CRÓNICA DEL "14 th INTERNATIONAL CONGRESS OF HYPERBARIC MEDICINE SOCIETY"

 SAN FRANCISCO California USA  - 2-5 Octubre - 2002. .

XIV CONGRESO INTERNACIONAL DE MEDICINA HIPERBÁRICA Y SUBACUÁTICA

Por el Dr. Juan M. Batle.                                                                                                                        

                                                                  

Unos 150 congresistas procedentes de todas las partes del mundo se congregaron durante la  primera semana de Octubre, en el magnifico Hotel de la época colonial  "Westin St Francis", en el centro de San Francisco, una maravillosa ciudad en la que reina una gran tranquilidad.  Simbólica representación española  reducida al representante del CRIS-UTH del H. de la Cruz Roja de Barcelona y al representante de “MEDISUB Institut de Recerca Hiperbàrica” de la Clínica Juaneda de Palma de Mallorca. El Congreso se realizó en Inglés en su totalidad. Impecable organización.

Las jornadas de trabajo se repartieron en 5 salas de conferencias en las que se desarrollaron un total de 70 conferencias y se presentaron 71 pósters.

Durante el primer día se realizaron un curso de Post-grado y varias sesiones de trabajo "workshops".

Postgraduate Course: Introduction to Hyperbaric Medicine

Workshop I:  HBO & Cerebral Palsy

En esta sesión de Trabajo se realizo una mesa redonda dirigida por Jim Joiner editor del Libro titulado "The procedings of the 2nd International Symposium on Hyperbaric Oxygenation for Cerebral Palsy and the Brain Injured Child"  en esta mesa redonda participaron los mas ilustres y experimentados  hiperbaristas de todo el mundo, principalmente estadounidenses y canadienses, Cabe destacar Philip James, Pierre Marrois, William Maxfield,  Paul Harch, Peter Rosenbaum, Michael bennet, Seteven Miller, George Hart, expusieron sus puntos de vista de sus experiencia algunos  a favor otros en contra, la mesa fue tan interesante como controvertida..

Workshop II:  Hyperbaric Chamber Safety

Tom Workman y  J. Sheffield presentaron los peligros y recomendaciones a tener en cuenta para evitar el riesgo de Incendios en el medio hiperbárico. Muy interesante exposición para los médicos que estamos dirigiendo o trabajando en Centros de Medicina Hiperbárica.

 Es imposible hacer una reseña de todo el material presentado, pero no renunciamos a enumerar, y ocasionalmente a comentar, las comunicaciones que hemos considerado de mayor interés.

SESIONES CIENTIFICAS

Lectura de apertura del Congreso por parte del Presidente del ICHM        Dr. Fred Cramer.

Boerema Invited Lecture             Professor Dirk J. Bakker 

Historical Perspective on Hyperbaric Medicine   Professor Dirk J. Bakker

Impecable revisión de la historia de la OHB en al que se relataron todos los pormenores de la historia en la que se remitió a tiempos casi medievales de la practica de la recompresion.                   

 

1ª Sesión. Perspectiva Histórica sobre Medicina Hiperbárica

Moderadores

Mahito Kawashima, MD, PhD (Japan)

John J. Feldmeier, DO (USA)

Historical Perspective of Hyperbaric Medicine in Japan           Mahito Kawashima, MD, PhD

History Of The Clinical Use Of Hyperbaric Oxygen Therapy (HBOT) In Long Beach California: December 1967 – September 2002                               George B. Hart, MD

Historical   Perspective   of   Hyperbaric   Medicine   in   San Antonio,            Texas                                                                                                                                   Richard D. Heimbach, MD, PhD

2ª Sesión.  Efectos del Oxigeno Fisiológicos y Bioquímicos

Moderadores

                       Lianbi Xue, MD (CHINA)

                       Thomas K. Hunt, MD (USA)

A Study Of Tissue Oxygenation During Inflammation In Man    Philip B. James, MB, ChB

Effect of Hyperbaric Oxygen On Recovery of Acute Fatigue in Long-Distance Runners                                                                                                                                     Tao Heng-Yi, MD

Hyperbaric Oxygen for Cerebral Palsy And The Brain Injured Children: A Continuing Study                                                                                                                          Jose Diaz Barbosa, MD

Observation on Impact of Hyperbaric Oxygenation to Immune Liver Fibrosis in Rats                                                                                                                              Meng Jie, MD

Flow Dynamics of Patient Hoods                                                   Stephen D. Reimers, PE

 

3ª Sesión  Alteraciones embolígenas.                                                           (Bubble Related Disorders)

Moderadores

Peter Mueller (GERMANY)

Michael B. Strauss, MD (USA)

