20 results on '"Banham N"'
Search Results
2. Australian paediatric hyperbaric oxygen therapy 1998-2011
- Author
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Frawley, G., Bennett, M., Thistlethwaite, K., and Banham, N.
- Published
- 2013
Catalog
3. Acute spontaneous spinal cord infarction: Utilisation of hyperbaric oxygen treatment, cerebrospinal fluid drainage and pentoxifylline
- Author
-
Ashton, C., Banham, N., Needham, M., Ashton, C., Banham, N., and Needham, M.
- Abstract
Introduction: Spinal cord infarction (SCI) is a potentially devastating disorder presenting with an acute anterior spinal artery syndrome, accounting for an estimated 1% of stroke presentations. Aetiologies include aortic surgical complications, systemic hypotension, fibrocartilaginous embolism and vascular malformations. Diagnosis is clinical combined with restriction on diffusion-weighted magnetic resonance imaging (MRI). There are no treatment guidelines for non-perioperative cases although there is limited literature regarding potential therapies, including hyperbaric oxygen treatment (HBOT) and cerebrospinal fluid (CSF) drainage. We describe 13 cases of acute SCI, five receiving HBOT, and three also receiving pentoxifylline and drainage of lumbar CSF. Methods: Data for all patients with MRI-proven SCI at Fiona Stanley Hospital from 2014–2019 were reviewed. Results: Thirteen patients, median age 57 years (31–74), 54% female, were identified. Aetiologies: two fibrocartilaginous emboli; seven likely atherosclerotic; two thromboembolic; two cryptogenic. All presented with flaccid paraplegia except one with Brown-Sequard syndrome. Levels ranged from C4 to T11. Five patients received HBOT within a median time of 40 hours from symptom onset, with an average 15 treatments (10−20). Three of these received triple therapy (HBOT, pentoxifylline, CSF drainage) and had median Medical Research Council manual muscle testing power of 5, median modified Rankin Score (mRS) of 1 and American Spinal Injury Association (ASIA) score of D on discharge, compared with 2 power, mRS 3.5 and ASIA B in those who did not. Conclusions: SCI can be severely disabling. Triple therapy with pentoxifylline, CSF drainage and HBOT may reduce disability and further prospective trials are required. more...
- Published
- 2020
4. Anaesthesia for cardioversion
- Author
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Banham, N. D.G.
- Published
- 1996
5. Acute kidney injury due to decompression illness
- Author
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Viecelli, A, Jamboti, J, Waring, A, Banham, N, Ferrari, P ; https://orcid.org/0000-0002-6094-7592, Viecelli, A, Jamboti, J, Waring, A, Banham, N, and Ferrari, P ; https://orcid.org/0000-0002-6094-7592 more...
- Published
- 2014
6. Acute kidney injury due to decompression illness
- Author
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Viecelli, A., primary, Jamboti, J., additional, Waring, A., additional, Banham, N., additional, and Ferrari, P., additional
- Published
- 2014
- Full Text
- View/download PDF
7. Reducing the use of plain abdominal radiographs in an emergency department.
- Author
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Jelinek, G A, primary and Banham, N D, additional
- Published
- 1990
- Full Text
- View/download PDF
8. Reducing the use of plain abdominal radiographs in an emergency department.
- Author
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Jelinek, G A and Banham, N D
- Abstract
Plain abdominal radiographs are ordered frequently in emergency departments. Previous studies have shown that these radiographs are often requested inappropriately with little likelihood of producing useful information. This study shows that the overall number can be reduced significantly, with little risk to patients, when clear guide-lines are applied. [ABSTRACT FROM PUBLISHER] more...
- Published
- 1990
- Full Text
- View/download PDF
9. Joint position statement on immersion pulmonary oedema and diving from the South Pacific Underwater Medicine Society (SPUMS) and the United Kingdom Diving Medical Committee (UKDMC) 2024.
