High Altitude Pulmonary Edema, High Altitude Cerebral Edema, and Acute Mountain Sickness: an enhanced opinion from the High Andes - La Paz, Bolivia 3,500 m.
high altitude
high altitude illnesses
high altitude physiology
hypobaric hypoxia
mountain climbing
physiologic adaptation
Journal
Reviews on environmental health
ISSN: 2191-0308
Titre abrégé: Rev Environ Health
Pays: Germany
ID NLM: 0425754
Informations de publication
Date de publication:
27 Jun 2023
27 Jun 2023
Historique:
received:
20
12
2021
accepted:
21
03
2022
medline:
5
6
2023
pubmed:
30
4
2022
entrez:
29
4
2022
Statut:
epublish
Résumé
Traveling to high altitudes for entertainment or work is sometimes associated with acute high altitude pathologies. In the past, scientific literature from the lowlander point of view was primarily based on mountain climbing. Sea level scientists developed all guidelines, but they need modifications for medical care in high altitude cities. Acute Mountain Sickness, High Altitude Pulmonary Edema, and High Altitude Cerebral Edema are medical conditions that some travelers can face. We present how to diagnose and treat acute high altitude pathologies, based on 51 years of high altitude physiology research and medical practice in hypobaric hypoxic diseases in La Paz, Bolivia (3,600 m; 11,811 ft), at the High Altitude Pulmonary and Pathology Institute (HAPPI - IPPA). These can occasionally present after flights to high altitude cities, both in lowlanders or high-altitude residents during re-entry. Acute high altitude ascent diseases can be adequately diagnosed and treated in high altitude cities following the presented guidelines. Treating these high-altitude illnesses, we had no loss of life. Traveling to a high altitude with sound medical advice should not be feared as it has many benefits. Nowadays, altitude descent and evacuation are not mandatory in populated highland cities, with adequate medical resources.
Identifiants
pubmed: 35487499
pii: reveh-2021-0172
doi: 10.1515/reveh-2021-0172
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
327-338Informations de copyright
© 2022 Gustavo R. Zubieta-Calleja and Natalia Zubieta-DeUrioste, published by De Gruyter, Berlin/Boston.
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