The Sydney Airport Link – Medical Support of a Soft Ground Tunnel Project                                                                                                                                           Michael H. Bennett, MB

Bubble Formation, Theory of Two Gradients, And Consequence of Over-Saturation Coefficient For Air Diving                                                                                    Stephane Besnard, MD

Disordered Decompression As A Cause Of Underserved Decompression Sickness                                                                                            Michael B. Strauss, MD

Medical Assessment of Fitness for Diving In Europe                                  Peter HJ Mueller, MD

Significance of Special Autopsy Procedures In Diving Fatalities        Panampilly Sivadas, MD

How to Avoid Arterial Gas Embolism in Free Diving, the Attitude A Breath Hold Diver Should Take: Retrospective Study of 35 Cases in Period 1995-2002    John M. Batle, MD, PhD

En esta ponencia se presentaron varios de los 35 casos de Infartos Cerebrales embolígenos sufridos por los campeones y deportistas de elite de pesca submarina de las islas Baleares, llegando a la conclusión que aunque no utilicen recipientes de aire comprimido al llegar a ciertas profundidades (de hasta incluso 63 mts de profundidad) pueden sufrir las mismas patologías que los practicantes de buceo con escafandra autónoma, debiendo tener las mismas precauciones, debiendo realizar unos tiempos de desaturación según las tablas presentadas por el Dr. Juan M Batle..

 

4ª Sesión  Aplicaciones Clínicas de la Oxigenoterapia Hiperbárica.   (Clinical Application of Hyperbaric Oxygen)

Moderadores

Lorenz A. Lampl, MD, PhD (Germany)                           

Richard D. Heimbach, MD, PhD (USA)

The Combined Use Of Hyperbaric Oxygen (HBO2T) And The Negative Pressure Wound Dressing (“the V.A.C.”) In Limb Threatening Wounds                                   Caroline E. Fife, MD

Intracranial Abscess Management: Are the Results Of Adjunctive HBO Therapy Superior to Conventional Treatment?                                                                             Lorenz A. Lampl, MD, PhD

Should We Be Concerned That Hyperbaric Oxygen Will Enhance Angiogenesis in Tumors and Thus Increase Malignant Growth and Recurrence?            John J. Feldmeier, DO

A Successful Life Saving Case of Virio Vulnificus (Septic Type) With Limb Salvage                                                                                                      Hiroshi Yagi, MD

About Hyperbaric Oxygen With Acupuncture Physiotherapy And Medicine Synthesize Treatment And Prevention That Clinical Research Of Carbon Monoxide Poisoning Later It’s Happened Encephalopathy                                                                                     Zhou Xuming, MD

Controversial Indications In Hyperbaric Oxygen Therapy                              Dirk J. Bakker, MD

 

5ª Sesión.  Ponencias de los Centros Hiperbáricos del Pacifico de la UHMS.  (Pacific Chapter of the UHMS)

Moderadores

Michael Lepawsky, MD (Canada)

James Holm, MD (USA)

The Multifactorial Nature of Neurological Toxicity In A University Teaching Hospital Based Hyperbaric Medical Facility                                                    Michael Lepawsky, MD

The Effect of Hyperbaric Oxygen Therapy On A 3 Year Post-Stroke Aphasic Patient                                                                                           Donald Y. Shirachi, PhD

Hyperbaric Oxygen For The Management Of Skeletal Muscle Compartment Syndrome                                                                                       Michael B. Strauss, MD

Gas Embolism From Other Than Sudden Decompression                George B. Hart, MD

Wound Care Patient Analysis, Reviewing 445 Consecutive Patients Discharged From Redlands Hospital Outpatient Treatment                                       Ronald Bangasser, MD

 

A mediodía, un  representante de cada país, mantuvieron una comida "Governors’ Luncheon", en representación de nuestro país estuvieron los Doctores Jordi Desola como futuro presidente del XV ICHM y el Dr Juan M Batle como representante de España, en donde se decidió la sede del XVI ICHM, que por unanimidad se decidió que fuera China

 

6ª Sesión.  Discusiones y presentaciones de los Posters.