- Author
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Banham N, Smart D, Wilmshurst P, Mitchell SJ, Turner MS, and Bryson P
- Subjects
- Humans, Decompression Sickness therapy, Decompression Sickness diagnosis, Immersion, Risk Factors, United Kingdom, Diving adverse effects, Pulmonary Edema therapy, Pulmonary Edema etiology, Societies, Medical
- Abstract
This joint position statement (JPS) on immersion pulmonary oedema (IPO) and diving is the product of a workshop held at the 52nd Annual Scientific Meeting of the South Pacific Underwater Medicine Society (SPUMS) from 12-17 May 2024, and consultation with the United Kingdom Diving Medical Committee (UKDMC), three members of which attended the meeting. The JPS is a consensus of experts with relevant evidence cited where available. The statement reviews the nomenclature, pathophysiology, risk factors, clinical features, prehospital treatment, investigation of and the fitness for future compressed gas diving following an episode of IPO. Immersion pulmonary oedema is a life-threatening illness that requires emergency management as described in this statement. A diver with previous suspected or confirmed IPO should consult a medical practitioner experienced in diving medicine. The SPUMS and the UKDMC strongly advise against further compressed gas diving if an individual has experienced an episode of IPO., Competing Interests: Dr Turner acts as a consultant and proctor for St Jude Medical, Medtronic and Edwards Lifesciences, as a consultant and lecturer for Gore Medical and performs PFO closures on private patients. The other authors declare that they have no conflicts of interest. Professor Mitchell is the editor of Diving and Hyperbaric Medicine Journal, but as a societal consensus guideline this manuscript was not subject to peer review and a resulting publication decision. No external funding was declared., (Copyright: This article is the copyright of the authors who grant Diving and Hyperbaric Medicine a non-exclusive licence to publish the article in electronic and other forms.) more...
- Published
- 2024
- Full Text
- View/download PDF
10. South Pacific Underwater Medicine Society (SPUMS) position statement regarding paediatric and adolescent diving.
- Author
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Elliott E, Smart D, Lippmann J, Banham N, Nochetto M, and Roehr S
- Subjects
- Adolescent, Child, Humans, Decompression Sickness prevention & control, Decompression Sickness therapy, Medical History Taking standards, Mental Health, Physical Examination standards, Risk Assessment, Societies, Medical, Diving standards
- Abstract
This paediatric diving position statement was developed from a targeted workshop at the 51st Annual Scientific Meeting of the South Pacific Underwater Medicine Society (SPUMS) on 8 June 2023. It highlights the factors that SPUMS regards as important when undertaking health risk assessments for diving by children and adolescents (defined as aged 10 to 15 years). Health risk assessments for diving should be performed by doctors who are trained in diving medicine and who are familiar with the specific risks which result from breathing compressed gas in the aquatic environment. Undertaking a diver health risk assessment of children and adolescents requires a detailed history (including medical, mental health, psychological maturity), a comprehensive diver medical physical examination and evaluation of all relevant investigations to exclude unacceptable risks. In addition, assessment of the individual's motivation to dive and reported in-water capability should occur, whilst engaging with their parent /guardian and instructor, where appropriate, to ensure that safety for the child is optimised. The guideline applies to all compressed air diving including scuba and surface supply diving provided in open and contained bodies of water., Competing Interests: No conflicts of interest were declared., (Copyright: This article is the copyright of the authors who grant Diving and Hyperbaric Medicine a non-exclusive licence to publish the article in electronic and other forms.) more...
- Published
- 2024
- Full Text
- View/download PDF
11. Cerebral arterial gas embolism (CAGE) during open water scuba certification training whilst practising a controlled emergency swimming ascent.
- Author
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Banham N, da Silva E, and Lippmann J
- Subjects
- Male, Humans, Young Adult, Adult, Swimming, Oxygen, Embolism, Air diagnostic imaging, Embolism, Air etiology, Embolism, Air therapy, Barotrauma complications, Diving adverse effects, Pneumothorax etiology, Decompression Sickness etiology
- Abstract
We report the case of a 23-year-old male novice diver who sustained cerebral arterial gas embolism (CAGE) during his open water certification training whilst practising a free ascent as part of the course. He developed immediate but transient neurological symptoms that had resolved on arrival to hospital. Radiological imaging of his chest showed small bilateral pneumothoraces, pneumopericardium and pneumomediastinum. In view of this he was treated with high flow normobaric oxygen rather than recompression, because of the risk of development of tension pneumothorax upon chamber decompression. There was no relapse of his neurological symptoms with this regimen. The utility and safety of free ascent training for recreational divers is discussed, as is whether a pneumothorax should be vented prior to recompression, as well as return to diving following pulmonary barotrauma., (Copyright: This article is the copyright of the authors who grant Diving and Hyperbaric Medicine a non-exclusive licence to publish the article in electronic and other forms.) more...
- Published
- 2023
- Full Text
- View/download PDF
12. A prospective single-blind randomised clinical trial comparing two treatment tables for the initial management of mild decompression sickness.
