experienced significant improvements in Neurobehavioral Symptom Inventory, Memory Index, Automated Neuropsychological Assessment Metrics, Hamilton Depression Scale, Hamilton Anxiety Scale, Post-Traumatic Stress Disorder Checklist, ...

As this case report demonstrates, there is only a partial and transient beneficial effect of ERT and hyperbaric oxygen treatment combined with corticotherapy and pentoxifylline for hearing loss in patients with FD. As there is no international consensus on treatment of SHL [12] (particularly in patients with FD), the administered therapy is the standard therapy for SHL, and the results obtained in our case were at their best for the first treatment course, whereas partial regression of the symptoms occurred on the second occasion. Although SHL in patients with FD is rarely described, the symptoms are consistent with the vascular alterations caused by the disease in other areas. The incidence of SHL may be underestimated.. The mechanism of progressive SHL in patients with FD remains unclear. It has been suggested that globotriaosylceramide accumulation in vascular endothelium, decreased numbers of spiral ganglion cells [13], long-term obstruction of cranial vessels by dolicho-ectasic arteries ...

An inflammatory myopathy, inclusion body myositis (IBM) presents with progressive muscle weakness against a background of elevated creatine kinase and diffuse endomysial damage. Typically occurring in patients greater than 50 years of age, it is commonly misdiagnosed as polymyositis or other rheumatological disease and is often ineffectively treated with steroids [1]. The approach to IBM is frequently a clinical challenge due to its unique and often aberrant response to common treatment modalities. Here we report an apparent improvement in the clinical course of and associated laboratory findings in a patient with co-existing IBM following the use of hyperbaric oxygen therapy as an adjunct for managing ischemic colitis.

Kindred Hospital - Las Vegas (Sahara): Hyperbaric oxygen therapy (HBOT) is a process in which a patient breathes 100 percent oxygen at above-normal atmospheric pressure, increasing the delivery of oxygen to the body.

Hyperbaric oxygen therapy for painful bladder syndrome/interstitial cystitis resistant to conventional treatments: long-term results of a case series in Japan - up-to-the-minute news and headlines. 7thSpace is a online portal covering topics such as Family, Business, Entertainment, Headlines, Recipes and more. A place for the whole family featuring many different sections to chose from.

Computed tomography colonography imaging of pneumatosis intestinalis after hyperbaric oxygen therapy: a case report. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.

Get exceptional Hyperbaric Oxygen Therapy services from highly experienced & loving pet care professionals in Aurora, IL. Visit VCA Aurora Animal Hospital today.

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TY - JOUR. T1 - Reduced lethality from ethanol or ethanol plus pentobarbital in mice exposed to 1 or 12 atmospheres absolute helium-oxygen. AU - Malcolm, Richard D.. AU - Finn, Deborah A.. AU - Syapin, Peter J.. AU - Alkana, Ronald L.. N1 - Copyright: Copyright 2007 Elsevier B.V., All rights reserved.. PY - 1985/8. Y1 - 1985/8. N2 - The present experiments investigated the effects of 1 and 12 atmospheres absolute (ATA) helium-oxygen on potentially lethal doses of ethanol given alone or in combination with pentobarbital. Drug-naive, male C57BL/6J mice were injected IP with 5.4-6.5 g/kg ethanol, 4.5-6.9 g/kg ethanol plus 20 mg/kg pentobarbital, or 50-110 mg/kg pentobarbital plus 2.5 g/kg ethanol. Following injection, the mice were placed into chambers and exposed to environments of 1 ATA air, 1 ATA helium-oxygen, or 12 ATA helium-oxygen. Exposure to 1 or 12 ATA helium-oxygen significantly reduced the lethal effect (percent mortality at given doses and LD50) of ethanol given alone or with 20 mg/kg ...