Moderadores

Philip B. James, MB, ChB (UK)

Stephen P. Reimers, PE (USA)

 

Aplicaciones Clinicas de la Oxigenoterapia Hiperbárica.                                (Clinical Application of Hyperbaric Oxygen)  

46 Cases of Peripheral Neuritis Complicated by Diabetes Mellitus Treated with Hyperbaric Oxygen                                                                               Chen Jianhui

A Systematic Review Of Hyperbaric Oxygen For Delayed Radiation Injuries of Soft Tissue and Bone: An Evidence Based Approach                                             John J. Feldmeier, DO

Hyperbaric Oxygen Treatment On A Parkinson’s Disease Patient: A Case Study                                                                                                                           Mitchell L. Hoggard, Pharm

The Cost-Effectiveness Of Hyperbaric Oxygenation In Long-Term Total Care                                                                                               Richard Neubauer, MD

Hyperbaric Oxygenation In Severe Traumatic Brain Injury            Richard Neubauer, MD

Minimally Invasive Metatarsal Neck Osteoclasis                                      Michael B. Strauss, MD

A Simplified Neurological Assessment For Management Of Problem Wounds                                                                                          Michael B. Strauss, MD

Hyperbaric Oxygen Therapy for Cesarean-Section Patients Who Develop Infections                                                                                       Hiroshi Dohgomori, MD

Recovery Assessment By The Extent Of Relative Improvement of Symptom Intensity During The First Hyperbaric Oxygen Treatment In Divers With Moderate Neurological Symptoms of Decompression Sickness                                                     Lorenz A. Lampl, MD, PhD

Effect of Hyperbaric Oxygen Therapy on Clinical Wound Healing In Patients With Non-Healing Leg Wounds                                                                                           Akira Tokunaga, MD, PhD

Actual Situation in Hyperbaric Medicine In Slovak Republic: Problems And Perspectives                                                                                             Oto Herman, MD

Grading Of Diabetic Foot Wounds And The Potential Of Hyperbaric Oxygen Therapy As An Adjunctive Treatment                                                                                           Igor Aksenov, MD, PhD

Oxygen Is A Drug: How To Define The Correct Dosage                               Igor Aksenov, MD, PhD

The Role Of Hyperbaric Oxygen In The Treatment Of Patients With Acute Prostatitis And Epididymo-Orchitis                                                                                                        Igor Aksenov, MD, PhD

Restoration Of Sudden Healing Loss With HBO 18 Months Post Event      Kenneth Stoller, MD

Salvage Of A Severely Degloved Foot: Stone Age To Space Age Technology                                                                                           Edward Golembe, MD

Hyperbaric Oxygenational (HBO) Therapy Choice In The Treatment of Ischemic Pain, Caused By Atherosclerotic Occlusive Artery Disease of Lower Extremities                                                                                                                          Ljiljana Mihaljevic, MD

Changes In CO-Hb By The Hyperbaric Oxygen Therapy                                  Kenji Taki, MD

Surgical Revascularization and Hyperbaric Oxygen Therapy for Chronic Critical Limb Ischemia                                                                                                                         Yau-Chong Chang, MD

Effect of Hyperbaric Oxygen Therapy On Plasma Levels of VEGF In Healthy Volunteers and Patients With Non-Healing Wounds                                                               Gotaro Masuda, MD

Radiation Induced Cystitis And HBO The Amsterdam Experience     AJ van der Kleij, MD, PhD

Hyperbaric Oxygen Therapy (HBO2T) – Indian Scenario                                         MJ John, MD

The Use Of Hyperbaric oxygen In Acute And Sub-Acute Stroke – A Correlation Between Stroke Type And HBO Treatment Response In Fifteen Patients                       Frans Cronje, MD

Using Hyperbaric Oxygen Therapy Combining with Anti-platelet Aggregation Agents to Prevent Delayed Encephalopathy Following Acute Carbon Monoxide Poisoning: A Prospective Clinical Study                                                                                                    Gao Chunjin

Effect of Hyperbaric Oxygen on Coagulation Related Factor in Patients with Ischemic Stroke                                                                                                                                           Gao Chunjin

Effect of Hyperbaric Oxygen on Mitochondrial Membrane Potential and Apoptotic Cells in Rats after Carbon Monoxide Poisoning                                                                    Gao Chunjin

Mild Hyperbaric Oxygen Therapy (MHBOT) Improves Attention Span And Reaction Time In Toxic Encephalopathy                                                                                   Gunnar Heuser, MD, Ph

Alteraciones embolígenas.                                                                               (Bubble Related Disorders)

Result of 918 Man-Oxygen Decompressions in a Group of Compressed Air Tunnel Workers                                                                                                                                    Ronson Li, MD

Inert Gas Dynamics And Outcomes Of Decompression                             Michael B. Strauss, MD

Effects of Apnea Diving and Diet Supplementation with Vitamin C on the Antioxidant Enzyme Defences in Neutrophils and Erythrocytes                                    John M. Batle, MD, PhD

The Arterial Gas Embolism for Decompression Sickness in Free Diving Hunters, The Signs and Symptoms: A Retrospective Study of 35 Cases                      John M. Batle, MD, PhD

Seguridad de los Pacientes en Medio Hiperbárico                                                (Hyperbaric Patient Safety)

Clinical Hyperbaric Facility Accreditation                                                         W. Tom Workman, MS

Fire Risk In Hyperbaric Facilities                                                                            Paul J. Sheffield, PhD

Complication Rates for HBO2 Treatments: A 21-Year Analysis                   Paul J. Sheffield, PhD

 

Efectos del Oxígeno fisiologicos y bioquímicos.                                            (Physiological and Biochemical Effects of Oxygen)

Effects of Hyperbaric Oxygen On Liver Regeneration After Minor and Major Hepatectomies On Impaired Liver With Carbon Tetrachloride                     Noriko Matsuda, MD

The Effects of HBO On The Contents of Serum Creatine Kinase BB In Rat After CO Poisoning                                                                                                                                   Wu Lianhua, MD

Effect of Hyperbaric Oxygen on Platelet Membrane Glycoprotein CD31, CD61 and CD62P in Mice After Cerebral Ischemia-Reperfusion                                                         Wang Guozhong

 

7ª Sesión  Aplicaciones Neurológicas de la Oxigenoterapia Hiperbárica.   (Neurological Application of Hyperbaric Oxygen)

Moderadores

Michael H. Bennett, MB (Australia)

Ronald Bangasser, MD (USA)

 

A History Of The Use Of Hyperbaric Oxygen Treatment For Patients With Multiple Sclerosis: A Personal View                                                                                  Philip B. James, MB, ChB

A Relationship Of Heavy Metal Toxicity With Certain Neurological Disorders And The Effects Of Hyperbaric Oxygen On Said Cases                                                      Frank Morales, MD

The Clinical Analysis: The Dosage Of Hyperbaric Oxygenation In Acute and Subacute Brain Injury                                                                                                                         Lianbi Xue, MD

Treatments Of Spinal Cord Injuries Of the Medulla With Hyperbaric Oxygen and Cellular Therapies: An Ongoing Study                                                                               Jose Diaz Barbosa, MD

Medical Legal Aspects Of Treating Near Drowning With Adjunctive Hyperbaric Oxygen Therapy (HBOT) To Ameliorate Neurological Deficits                                     Kenneth R. Locklear

High-Dose Oxygen Therapy For Cerebral Palsy And The Brain-Injured Child                                                                                                                                     Richard Neubauer, MD

 

8ª Sesión de Discusiones y Conclusiones finales.                                             (Closing Panel Discussion)

Moderadores

Dirk J. Bakker, MD (The Netherlands)

Paul J. Sheffield, PhD (USA)

Summary of Session 1: Historical Perspective on HBO              

Mahito Kawashima, MD, PhD                    John J. Feldmeier, DO

Summary of Session 2: Physiology & Biochemical Effects of Oxygen

Lianbi Xue, MD,              Thomas K. Hunt, MD

Summary of Session 3: Bubble Related Disorders

Peter Mueller                   Michael B. Strauss, MD

Summary of Session 4: Clinical Application of HBO

Lorenz A. Lampl, MD, PhD,              Richard D. Heimbach, MD, PhD

Summary of Session 5: Pacific Chapter of UHMS

Michael Lepawsky, MD,               James Holm, MD

Summary of Session 6: Poster Discussion

Philip B. James, MB, ChB,                     Stephen D. Reimers, PE

Summary of Session 7: Neurological Application of HBO

Michael H. Bennett, MB,                              Ronald Bangasser, MD

 

El Sabado, ultimo dia del congreso se celebro la cena de clausura, en la cual tuvimos el gusto de deleitarnos con la exquisita cena y la amena conversación de los representantes mejicanos.

 

ANALISIS DEL CONGRESO

El anterior resumen del programa de trabajo se limita a enunciar los trabajos que fueron presentados.

Buscamos repetidamente la oportunidad de conocer la opinión de los mas prestigiosos autores europeos sobre las sorprendentes comunicaciones americanas. La sorpresa fue general, pues la sofisticación de la mayoría de trabajos y asimismo el indudable valor de los estudios clínicos, la mayoría de ellos randomizados y sobre un amplio numero de pacientes, permitía aceptarlos como válidos.

Regresamos de San Francisco profundamente impresionados, pese a comprender que muchas de las aplicaciones que hemos conocido son todavía impensables en nuestros escasos y limitados centros de medicina hiperbárica. La revelación del congreso, no obstante, ha sido no solamente descubrir el alto grado de desarrollo de la tecnología hiperbárica en los Estados Unidos, sino muy especialmente constatar la confianza indudable  que la medicina deposita en la Oxigenoterápia Hiperbárica OHB, avalada por el reconocimiento cotidiano de sus logros en los mas diversos campos de la medicina.

  Historia de la Oxigenoterapia Hiperbárica, estudios e investigaciones