- Author
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Banham N, Hawkings P, and Gawthrope I
- Subjects
- Decompression methods, Humans, Prospective Studies, Single-Blind Method, Decompression Sickness diagnosis, Diving adverse effects, Hyperbaric Oxygenation adverse effects
- Abstract
Introduction: Limited evidence suggests that shorter recompression schedules may be as efficacious as the US Navy Treatment Table 6 (USN TT6) for treatment of milder presentations of decompression sickness (DCS). This study aimed to determine if divers with mild DCS could be effectively treated with a shorter chamber treatment table., Methods: All patients presenting to the Fremantle Hospital Hyperbaric Medicine Unit with suspected DCS were assessed for inclusion. Participants with mild DCS were randomly allocated to receive recompression in a monoplace chamber via either a modified USN TT6 (TT6m) or a shorter, custom treatment table (FH01). The primary outcome was the number of treatments required until resolution or no further improvement (plateau)., Results: Forty-one DCS cases were included, 21 TT6m and 20 FH01. Two patients allocated to FH01 were moved to TT6m mid-treatment due to failure to significantly improve (as per protocol), and two TT6m required extensions. The median total number of treatments till symptom resolution was 1 (IQR 1-1) for FH01 and 2 (IQR 1-2) for TT6m (P = 0.01). More patients in the FH01 arm (17/20, 85%) showed complete symptom resolution after the initial treatment, versus 8/21 (38%) for TT6m (P = 0.003). Both FH01 and TT6m had similar overall outcomes, with 19/20 and 20/21 respectively asymptomatic at the completion of their final treatment (P = 0.97). In all cases where two-week follow-up contact was made, (n = 14 FH01 and n = 12 TT6m), patients reported maintaining full symptom resolution., Conclusions: The median total number of treatments till symptom resolution was meaningfully fewer with FH01 and the shorter treatment more frequently resulted in complete symptom resolution after the initial treatment. There were similar patient outcomes at treatment completion, and at follow-up. We conclude that FH01 appears superior to TT6m for the treatment of mild decompression sickness., (Copyright: This article is the copyright of the authors who grant Diving and Hyperbaric Medicine a non-exclusive licence to publish the article in electronic and other forms.) more...
- Published
- 2022
- Full Text
- View/download PDF
13. Oxygen toxicity seizures during United States Navy Treatment Table 6: An acceptable risk in monoplace chambers?
- Author
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Bonnington S, Banham N, Foley K, and Gawthrope I
- Subjects
- Australia, Humans, Oxygen, Retrospective Studies, Seizures chemically induced, Seizures epidemiology, Seizures therapy, United States, Hyperbaric Oxygenation
- Abstract
Introduction: Hyperbaric oxygen treatment (HBOT) may be complicated by oxygen toxicity seizures, which typically occur with hyperbaric partial pressures of oxygen exceeding 203 kPa (2 atmospheres absolute). All other hyperbaric units in Australia exclusively use a multiplace chamber when treating with United States Navy Treatment Table 6 (USN TT6) due to this perceived risk. The purpose of this study was to determine the safety of a monoplace chamber when treating decompression illness (DCI) with USN TT6., Methods: A retrospective review of the medical records of all patients treated at Fiona Stanley Hospital Hyperbaric Medicine Unit with USN TT6 between November 2014 and June 2020 was undertaken. These data were combined with previous results from studies performed at our hyperbaric unit at Fremantle Hospital from 1989 to 2014, creating a data set covering a 30-year period., Results: One thousand treatments with USN TT6 were performed between 1989 and 2020; 331 in a monoplace chamber and 669 in a multiplace chamber. Four seizures occurred: a rate of 0.59% (1/167) in a multiplace chamber; and none in a monoplace chamber, indicating no statistically significant difference between seizures in a monoplace versus multiplace chamber (P = 0.31)., Conclusions: The rate of oxygen toxicity seizures in a monoplace chamber is not significantly higher than for treatment in the multiplace chamber. We conclude that using the monoplace chamber for USN TT6 in selected patients poses an acceptably low seizure risk., (Copyright: This article is the copyright of the authors who grant Diving and Hyperbaric Medicine a non-exclusive licence to publish the article in electronic and other forms.) more...
