Monitoring of Clinical Parameters in Hyperbaric Chamber

  • M. Rossetti
  • G. Oriani
  • I. Pahle


In other chapters we have seen how the use of hyperbaric chambers has proven highly effective in a vast range of clinical applications that may also be of an intensive nature [i]. Consideration of a hyperbaric chamber for a resuscitation environment poses various problems that may also concern the ventilatory support and monitoring function of the clinical parameters [1, 3]. Use of the standard high technology equipment available presently in hyperbaric environments is not always possible without appropriate modifications. There are limitations created by safety standards that have to be followed in such cases. These mainly concern:
  1. 1.

    Power supply of instruments [4]

  2. 2.

    Manufacturing materials (especially certain lubricants) [5]

  3. 3.

    Any vacuum circuits that carry an implosion/explosion risk during compression or decompression (such as cathode tubes)

  4. 4.

    Use of motors with brushes that may generate electrostatic arcs and thus cause fire danger [6, 7].



Hyperbaric Oxygen Therapy Fire Danger Hyperbaric Chamber Kontron Instrument Hyperbaric Treatment 
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  1. 1.
    Camporesi EM (1987) Management of critically ill patients in the hyperbaric environment. Med Sub 6, 3, 80–83Google Scholar
  2. 2.
    Halcomb JR, Aileen Y, Matos-Naverro RM, Coldmann RW (1988) Critical care in the hyperbaric chamber. In: Problem Wounds–The role of oxygen (ed) Davis JC, Hunt TK. Elsevier Science Publishing, NY 187–210Google Scholar
  3. 3.
    Oriani G (1992) Il monitoraggio critico in ambito iperbarico: analisi dei problemi. Minerva Anestesiol 58: 803–807PubMedGoogle Scholar
  4. 4.
    Pelaia P, Ruocco F, Sposato M (1989) La sicurezza negli impianti iperbarici. In: Ossigenoterapia Iperbarica ed Applicazioni Cliniche. G Oriani E Faglia (eds) SIO 175–183Google Scholar
  5. 5.
    Meliet JL, Macchi JP (1994) Regulations in the hyperbaric environment. Proc 1st European Consensus Conference on Hyperbaric Medicine, Lille, pp 231–242Google Scholar
  6. 6.
    NFPA Fire hazards in oxygen-enriched atmospheres (1979) NFPA No 53M Boston: National Fire Protection AssnGoogle Scholar
  7. 7.
    Ruocco F (1991) Technical and safety requirements of the equipment for critical care in the hyperbaric environment: fire hazards and critical care equipment. Acta Anaesthesiol Ital 42 (Suppl 2): 213–215Google Scholar
  8. 8.
    Pelaia P, Rocco M, Malpieri R, Occhigrossi F, Mattia C, Oriani G (1991) Il supporto tecnologico nel trattamento iperbarico. Minerva Anaestesiol 57: 301–307Google Scholar
  9. 9.
    Longoni C (1991) Telemetry monitoring in hyperbaric environment. Acta Anaesthesiol Ital 42 (Suppl2): 202–203Google Scholar
  10. 10.
    Oriani G, Rossetti M, Meazza D, Sacchi C, Ronzio A, Campagnoli P (1991) A rational approach to monitoring in hyperbaric enviroment. Acta Anaesthesiol Ital 42 (Suppl 2): 159–161Google Scholar
  11. 11.
    Luongo C, Vicario C, Marmo M, Chiefari M, Grella A (1991) Critical care equipment for use in the monoplace chamber. Acta Anaesthesiol Ital 42 (Suppl 2): 204–205Google Scholar
  12. 12.
    Torbati D (1987) Oxygen and brain function: a review. Proc 9th International Symposium on Underwater and Hyperbaric Physiology. Bove AA, Bachrach AJ, Grenbaum LJ (eds) Undersea Medical Society, Bethesda pp 659–661Google Scholar
  13. 13.
    Ducassè JL (1991) HBO Equipment for neurological diagnosis. Acta Anaesthesiol Ital; 42 (Suppl 2): 155–156Google Scholar
  14. 14.
    Powell M, Crockard A (1986) Difficulties in interpretation of extradural pressure measurements in acutely raised intracranial pressure. In: Intracranial pressure. (eds) Miller JD, Teasdale GM, Rowan NO, Galbraith SL, Mendelow AD, Springer, Berlin, Heidelberg, New York, pp 203–207Google Scholar
  15. 15.
    Moon RE, Camporesi EM, Kisslo JA (1987) Use of evoked potentials during acute dysbaric sickness. In: Diagnostic technique in diving neurology. MJ Halsey, DH Elliot (eds). Medical Research Council, London, pp 63–69Google Scholar
  16. 16.
    Brauzzi M, Martorano P, Spigarelli C, Corsi D, Giovannini C, Pietropaoli P (1992) Monitor-aggio dell’attività elettrica cerebrale in camera iperbarica. Acta Anaesthesiol Ital 43: 452–456Google Scholar
  17. 17.
    Bakker DJ (1991) Monitoring the critical patient in the hyperbaric environment. What is the reasonable approach? Acta Anaesthesiol Ital 42 (Suppl 2): 151–53Google Scholar
  18. 18.
    Othah, Hadeishi H, Nemoto M, Kawamura S, Hinuma Y, Suzuki E (1990) Transient effect of hyperbaric oxygen on cerebral blood flow and intracranial pressure. J Hyperb Med 5 (1) 3–13Google Scholar
  19. 19.
    Sukoff MH, Ragatz RE (1982) Hyperbaric oxygenation for the treatment of acute cerebral oedema. Neurosurgery 10: 29–38PubMedCrossRefGoogle Scholar
  20. 20.
    Mayhall CG, Archer NH, Lamb VA (1984) Ventriculostomy-related infections. A prospective epidemiologic study. N Engl J: Med 310: 553–559CrossRefGoogle Scholar
  21. 21.
    Aucoin PJ, Kotilainen HR, Gantz NM (1986) Intracranial pressure monitors: epidemiologic study of risk factors and infections. Am J Med 80: 369–376PubMedCrossRefGoogle Scholar
  22. 22.
    Lundberg N (1960) Continuous recording and control of ventricular fluid pressure in neurosurgical practise. Acta Psychiatr Neurol Scand 36 (Suppl 149): 1–193Google Scholar
  23. 23.
    Pelaia P, Rocco M, Spadetta G, Di Marco PA, Tritapepe L (1991) Monitoring of acute cerebral vascular pathologies. Acta Anaesthesiol Ital 42 (Suppl 2): 162–163Google Scholar
  24. 24.
    Pelaia P, Rocco M, Conti G, De Blasi RA, Bufi M, Antonelli M, Bortone C (1992) Hemodynamic modifications during hyperbaric oxygen therapy. J Hyperb Med 7(4):229–237Google Scholar
  25. 25.
    Mathieu D, Neviere R, Wattel F (1991) Haemodynamic monitoring during hyperbaric oxygen therapy: technical and safety aspects. Acta Anaesthesiol Ital 42 (Suppl 2): 209–210Google Scholar
  26. 26.
    Gismondi A, Caione R, Scardia M, De Razza L (1991) SVO2 monitoring in hyperbarism: a preliminary study. Acta Anaesthesiol Ital (1991) 42 (Suppl 2): 157–158Google Scholar
  27. 27.
    Gattinoni L (1990) Role of SVO, monitoring. Proc 2nd International Post-Graduate Course in Anaesthesia and Intensive Care. Otranto, Lecce 115–118Google Scholar
  28. 28.
    Reinhart K (1983) Indications and limitations in SVO,, monitoring. In: Intensive Care and Emergency Medicine Update SL Vincent (ed), Springer, Berlin Heidelberg New York, pp 423Google Scholar
  29. 29.
    Ohresser Ph, Wattel F, Mathieu D, Bergmann E (1990) Rèanimation en chambre hyperbare. In Oxygènotherapie hyperbare et rèanimation. F Wattel, D Mathieu (ed) Masson, Paris: pp 241–250Google Scholar
  30. 30.
    Oriani G, Meazza D, Sacchi C, Ronzio A (1990) La sicurezza del monitoraggio e delle apparecchiature nella camera iperbarica. Minerva Anestesiol 56: 623–627PubMedGoogle Scholar
  31. 31.
    Sheffield PJ (1988) Tissue oxygen measurements. In: Problem wounds. The role of oxygen. Davis JC, Hunt TK (eds), Elsevier, New York, pp 17–51Google Scholar
  32. 32.
    Wattel F, Mathieu D, Neviere R (1991) Transcutaneous oxygen pressure measurements. J Hyperb Med 6 (4): 223–228Google Scholar
  33. 33.
    Wattel F, Mathieu D, Neviere R (1991) Oxygen transport and utilisation under hyperbaric conditions and monitoring criteria. Acta Anaesthesiol Ital 42 (Suppl 2): 107–110Google Scholar
  34. 34.
    Camporesi EM, Richard EM (1987) Management of critically ill patients in the hyperbaric environment. Med Sub Hyp 6: 80–83Google Scholar
  35. 35.
    Sutton T, Freese M, Saur R, Swaby G, Fife CE, Berry J (1994) Testing of a portable blood gas analyzer under hyper/hypobaric conditions. Undersea Hyperb Med 21 (Suppl): 50Google Scholar
  36. 36.
    Venkatesh B, Clutton Brock TH, Hendry SP (1994) A multiparameter sensor for continuous intra-arterial blood gas monitoring: a prospective evaluation. Crit Care Med 22: 588–594PubMedCrossRefGoogle Scholar
  37. 37.
    Campagnoli P, Oriani G, Sala G, Meazza D, Sacchi C, Ronzio A, Montino 0, Michel M (1992) Prognostic value of tcPO2 during hyperbaric oxygen therapy. J. Hyperbaric Medicine 7 (4): 223–228Google Scholar

Copyright information

© Springer-Verlag Italia, Milano 1996

Authors and Affiliations

  • M. Rossetti
    • 1
  • G. Oriani
    • 2
  • I. Pahle
    • 1
  1. 1.Medical Division of Kontron InstrumentsMilanItaly
  2. 2.Anaesthesia, Intensive and Hyperbaric Care DepartmentGaleazzi Orthopaedic InstituteMilanItaly

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