Oxygen has been an inevitable agent to the creatures since the ancient age. The human race has gone through a lot of evolution and has gained success in medical science, technology and every sphere related to human life. And with the advancement of time, oxygen has become the most versatile agent in medical science as well. Today, the use of oxygen in the hyperbaric oxygen therapy or HBOT has become really common for wound healing. This is nothing new. Since almost 40 years, oxygen is being used to treat wounds. And now, hyperbaric therapy wound healing has become the most effective and reliable treatment for countless people.. It has been established that hyperbaric oxygen therapy is very effective for diabetic foot wounds. According to the medical practitioners, around fifteen percent of all diabetes patients suffer from diabetic foot ulcers at a point of time. In general, 17 million people in the United States are victims of diabetes and one million cases are found to be diagnosed per year. ...

Adverse reactions of HBO2 therapy are rare and largely unique to the hyperbaric environment. Pressure affects gas-filled spaces: Specifically, as the pressure around a gas-filled space increases, its volume will decrease, and vice versa. This inverse relationship between pressure and volume is known as Boyles Law.2 The human body has several gas-filled spaces, all of which are vulnerable to barotrauma, or pressure-related injury, if these spaces fail to equalize with the changing ambient pressure in the hyperbaric chamber.. The middle ear, the area most commonly affected by barotrauma, is connected to the nasopharynx via the eustachian tube.2 The eustachian tube helps modulate pressure in the middle ear by allowing air to pass into and out of the middle ear during changes in ambient pressure. Patients may have difficulty equalizing the middle ear pressure during hyperbaric therapy if they have anatomic variations or a eustachian tube thats been narrowed by radiation-induced stenosis or ...

Risks and adverse effects. HBOT is one of the most benign treatments in health care. Nonetheless, it can cause adverse effects. The most common one is ear barotrauma, which occurs when the eustachian tubes close during pressurization, causing increased pressure against the tympanic membrane. Barotrauma effects may vary from tympanic membrane damage to eardrum rupture. Barotrauma damage is classified on the Teed Scale and ranges from grade 0 (no damage) to grade 5 (deep black or blue appearance of the entire ear drum and/or rupture).. Other possible adverse effects include sinus squeeze, tooth squeeze if the patient has an air space under a filling, transient myopia, claustrophobia, oxygen toxicity and, rarely, seizures. In diabetic patients, HBOT has a hypoglycemic effect, reducing blood glucose levels an average of 50 mg/dL during treatment. Caregivers must check the patients blood glucose level before and after each treatment and postpone treatment if the pretreatment blood glucose level is ...

Hyperbaric oxygen therapy (HBOT) is an intermittent inhalation of 100% oxygen in a hyperbaric chamber at a pressure higher than 1 absolute atmosphere (ATA). There is a growing body of evidence that HBOT can enhance ability of brain to changes its structure (neuroplasticity) in order to recover. Exercise program during HBOT can augment the effect. Although, recent randomized controlled trials in patients with chronic brain injury showed promising results, there are no studies demonstrating combine effect HBOT and exercise rehabilitation program on stroke recovery ...

Triple-negative breast cancer (TNBC) is more aggressive and metastatic than other breast cancer types. Cytotoxic chemotherapy is presently the predominant systemic therapy for TNBC patients. This case report highlights the influence of metabolically supported chemotherapy (MSCT), ketogenic diet (KD), hyperthermia (HT), and hyperbaric oxygen therapy (HBOT) in an overweight 29-year-old woman with stage IV (T4N3M1) triple-negative invasive ductal carcinoma of the breast. The patient presented with an observable mass in her left breast detected during a physical examination in December 2015. Magnetic resonance imaging revealed a Breast Imaging Reporting and Data System Category 5 tumor and multiple lymphadenomegaly in the left axilla. A Tru-Cut biopsy led to the diagnosis of a triple-negative nuclear grade 2 invasive ductal carcinoma. The patient was admitted to ChemoThermia Oncology Center, Istanbul, Turkey in October 2016, and a whole body (18F)-fluorodeoxyglucose (FDG)-positron emission tomography

Open Peer Review Policy: Click Here. Specific Comment:. Peer Review History: Average Peer review marks at initial stage: 8.5/10. Average Peer review marks at publication stage: 9/10. ...

Introduction: Malignant or necrotizing otitis externa (NOE) is an invasive infection of the external ear canal that primarily affects elderly diabetic..