- Published
- 2021
- Full Text
- View/download PDF
14. Oxygen toxicity seizure mimics.
- Author
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Foley K, Banham N, Bonnington S, and Gawthrope I
- Subjects
- Humans, Oxygen, Retrospective Studies, Seizures chemically induced, Seizures diagnosis, Hyperbaric Oxygenation, Posterior Leukoencephalopathy Syndrome
- Abstract
Introduction: Oxygen toxicity seizures (OTS) are a well-recognised complication of hyperbaric oxygen treatment (HBOT). As such, seizure-like activity during HBOT is usually presumed to be a result of central nervous system oxygen toxicity (CNS-OT). Four cases are reported here where causes other than CNS-OT were determined as being the likely cause of the seizure; causes we have labelled 'OTS mimics'. Through review of the current literature, and our hyperbaric medicine unit's experience to date, we aimed to highlight the relevance of these OTS mimics, as the potential for significant morbidity and mortality exists with incorrect diagnoses., Methods: A retrospective review of the medical records of all patients treated at the Fiona Stanley Hospital and Fremantle Hospital hyperbaric medicine units who had a seizure during HBOT between November 1989 and June 2020. These events were reviewed to determine whether causes for seizures other than oxygen toxicity were evident., Results: Four OTS mimics were identified: posterior reversible encephalopathy syndrome, pethidine toxicity, previous subarachnoid haemorrhage with resultant epilepsy, and severe hypoglycaemia., Conclusions: This case series highlights the need for caution when diagnosing an apparent OTS. Multiple conditions may mimic the signs and symptoms of oxygen toxicity. This creates scope for misdiagnosis, with potential for consequent morbidity and mortality. A pragmatic approach is necessary to any patient exhibiting seizure-like activity during HBOT, with suspicion for other underlying pathologies., (Copyright: This article is the copyright of the authors who grant Diving and Hyperbaric Medicine a non-exclusive licence to publish the article in electronic and other forms.) more...
- Published
- 2021
- Full Text
- View/download PDF
15. Acute spontaneous spinal cord infarction: Utilisation of hyperbaric oxygen treatment, cerebrospinal fluid drainage and pentoxifylline.
- Author
-
Ashton C, Banham N, and Needham M
- Subjects
- Adult, Aged, Cerebrospinal Fluid, Cerebrospinal Fluid Leak, Drainage, Female, Humans, Infarction, Male, Middle Aged, Oxygen, Spinal Cord, Hyperbaric Oxygenation, Pentoxifylline therapeutic use
- Abstract
Introduction: Spinal cord infarction (SCI) is a potentially devastating disorder presenting with an acute anterior spinal artery syndrome, accounting for an estimated 1% of stroke presentations. Aetiologies include aortic surgical complications, systemic hypotension, fibrocartilaginous embolism and vascular malformations. Diagnosis is clinical combined with restriction on diffusion-weighted magnetic resonance imaging (MRI). There are no treatment guidelines for non-perioperative cases although there is limited literature regarding potential therapies, including hyperbaric oxygen treatment (HBOT) and cerebrospinal fluid (CSF) drainage. We describe 13 cases of acute SCI, five receiving HBOT, and three also receiving pentoxifylline and drainage of lumbar CSF., Methods: Data for all patients with MRI-proven SCI at Fiona Stanley Hospital from 2014-2019 were reviewed., Results: Thirteen patients, median age 57 years (31-74), 54% female, were identified. Aetiologies: two fibrocartilaginous emboli; seven likely atherosclerotic; two thromboembolic; two cryptogenic. All presented with flaccid paraplegia except one with Brown-Sequard syndrome. Levels ranged from C4 to T11. Five patients received HBOT within a median time of 40 hours from symptom onset, with an average 15 treatments (10-20). Three of these received triple therapy (HBOT, pentoxifylline, CSF drainage) and had median Medical Research Council manual muscle testing power of 5, median modified Rankin Score (mRS) of 1 and American Spinal Injury Association (ASIA) score of D on discharge, compared with 2 power, mRS 3.5 and ASIA B in those who did not., Conclusions: SCI can be severely disabling. Triple therapy with pentoxifylline, CSF drainage and HBOT may reduce disability and further prospective trials are required., (Copyright: This article is the copyright of the authors who grant Diving and Hyperbaric Medicine a non-exclusive licence to publish the article in electronic and other forms.) more...
- Published
- 2020
- Full Text
- View/download PDF
16. Joint position statement on persistent foramen ovale (PFO) and diving. South Pacific Underwater Medicine Society (SPUMS) and the United Kingdom Sports Diving Medical Committee (UKSDMC).
