Random Topics Flashcards
1
Q
List the indications for hyperbaric oxygen therapy. (30%)
Discuss the problems with providing this treatment
A
Indications Air or gas embolism Arterial Insufficiencies Central retinal artery occlusion Carbon Monoxide poisoning Compromised flaps/grafts Refractory osteomyelitis
Problems
1) Location
Usually only 1 per state - patient access and logistics
Usually in basement and not familiar environment
Patients can range from stable to unwell
Often only 1-2 people inside chamber if something were to occur
Risks of oxygen toxicity
Pulmonary barotrauma
Middle ear barotrauma
Exacerbation of Congestive heart failure
- sinus brady from vagal stimulation OR systemic vasoconstriction with increased afterload