Should children be SCUBA diving?: Cerebral arterial gas embolism in a swimming pool.

Cerebral arterial gas embolism (CAGE) is a well-known serious complication of self-contained breathing apparatus (SCUBA) diving. Most serious complications of SCUBA diving occur in adults because most of SCUBA divers are adults. However, young age is an independent risk factor for injury in SCUBA diving and shallow-water SCUBA diving is the riskiest environment for CAGE.

Factors associated with favorable response to hyperbaric oxygen therapy among patients presenting with iatrogenic cerebral arterial gas embolism.

Background: Iatrogenic cerebral arterial gas embolism (CAGE) is an uncommon but potentially a fatal condition. Hyperbaric oxygen (HBO2) therapy is the only definitive treatment for patients with CAGE presenting with acute neurologic deficits.

Methods: We reviewed medical records and neuroimaging of consecutive CAGE patients treated with HBO2 at a state referral hyperbaric facility over a 22-year period.

Hyperbaric oxygen for treatment of problem wounds.

Hyperbaric oxygen treatment has seen a resurgence of interest in recent years, with more academic medical centers building facilities and more physicians becoming board-certified in undersea and hyperbaric medicine.The reason for the growing interest is better understanding of the role of hypoxia in wound healing and an appreciation for the role of HBOT in reversing tissue hypoxia and enhancing the healing process.This has resulted in a number of new evidence-based indications for HBOT.

Bisphosphonate-related osteonecrosis of the jaw: clinical features, risk factors, management, and treatment outcomes of 26 patients.

Purpose: To report the clinical features, risk factors, management, and treatment outcomes of nitrogen-containing bisphosphonate (n-BIS)-related osteonecrosis of the jaw (BRONJ).

Patients And Methods: Patients with suspected BRONJ were referred to the School of Dentistry for evaluation and treatment.

Results: A total of 26 patients (9 men and 17 women, mean age 64 years) were diagnosed with BRONJ.

Myocardial injury and long-term mortality following moderate to severe carbon monoxide poisoning.

Context: Carbon monoxide (CO) poisoning is a common cause of toxicological morbidity and mortality. Myocardial injury is a frequent consequence of moderate to severe CO poisoning. While the in-hospital mortality for these patients is low, the long-term outcome of myocardial injury in this setting is unknown.

Hyperbaric oxygen therapy: a meeting place for medicine and dentistry.

The hyperbaric medicine facility at Hennepin County Medical Center has been serving patients from throughout the region for more than 40 years. Some of these patients have head and neck cancer and are suffering delayed complications of radiation therapy. Such patients are often referred by dentists, oral surgeons, and otolaryngologists.

Cardiovascular manifestations of moderate to severe carbon monoxide poisoning.

Objectives: We describe the cardiovascular manifestations of carbon monoxide (CO) poisoning.

Background: Carbon monoxide poisoning is a common cause of toxicologic morbidity and mortality. Although the neurologic sequelae of CO poisoning have been well described, the cardiovascular consequences are limited to isolated case reports.