Improving communication during damage control surgery: a survey of adult major trauma centres in England.

Introduction: Deficiencies in non-technical skills can severely impede the functioning of teams in high-intensity scenarios, such as in damage control surgery for the critically injured trauma patient. Truncated preoperative checklists, modified from the standard World Health Organization preoperative checklist, and situational reporting at intervals during surgery are long-established practices in the military, and are recommended in the National Health Service guidelines on major incidents. These tools allow the multiprofessional team to create a shared mental model of the anaesthetic and operative plan, thereby improving team efficiency.

[Impact of hyperbaric oxygen therapy on the clinical course of acute pancreatitis and systemic inflammation response syndrome].

Feasibility of hyperbaric oxygen therapy (HBO) as an efficient and safe adjunct to the standardized treatment protocol and its possible immunomodulatory impact were assessed in the prospective and controlled study of 44 patients with diagnosed acute pancreatitis (AP). The course of the disease was accompanied by systemic inflammatory response syndrome (AIRS) in all the patients on admission. The impact of AP and HBO on homeostasis, the number of performed operations, mortality rates, the levels of two cytokines, intraabdominal pressure, and side effects caused by HBO were evaluated.

[Use of hyperbaric oxygenation as a component of intensive care in acute pancreatitis and its impact on homeostasis and intensity of oxidative stress].

Twenty-two patients diagnosed as having acute pancreatitis (AP) were examined to assess whether hyperbaric oxygen therapy (HBO) was an efficient and safe adjunct to the standardized treatment protocol in patients with AP. The impact of HBO on oxygenation in the splanchnic area, homeostasis, oxidative stress, and intraabdominal hypertension was evaluated. A treatment group consisted of 11 patients treated for 3 days (twice a day) using a monoplace chamber under pressures of 1.