The effects of hyperbaric oxygen therapy on paroxysmal sympathetic hyperactivity after cardiopulmonary resuscitation: a case series

doi:10.5847/wjem.j.1920-8642.2023.092

World Journal of Emergency Medicine ›› 2023, Vol. 14 ›› Issue (6): 477-480.doi: 10.5847/wjem.j.1920-8642.2023.092

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The effects of hyperbaric oxygen therapy on paroxysmal sympathetic hyperactivity after cardiopulmonary resuscitation: a case series

Hongyu Wang¹^,²^,³, Yihao Li¹^,³, Meng Zhao², Caihong Ren⁴, Sisen Zhang¹^,²^,³()

¹Department of Emergency Medicine, the Fifth Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou 450003, China
²Department of Emergency Medicine, People’s Hospital of Henan University of Chinese Medicine/People’s Hospital of Zhengzhou, Zhengzhou 450003, China
³Henan Research Centre of Cardiopulmonary-Cerebral Resuscitation Engineering Technology, Zhengzhou 450003, China
⁴Department of Emergency Medicine, Luohe Central Hospital, Luohe 462000, China

Received:2023-02-12 Accepted:2023-06-02 Online:2023-11-10 Published:2023-11-01
Contact: Sisen Zhang E-mail:278353780@qq.com

Abstract

Hongyu Wang, Yihao Li, Meng Zhao, Caihong Ren, Sisen Zhang. The effects of hyperbaric oxygen therapy on paroxysmal sympathetic hyperactivity after cardiopulmonary resuscitation: a case series[J]. World Journal of Emergency Medicine, 2023, 14(6): 477-480.

Figures/Tables 3

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References 23

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Variables	Case 1	Case 2	Case 3	Case 4
Age, year	27	41	32	40
Sex	Male	Male	Male	Male
GCS score at admission	E1V1M2	E2V1M2	E1V2M1	E2V1M1
Time from cardiac arrest to electrical defibrillation, min	5	4	7	6
Time from loss of consciousness to return to spontaneous circulation, min	20	21	24	18
Time from admission to PSH, d	2	3	5	5
PSH attack frequency, times/d	8-10	3-5	4-5	6-8
Higher temperature	+	+	+	+
Accelerated heart rate	+	+	+	+
Faster respiration	-	+	+	+
Higher blood pressure	+	+	+	+
Sweating	-	+	-	+
Increased muscle tension	-	+	+	+
PSH-AM scores before HBOT	21	24	21	19
Duration of onset to HBOT, d	7	7	9	7
HBOT courses	4	5	3	3
PSH-AM scores after HBOT	7	8	6	5
GCS scores after two courses of HBOT	E3V3M4	E4V4M6	E3V3M3	E4V3M5
PSH symptoms after three months	None	None	None	None
Final outcome	Survived	Survived	Survived	Survived

The effects of hyperbaric oxygen therapy on paroxysmal sympathetic hyperactivity after cardiopulmonary resuscitation: a case series

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