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The combined use of hyperbaric oxygen and normobaric hyperoxia therapies provides better outcomes in patients with severe traumatic brain injury.

Hyperbaric nursing is a nursing specialty involved in the care of patients receiving hyperbaric oxygen therapy. The National Board of Diving and Hyperbaric Medical Technology offers certification in hyperbaric nursing as a Certified Hyperbaric Registered Nurse (CHRN). The professional nursing organization for hyperbaric nursing is the Baromedical Nurses Association. Josefsen, L; Woodward, C; Lewis, D; Hodge, J; Camporesi, EM (1997). The nursing role in hyperbaric medicine. Undersea and Hyperbaric Medicine (Annual meeting abstract). Retrieved 2011-01-14. Greenberg, DA (1985). Baromedical nursing specialization. Undersea and Hyperbaric Medicine (Annual meeting abstract). Retrieved 2011-01-14. Baromedical Nurses Association Certification. Baromedical Nurses Association. Retrieved 2011-01-14. Nursing ...

Clinical trial for chronic brain injury | Post-concussional syndrome , Hyperbaric Oxygen for Traumatic and Non-traumatic Brain Injury

A cross sectional review of 42 patients with advanced ORN managed over the past 6 years at Beth Israel Medical Centre was conducted to identify potential patients for a telephone survey. This study was approved by the Institutional Review Board and all patients who were able to be reached provided consent to participate. All patients had Marx Stage III ORN. All patients were treated with a segmental mandibulectomy and free flap reconstruction. Charts were reviewed to determine location of disease utilizing the mandibular defect classification system described by Urken et al. ( Fig. 1 ), prior HBO therapy, extent of resection, type of flap used for reconstruction, complications (i.e. flap failure, exposed hardware), dental rehabilitation (extractions, implants, tissue borne or implant borne prosthesis), and length of follow-up. The telephone survey included administration of the Performance Status Scale (PSS). All domains of the PSS, including normalcy of diet, eating in public and ...

The Advocate February 6, 2009. Dr. Paul Harch, an LSU Health Sciences Center emergency medicine professor, is starting a pilot study on treating people with chronic traumatic brain and post traumatic stress disorder, according to a statement from LSU Health Sciences Center.. The study will examine 30 participants, half with traumatic brain injury and half with traumatic brain injury and post-traumatic stress disorder, the statement says. Participants will undergo oral, written and computer tests as well as brain imaging before and after receiving 40 to 80 treatments of hyperbaric oxygen therapy. Researchers are looking to see if the therapy improves thinking ability, and quality of life and reduces post-traumatic stress disorder symptoms. The U.S. Centers for Disease Control and Prevention estimates 2 percent of the population needs long-term assistance because of a traumatic brain injury, the statement says. Traumatic brain injury has been the signature injury of the ongoing wars in Iraq and ...

Osteoradionecrosis (ORN) is a complication that occurs after radiotherapy for head or neck malignancies. ORN of the spine is rare, with only few cases affecting the cervical spine reported to date. To our knowledge, no case of lumbar ORN has been reported. We report a rare case of ORN in the lumbar spine that occurred 2 years after radiotherapy and perform a literature review. We present a case of lumbar ORN that occurred 2 years after radiotherapy for gallbladder carcinoma. The patient was successfully treated conservatively and followed up for | 10 years. ORN of the spine is a rare complication of radiotherapy. Spinal ORN is clinically described as a chronic disease with a slow onset. The most common presenting symptom of spinal ORN is pain. However, as ORN progresses, spinal kyphosis and instability can lead to neurological compression and thus to induced myelopathy or radiculopathy. Treatment of spinal ORN is comprehensive, including orthosis, medication, hyperbaric oxygen therapy, surgery, and new

Reconstructing complex wounds is accomplished by shifting or transferring tissues to the wound from a different part of the body. A skin graft is the transfer of a portion of the skin (without its blood supply) to a wound. A flap consists of one or more tissue components including skin, deeper tissues, muscle and bone. Flaps are transferred with either their own, original blood supply (pedicle flap) or with detached blood vessels which are attached at the site of the wound (free flap). Skin grafts survive as oxygen and nutrients diffuse into them from the underlying wound bed. Long-term survival depends on a new blood supply forming from the wound to the graft. When the wound bed does not have enough oxygen supplied to it, the skin graft will at least partially fail. Common causes for this are previous radiation to the wound area, diabetes mellitus, and certain infections. In these situations, the availability of oxygen in the wound bed can be increased with hyperbaric oxygen therapy (HBO2) ...

