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Clinical care in extreme environments: physiology at high altitude and in space

Clinical care in extreme environments: physiology at high altitude and in space
Clinical care in extreme environments: physiology at high altitude and in space
□ High altitude or space environments present a number of extreme physiologic challenges that must be overcome in order to survive.
□ Given sufficient time, humans can adapt to both hypobaric hypoxia and microgravity.
□ Lack of adaptation can lead to environment-specific illnesses, such as acute mountain sickness,
high-altitude pulmonary edema, decompression illness, or the acute worsening of comorbid conditions.
□ These conditions can rapidly become fatal if not treated appropriately (e.g., with either descent to lower altitudes or returning to the Earth’s surface).
□ Providing critical care or anesthesia in such environments is further complicated by their ex- treme levels of remoteness.
□ Exploratory missions to such environments depend on the development and vetting of robust and simple health care protocols.
Hypoxia, physiology, altitude, space, anaesthesia, medicine
2313-2337
Elsevier
Cumpstey, Andrew
cd040417-5e62-41d2-8640-1ec8905858a7
Grocott, Michael
1e87b741-513e-4a22-be13-0f7bb344e8c2
Jackson, Alexander
9bbcdd0e-a9c8-46d3-945c-53e9262c4f4c
Gropper, Michael A.
Eriksson, Lars I.
Fleisher, Lee A.
Wiener-Kronish, Jeanine P.
Cohen, Neal H.
Leslie, Kate
Cumpstey, Andrew
cd040417-5e62-41d2-8640-1ec8905858a7
Grocott, Michael
1e87b741-513e-4a22-be13-0f7bb344e8c2
Jackson, Alexander
9bbcdd0e-a9c8-46d3-945c-53e9262c4f4c
Gropper, Michael A.
Eriksson, Lars I.
Fleisher, Lee A.
Wiener-Kronish, Jeanine P.
Cohen, Neal H.
Leslie, Kate

Cumpstey, Andrew, Grocott, Michael and Jackson, Alexander (2020) Clinical care in extreme environments: physiology at high altitude and in space. In, Gropper, Michael A., Eriksson, Lars I., Fleisher, Lee A., Wiener-Kronish, Jeanine P., Cohen, Neal H. and Leslie, Kate (eds.) Miller's Anaesthesia. 9th ed. Canada. Elsevier, pp. 2313-2337.

Record type: Book Section

Abstract

□ High altitude or space environments present a number of extreme physiologic challenges that must be overcome in order to survive.
□ Given sufficient time, humans can adapt to both hypobaric hypoxia and microgravity.
□ Lack of adaptation can lead to environment-specific illnesses, such as acute mountain sickness,
high-altitude pulmonary edema, decompression illness, or the acute worsening of comorbid conditions.
□ These conditions can rapidly become fatal if not treated appropriately (e.g., with either descent to lower altitudes or returning to the Earth’s surface).
□ Providing critical care or anesthesia in such environments is further complicated by their ex- treme levels of remoteness.
□ Exploratory missions to such environments depend on the development and vetting of robust and simple health care protocols.

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e-pub ahead of print date: 14 October 2019
Published date: 2020
Keywords: Hypoxia, physiology, altitude, space, anaesthesia, medicine

Identifiers

Local EPrints ID: 436641
URI: http://eprints.soton.ac.uk/id/eprint/436641
PURE UUID: e40c5c38-118a-4c31-b813-86b1668e9538
ORCID for Andrew Cumpstey: ORCID iD orcid.org/0000-0001-6257-207X
ORCID for Michael Grocott: ORCID iD orcid.org/0000-0002-9484-7581
ORCID for Alexander Jackson: ORCID iD orcid.org/0000-0002-3153-9231

Catalogue record

Date deposited: 19 Dec 2019 17:30
Last modified: 28 Mar 2024 03:05

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Contributors

Author: Andrew Cumpstey ORCID iD
Author: Michael Grocott ORCID iD
Author: Alexander Jackson ORCID iD
Editor: Michael A. Gropper
Editor: Lars I. Eriksson
Editor: Lee A. Fleisher
Editor: Jeanine P. Wiener-Kronish
Editor: Neal H. Cohen
Editor: Kate Leslie

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