[Hyperbaric oxygenation in myocardial infarct].
A total of 52 patients with myocardial infarction have been examined. The patients have been subjected to HBO procedures. 40-62 min sessions with a working pressure of 0.3-1.1 atm were performed. The optimal pressure during the first days is 0.3 atm with a gradual increase to 0.7 atm. It is important to prepare the patient before the session with the end in view to achieve hemodynamic normalization and pain relief and to ensure a possibility of coronarolytic intake during the session. By session 4-5 hypercapnia and hypoxia, hyperventilation syndrome were eliminated, hemodynamic and respiratory parameters normalized, and immunity recovered. Only in one case a session had to be interrupted because of pulmonary edema recurrence. In 7 patients usual complications which were easily relieved have been observed. HBO shortened the patients' stay in an intensive care unit by 1.6 days and decreased lethality by 9.5%.
Gonchar
D I
DI
D000328:Adult; D000368:Aged; D003325:Coronary Care Units; D006439:Hemodynamics; D006801:Humans; D006931:Hyperbaric Oxygenation / Q000009:adverse effects; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*
Giperbaricheskaia oksigenatsiia pri infarkte miokarda.