Undersea & Hyperbaric Medicine Journal Volume 43, Issue #3

Course overview

Learner Objectives: As a result of having attended the meeting, the participants should have had the opportunity to: 1. To review the current literature on the use of hyperbaric oxygen therapy in the treatment of osteonecrosis of the femoral head. 2. To address pertinent issues related to the efficacy and safety of hyperbaric oxygen therapy in the treatment of osteonecrosis of the femoral head. 3. Treatment of a cement PE depends on both patient's symptoms and location of the embolized cement. 4. Evaluation of patient's fitness to resume physically demanding activities after a cement PE is perhaps best guided by the results of basic pulmonary function testing and patient's symptoms on exertion. Subject Matter: Hyperbaric oxygen therapy in the treatment of osteonecrosis of the femoral head: a review of the current literature. A deep-sea diver with cement pulmonary embolism. Hyperbaric oxygen therapy in the treatment of osteonecrosis of the femoral head: a review of the current literature. A deep-sea diver with cement pulmonary embolism. Teaching Methods: •Journal Reading • Examination of material • Evaluation of activity Evaluation Methods: Evaluation is offered through the online educational portal with 3 graded questions each UHM Journal paper and an overall evaluation at completion of the Journal-based activity. References: 1. Venmans A, Lohle PN, van Rooij WJ, Verhaar HJ, Mali WP. Frequency and outcome of pulmonary polymethyl- methacrylate embolism during percutaneous vertebroplasty. Am J Neuroradiol. 2008 Nov; 29(10): 1983-1985. 2. Brylske A. Encyclopedia of Recreational Diving, 3rd edition. United States PADI. ISBN 1-878663-01-1 (2006). 3. Blanksby BA, Wearne FK, Elliott BC, Blitvich JD. Aetiology and occurrence of diving injuries. A review of diving safety. Sports Med. 1997 Apr; 23(4): 228-246. 4. McCall T, Cole C, Dailey A. Vertebroplasty and kypho- plasty: a comparative review of ef¿cacy and adverse events. Curr Rev Musculoskelet Med. 2008 Mar; 1(1): 17-23. 5. Kelekis AD, Martin JB, Somon T, Wetzel SG, Dietrich PY, Ruefenacht DA. Radicular pain after vertebroplasty: com- pression or irritation of the nerve root? Initial experience with the “cooling system.” Spine (Phila Pa 1976). 2003 Jul 15; 28(14): E265-E269. 6. Ratliff J, Nguyen T, Heiss J. Root and spinal cord compression from methylmethacrylate vertebroplasty. Spine (Phila Pa 1976). 2001 Jul 1; 26(13): E300-E302. 7. Anselmetti GC, Corgnier A, Debernardi F, Regge D. Treatment of painful compression vertebral fractures with vertebroplasty: results and complications. Radiol Med. 2005 Sep; 110(3): 262-272. 8. Kim YJ, Lee JW, Park KW, et al. Pulmonary cement embolism after percutaneous vertebroplasty in osteoporotic vertebral compression fractures: incidence, characteristics, and risk factors. Radiology. 2009 Apr; 251(1): 250-259. 9. Choe DH, Marom EM, Ahrar K, Truong MT, Madewell JE. Pulmonary embolism of polymethyl methacrylate during percutaneous vertebroplasty and kyphoplasty. Am J Roent- genol. 2004 Oct; 183(4): 1097-1102. 10. Venmans A, Klazen CAH, Lohle PNM, et al. Percutane- ous vertebroplasty and pulmonary cement embolism: results from VERTOS II. Am J Neuroradiol. 2010 Sep; 31(8): 1451- 1453. 11. Layton KF, Thielen KR, Koch CA, et al. Vertebroplasty, ¿rst 1000 levels of a single center: evaluation of the outcomes and complications. Am J Neuroradiol. 2007 Apr; 28(4): 683- 689. 12. Duran C1, Sirvanci M, Aydogan M, Ozturk E, Ozturk C, Akman C. Pulmonary cement embolism: a complication of percutaneous vertebroplasty. Acta Radiol. 2007 Oct; 48(8):854-859. 13. Lewis G. Injectable bone cements for use in vertebro- plasty and kyphoplasty: state-of-the-art review. J Biomed Mater Res B Appl Biomater. 2011 Jul; 98(1): 171-191. 14. Lee IJ, Choi AL, Yie MY, et al. CT evaluation of local leakage of bone cement after percutaneous kyphoplasty and vertebroplasty. Acta Radiol. 2010 Jul;51(6):649-654.