ID 112275
Title Alternative
Rare complications of hyperbaric oxygen therapy
Author
Cho, Kosai Kyoto University
Minami, Takeya Kyoto University
Okuno, Yoshinori Kyoto University
Kakuda, Youhei Kyoto University
Tsutsumi, Takahiko Kyoto University
Kogame, Toshiaki Kyoto University
Ohtsuru, Shigeru Kyoto University
Sato, Norio Kyoto University
Koike, Kaoru Kyoto University
Keywords
hyperbaric oxygen therapy
carbon monoxide poisoning
multiplace chamber
convulsive seizure
pulmonary edema
Content Type
Journal Article
Description
Hyperbaric oxygen therapy (HBOT) for carbon monoxide (CO) poisoning is widely performed to prevent delayed neuropsychiatric syndrome. Although HBOT can generally be performed with safety, the appropriate management of HBOT still remains unestablished. A 31-year-old man was transferred to our facility to undergo HBOT in a multiplace chamber with a diagnosis of CO poisoning. The first HBOT session ended uneventfully. During the second HBOT session, the patient suddenly experienced convulsive seizures. The accompanying doctor administered intravenous propofol to stop the convulsion and terminated the HBOT. Soon after the convulsion, the patient developed frothy secretions through the endotracheal-tube with impaired oxygenation. Head computed tomography scan showed no abnormalities, suggesting the seizure was associated with complications of HBOT. A chest X-ray revealed bilateral pulmonary edema, and echocardiography revealed normal cardiac function, indicating that the pulmonary edema resulted from HBOT or neurogenic mechanism secondary to the seizure. The patient’s respiratory status improved without recurrence of the seizure and no delayed neurological sequelae was seen afterwards. Here we report unexpected rare adverse events during HBOT. Hyperbaric oxygen therapy for acute indications should be performed in multiplace chambers, with appropriate preparation and medical equipment.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA12022913
AA11166929
Publisher
Faculty of Medicine Tokushima University
Volume
65
Issue
3-4
Start Page
286
End Page
288
Sort Key
286
Published Date
2018-08
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher