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Barotrauma
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1. Tinnitus in an active duty navy diver: A review of inner ear barotrauma, tinnitus, and its treatment.
Match Strength: 8.363

This case elucidates subtle cues that must be appreciated by the examiner in diving related injuries, who may not have experience with barotrauma-mediated pathology. Inner-ear barotrauma (IEBT) does not mandate ostensible hearing loss or vertigo; tinnitus may be the sole manifestation. Symptoms may present hours or even days post-dive. A common misconception exists that there are no efficacious treatment options for IEBT short of surgery for an overt perilymphatic fistula. Treatment options are available including acute high dose steroid administration, as prescribed for acute noise-induced or ... Read More »
» Published in Undersea Hyperb Med. 2006 Jul-Aug;33(4):223-30.

2. Recurrent diving-related inner ear barotrauma.
Match Strength: 7.418

OBJECTIVE: To present two cases of recurrent diving-related inner ear barotrauma (IEB) and to discuss the possible cause and pathogenesis of the increased inner ear vulnerability. STUDY DESIGN: Case series. SETTING: Tertiary referral center. PATIENTS: Two scuba divers suffering from repeated cochleovestibular barotrauma. INTERVENTIONS: Neurotological evaluation, perilymphatic fistulae repair, and conservative treatment. MAIN OUTCOME MEASURE: The increasing popularity of scuba diving expose the individuals involved in this sport to unique pathologies that are not common under terrestrial ... Read More »
» Published in Otol Neurotol. 2006 Dec;27(8):1193-6.

3. Using physiological models and decision theory for selecting appropriate ventilator settings.
Match Strength: 3.831

OBJECTIVE: To present a decision support system for optimising mechanical ventilation in patients residing in the intensive care unit. METHODS: Mathematical models of oxygen transport, carbon dioxide transport and lung mechanics are combined with penalty functions describing clinical preference toward the goals and side-effects of mechanical ventilation in a decision theoretic approach. Penalties are quantified for risk of lung barotrauma, acidosis or alkalosis, oxygen toxicity or absorption atelectasis, and hypoxaemia. RESULTS: The system is presented with an example of its use in a post ... Read More »
» Published in J Clin Monit Comput. 2006 Dec;20(6):421-429. Epub 2006 Sep 15.

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