Health, By Amanda Gardner HealthDay Reporter ...TUESDAY Jan. 22 (HealthDay News) -- Researchers in Israel report that...The treatment known as hyperbaric oxygen therapy involves closing th...The 59 patients in the study showed differing levels of recovery but ...One 61-year-old woman who could not bathe dress or climb stairs witho...,Oxygen,Therapy,Prompts,Recovery,in,Some,Stroke,Patients,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news

This study suggests a greater benefit of adding the hyperbaric oxygen therapy is associated with those patients who have severe to profound hearing loss.

In its first five months of being open, the Boone County Hospital (BCH) Wound and Hyperbaric Center (W&HC) has proven to be a needed service for BCH and the Boone community.. According to the W&HC Director Lesa Maring, the staff are healing patients faster than average Healogic wound centers with a median days to heal rate of 23; the average median days to heal is 29. Since the center opened, four HBOT (hyperbaric oxygen therapy) patients have utilized the chamber; of those four, there have been 116 treatments. Other numbers from August 6th through December 12th include: * Wound care encounters (each time a patient is seen), 513. * New wound care patients, 77. * Healed wound care patients, 47 * Median days to heal, 23. * Average center healing rate, 87 percent. For more information about the BCH Wound and Hyperbaric Center, click on Programs and Services on our website or call the center at (515) 433-8740.. Wound and Hyperbaric Center staff pictured, left to right: Amber Dahl, Tara Loecker, ...

Hyperbaric Oxygen Therapy (HBOT) information for arthritis, injuries, autism, autoimmune, cancer, cardiac, brain, GI, dementia, diabetes, Lyme, PTSD.

Donate and Sponsor a Soldier. With your contribution, American Combat Veterans can receive the comprehensive, simultaneous treatment offerings that SFTT has identified as effective in treating TBI and/or PTSD: access to the SFTT Medical Task Forces research findings on the effects of TBI and/or PTSD on the brain; Hyperbaric Oxygen Therapy (HBOT); Transcranial Magnetic Stimulation (iTMS); Low-Level Light/Laser Therapy (LLLT); Cranial Electrical Stimulation (CES); Equine Therapy; Transcendental Meditation (TM); High Performance Neurofeedback (EEG); Organic Farming; and Service Dogs.. ...

A 60-year-old male patient suddenly developed blindness, agitation, and disorientation 36 h after coronary bypass surgery. Onset of symptoms followed efforts to clear an air-filled radial artery cannula. Seven hours after onset of symptoms, initial compression to 2.8 ATA (60 fsw), 100% oxygen (U.S. …

Looking for online definition of oxygen therapy in the Medical Dictionary? oxygen therapy explanation free. What is oxygen therapy? Meaning of oxygen therapy medical term. What does oxygen therapy mean?

1. Sen CK. Wound Healing Essentials: Let There Be Oxygen. Wound Rep Reg 2009; 2. Siddiqui A, Davidson JD, Mustoe TA. Ischemic tissue oxygen capacitance after hyperbaric oxygen therapy: a new physiologic concept. Plast Reconstr Surg 1997; 99: 148-155. 3. Ichioka S, Ando T, Shibata M, Sekiya N, Nakatsuka T. Oxygen consumption of keloids and hypertrophic scars. Ann Plast Surg 2008; 60: 194-197. 4. Gupta A, Raghubir R. Energy metabolism in the granulation tissue of diabetic rats during cutaneous wound healing. Mol Cell Biochem 2005; 270: 71-77. 5. Hohn DC, Ponce B, Burton RW, Hunt TK. Antimicrobial systems of the surgical wound. I. A comparison of oxidative metabolism and microbicidal capacity of phagocytes from wounds and from peripheral blood. Am J Surg 1977; 133: 597-600. 6. Matsuda T, Clark N, Hariyani GD, Bryant RS, Hanumadass ML, Kagan RJ. The effect of burn wound size on resting energy expenditure. J Trauma 1987; 27: 115-118. 7. Im MJ, Hoopes JE. Energy metabolism in healing skin wounds. J ...