- Author
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Smart D, Mitchell S, Wilmshurst P, Turner M, and Banham N
- Subjects
- Decompression Sickness etiology, Foramen Ovale, Patent complications, Humans, Platelet Aggregation Inhibitors administration & dosage, Societies, Medical, Sports Medicine, Diving, Echocardiography methods, Foramen Ovale, Patent diagnostic imaging, Foramen Ovale, Patent therapy, Septal Occluder Device
- Abstract
This consensus statement is the result of a workshop at the SPUMS Annual Scientific Meeting 2014 with representatives of the UK Sports Diving Medical Committee (UKSDMC) present, and subsequent discussions including the entire UKSDMC. Right-to-left shunt across a persistent or patent foramen ovale (PFO) is a risk factor for some types of decompression illness. It was agreed that routine screening for PFO is not currently justifiable, but certain high risk sub-groups can be identified. Divers with a history of cerebral, spinal, inner-ear or cutaneous decompression illness, migraine with aura, a family history of PFO or atrial septal defect and those with other forms of congenital heart disease are considered to be at higher risk. For these individuals, screening should be considered. If screening is undertaken it should be by bubble contrast transthoracic echocardiography with provocative manoeuvres, including Valsalva release and sniffing. Appropriate quality control is important. If a shunt is present, advice should be provided by an experienced diving physician taking into account the clinical context and the size of shunt. Reduction in gas load by limiting depth, repetitive dives and avoiding lifting and straining may all be appropriate. Divers may consider transcatheter device closure of the PFO in order to return to normal diving. If transcatheter PFO closure is undertaken, repeat bubble contrast echocardiography must be performed to confirm adequate reduction or abolition of the right-to-left shunt, and the diver should have stopped taking potent anti-platelet therapy (aspirin is acceptable). more...
- Published
- 2015
17. Comparison of venous glucose to finger-prick glucose in patients with diabetes under hyperbaric hyperoxic conditions: a pilot study.
- Author
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McIlroy D and Banham N
- Subjects
- Adult, Capillaries, Fingers blood supply, Humans, Pilot Projects, Punctures methods, Veins, Blood Glucose analysis, Diabetes Mellitus blood, Hyperbaric Oxygenation
- Abstract
Introduction: Blood glucose is commonly measured in diabetic patients undergoing hyperbaric oxygen treatment (HBOT) from a 'finger-prick' capillary sample. Although this method is an accurate reflection of venous glucose under normal conditions it has not been validated under hyperbaric, hyperoxic conditions., Methods: Four patients with diabetes mellitus undergoing HBOT had venous blood samples drawn simultaneously with routine capillary samples before, during and immediately after three of four HBOT sessions. The Bland-Altman method of assessing agreement between these two measures was used separately for the three time periods., Results: The relationship between venous and finger-prick glucose at room air was altered significantly by HBOT. The bias (finger-prick minus venous measurements) was significantly less than zero during the HBOT session but not immediately after completion of the session. Owing to the small sample size, the limits of agreement straddled zero at all time points, although the lower limit was close to zero during treatment (finger measurement appeared to be higher than venous measurement on room air and lower than venous undergoing HBOT)., Conclusion: Finger-prick capillary sampling may not be an accurate reflection of venous glucose during HBOT. more...
- Published
- 2013
18. Fatal venlafaxine overdose.
- Author
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Banham ND
- Subjects
- Drug Overdose, Fatal Outcome, Female, Humans, Middle Aged, Venlafaxine Hydrochloride, Antidepressive Agents, Second-Generation poisoning, Cyclohexanols poisoning, Selective Serotonin Reuptake Inhibitors poisoning
- Published
- 1998
- Full Text
- View/download PDF
19. Late treatment with antivenom in prolonged red-back spider envenomation.
- Author
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Banham ND, Jelinek GA, and Finch PM
- Subjects
- Adult, Persons with Disabilities, Female, Humans, Male, Middle Aged, Spider Bites complications, Spider Bites physiopathology, Spider Venoms, Time Factors, Antivenins therapeutic use, Spider Bites therapy
- Published
- 1994
- Full Text
- View/download PDF
20. Red-back spider-bites at Fremantle Hospital, 1982-1987.
- Author
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Jelinek GA, Banham ND, and Dunjey SJ
- Subjects
- Adolescent, Adult, Animals, Antivenins therapeutic use, Female, Hospitalization, Hospitals, Municipal, Humans, Male, Retrospective Studies, Seasons, Spider Bites therapy, Thumb injuries, Western Australia, Spider Bites epidemiology, Spiders
- Abstract
The published literature in Australia on red-back spider-bites allows no means of determination of the incidence of this envenomation. This retrospective study describes the experience at Fremantle Hospital with red-back spider-bites over a six-year period from 1982-1987 inclusive. One hundred and fifty patients were admitted to hospital with a definite red-back spider-bite, of whom 32 (21%) patients received antivenom; 11 (34%) of these patients received more than one ampoule. In earlier series, only 3% of patients have received more than one ampoule. These results suggest that the WA red-back spider is particularly venomous, and that the annual number of definite red-back spider-bites in Australia lies between approximately 830 and 1950 cases. more...
- Published
- 1989
- Full Text
- View/download PDF
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