Current european recommendations for hyperbaric oxygen treatment

Česká verzia

Authors: M. Hájek ^1,2; D. Chmelař ^2,3; M. Rozložník ²; A. Lochmanová ²; J. Kuzma ²; M. Klugar ⁴
Authors place of work: Centrum hyperbarické medicíny, Městská nemocnice Ostrava, primář MUDr. M. Hájek, Ph. D. ¹; Katedra biomedicínských oborů, LF Ostravské univerzity v Ostravě, vedoucí prof. MUDr. David Stejskal, Ph. D., MBA ²; Referenční laboratoř ČR pro anaerobní bakterie, LF Ostravské univerzity, vedoucí doc. RNDr. Dittmar Chmelař, Ph. D. ³; České národní centrum Evidence-Based Healthcare a Knowledge Translation, Institut biostatistiky a analýz, Lékařská fakulta, Masarykova univerzita, Brno, ředitel PhDr. Miloslav Klugar, Ph. D. ⁴
Published in the journal: Pracov. Lék., 71, 2019, No. 1-2, s. 42-51.
Category: Review Article

Summary

A list of diseases suitable for hyperbaric oxygen therapy is evolving particularly in the context of the development of scientific evidence. The European Committee for Hyperbaric Medicine (ECHM) aims to promote continuous improvement of the quality of care and safety in hyperbaric medicine. Since 1994, ten conferences have been held, delivering recom-
mendations to the broad professional public. The last, 10th ECHM Consensus Conference was held in Lille in April 2016. Reports were introduced, drawn up by panel members, composed of recognized experts in each area. These were based on a thorough examination of the available literature and the synthesis of evidence, followed by the recommendation of GRADE system (Grading of Recommendations, Assessment, Development and Evaluation System). During the conference the reports and expert opinions were presented and discussed. The audience then voted on each recommendation. The voting results were documented and a final consensual recommendation was issued on the basis of the consensus between scientific evidence and the results of the vote of the audience. The current overview of recommendations according to the 10th ECHM Consensual Conference of 2016 is presented and analysed in this paper. The recommended list has been expanded by some indications that were previously listed among the non-recommended indications, some indications have been increasing strength and changing the type of recommendation.

Keywords:

hyperbaric oxygen therapy – clinical practice guidelines – the GRADE system – the Delphi method

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