
@article{ref1,
title="Variability in treatment for carbon monoxide poisoning in Japan: a multicenter retrospective survey",
journal="Emergency medicine international",
year="2018",
author="Fujita, Motoki and Oda, Yasutaka and Kaneda, Kotaro and Kawamura, Yoshikatsu and Nakahara, Takashi and Todani, Masaki and Yagi, Takeshi and Koga, Yasutaka and Tsuruta, Ryosuke",
volume="2018",
number="",
pages="e2159147-e2159147",
abstract="BACKGROUND: The aim of this study was to identify practice differences in the treatment of carbon monoxide (CO) poisoning with or without hyperbaric oxygen (HBO<sub>2</sub>) therapy in Japan. <br><br>MATERIALS AND METHODS: Using an online survey website (Google form), we created a questionnaire and invited interested institutions to join the COP-J Study, a prospective observational study of CO poisoning in Japan. <br><br>RESULTS: Forty-eight (63%) of 76 institutions replied to the questionnaire. Thirty-three institutions (69%) administered HBO<sub>2</sub> therapy to patients with CO poisoning, and 15 institutions (31%) did not. Consciousness disturbance on arrival, exposure to CO for a long time, and elevation of arterial carboxyhemoglobin (CO-Hb) were the major indications for HBO<sub>2</sub> therapy. The maximum therapeutic pressures were 2.0, 2.5, and 2.8 atmospheres absolute (ATA) at 19 (58%), 6 (18%), and 8 (24%) institutions, respectively. The number of HBO<sub>2</sub> sessions on the first day was 1-3, and 1-7 sessions were administered on days 2-7. Seventeen (35%) institutions treated patients with delayed neurological sequelae (DNS) and 15 of them used HBO<sub>2</sub> therapy for DNS. <br><br>CONCLUSIONS: This survey indicates that HBO<sub>2</sub> therapy for CO poisoning was varied in both the indications and practice regimens used in Japan.<p /> <p>Language: en</p>",
language="en",
issn="2090-2840",
doi="10.1155/2018/2159147",
url="http://dx.doi.org/10.1155/2018/2159147"
}