Hydrogen sulfide, toxicity is comparable with that of Carbon Monoxide. Detoxification is effected by oxidation to Sulfate, which is harmless. Hence, low levels of Hydrogen Sulfide may be tolerated indefinitely. At some threshold level, believed to average around 300-350 ppm, the oxidative enzymes become overwhelmed. Eventually the gas is converted to sulfite in the mitochondria by Thiosulfate reductase, and the Dulfite is further oxidized to Thiosulfate and Sulfate by Sulfite Oxidase. The Sulfates are excreted in the urine. Diagnostic of extreme poisoning by H2S is the discolouration of copper coins in the pockets of the victim. Treatment involves immediate inhalation of Amyl Nitrite, injections of Sodium Nitrite, or administration of 4-dimethylaminophenol in combination with inhalation of pure Oxygen, administration of bronchodilators to overcome eventual bronchospasm, and in some cases hyperbaric Oxygen therapy. **Chronic exposure to low level H2S (around 2 ppm) has been implicated in ...

Hyperbaric Oxygen Therapy at MemorialCare, Long Beach Medical Center - Long Beach, California - Serving The Los Angeles County and Orange County Area

Necrotizing external otitis is a rare infectian of the external auditery canal that can extend to the skull base and soft tissues, leading to fatal complications. It has a tendeney to occur in diabetic and immunocompromised patients. A fifty-six-year-old male patient with type i diabetes mellitus was diagnosed as having necrotizing external otitis with extension to the skull base and involvement of the cranial nerve. He was treated with both medical treatment and hyperbaric oxygen therapy, during which his general condition exhibited a marked improvement. Control computed tomography and magnetic resonance imaging studies showed ce ssatian of infectian spread. Within a two-year follow-up, his cranial nerve palsies improved partially. ...

Samuel Kashani General Surgery Valley Presbyterian Hospital Dr. Samuel Kashani is board-certified in general surgery by the American Board of Surgery with expertise in pressure ulcer management and the use of alternative tissues to cover wounds. He has specialties in both robotic surgery and undersea and hyperbaric oxygen therapy and medicine. Dr. Kashani has been a member of Valley Presbyterian Hospitals Medical Staff since February 2009. He received his medical degree from Rosalind Franklin University in Chicago, Illinois, and completed his residency at UCSF - East Bay Surgery Program in Oakland. Dr. Kashani completed his fellowship in minimally invasive, advanced laparoscopic, and bariatric surgery from Cedars-Sinai.

Thenuwara, K., Thomas, J., Ibsen, M., Ituk, U., Choi, K., Nickel, E. & Goodheart, M. J. (2017). Use of hyperbaric oxygen therapy and PEGylated carboxyhemoglobin bovine in a Jehovahs Witness with life-threatening anemia following postpartum hemorrhage. International Journal of Obstetric Anesthesia, 73-90. DOI: 10.1016/j.ijoa.2016.10.006.. Adam, L. A., Choi, K. C. (2016). Chapter 2: , Laryngoscopy and Endotracheal Intubation. In C. Scott-Conner (Eds.) Essential Operative Techniques & Anatomy. pp. 6-13. Elsevier BV.. Reddy, A., Hitchon, P. W., Al-Nafi, S. & Choi, K. (2015). Entero-paraspinous fistula from recurrent spinal metastatic renal cell carcinoma. Journal of Neurosurgery: Spine, 22(1), 60-3. DOI: 10.3171/2014.10.SPINE14294.. Ahmed, A., Harland, K. K., Hoffman, B., Liao, J., Choi, K. C., Skeete, D. & Denning, G. (2015). Not just an urban phenomenon: Uninsured rural trauma patients at increased risk for mortality. Western Journal of Emergency Medicine, 16(5), 632-41. DOI: ...