What We Can Expect from Hyperbaric Medicine Practice, 4th Edition

  • Henry J.C. Schwartz, MD, FACP
  • Volume 08 - Issue 1

Textbook may sometimes gain the unusual trait of longevity beyond all other books — it can be revised and remain a primary source of information for generations of students. Hyperbaric Medicine Practice by Eric P. Kindwall seems destined to become such a book. The 4th edition, to be published by Best Publishing Company in 2017, is edited by Harry T. Whelan et al. and pays tribute to its original author, Dr. Kindwall, who died in 2012. It also adds new information of interest to all in the field of in- water diving and clinical hyperbaric medicine.

Most chapters have been written or revised by new authors, and several have the same author or authors but are updated. New chapters include indications for hyperbaric oxygen treatment subjects recently approved for treatment such as idiopathic sudden sensorineural hearing loss and central retinal vein occlusion. There are also chapters dealing with submarine rescue and problems that pertain to technical and rebreather diving. A chapter supporting the use of a ketogenic diet to reduce the risk of central nervous system oxygen toxicity is supported by considerable technical data but will likely elicit discussion among the scientific community until this modality is backed by human evidence of effectiveness.

Several chapters in the 3rd edition do not appear in this one. These chapters include physics of diving and hyperbaric pressure; hyperbaric oxygen therapy and the quality payment system; sternal wound infection, dehiscence, and sternal osteomyelitis; ileus associated with abdominal surgery and acute myocardial infarction in animals and man. The omission of chapters dealing with payments and regulations recognize that these issues do not belong in medical textbooks. The other deletions reflect the minimal value and lack of effectiveness of hyperbaric oxygen therapy in those conditions or are more appropriately addressed elsewhere.


About the Author


HENRY J.C. SCHWARTZ, MD, FACP, is retired from the US Navy as a captain in the Medical Corps. He received a bachelor of science degree in zoology and his MD from the University of Wisconsin-Madison. After interning at the Philadelphia General Hospital, he entered the US Navy, where he served for a total of 25 years and also had a private practice of internal medicine in between navy stints. After retiring from the Navy, he was a physician at the Hyperbaric Treatment Center at the John A. Burns School of Medicine of the University of Hawaii, where he was also appointed as an associate clinical professor. He is board certified in internal medicine and in undersea and hyperbaric medicine. He is a private pilot, a navy saturation diving medical officer and is qualified in submarines.


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