Analysis of risk factors associated with complications of hyperbaric oxygen therapy

Journal of Critical Care
Satoshi AmbiruMasaru Miyazaki

Abstract

The aim of this study was to verify independent risk factors of pressure equalization problems associated with hyperbaric oxygen (HBO(2)) therapy. We reviewed a single-institutional study of 1609 patients with 17604 treatments who had HBO(2) therapy in a multiplace chamber, in which the factors examined and their relationship to complications were assessed, using multivariate analyses, to determine the significantly independent risk factors of complications related to HBO(2) therapy. The compression rate was 0.067 atmospheres absolute/min (6.8 kPa/min). Pressure equalization problems of the middle ear, expressed as pain or discomfort, such as cranial sinus pain, and teeth pain were observed in 156 patients (9.7%). Sixty-six of them could not continue HBO(2) therapy because of these problems. Peripheral circulatory disorders with refractory ulcers or nonhealing wounds and the interval between clinical symptoms and the first day of HBO(2) therapy were independent risk factors of pressure equalization problems. Independent risk factors of cessation due to pressure equalization problems were identified as age more than 61 years, female sex, and interval between symptoms and the first day of HBO(2) therapy. It is suggested that cham...Continue Reading

References

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Citations

May 29, 2009·Orthopedics·Ross M WilkinsRaymond Blum
Dec 10, 2015·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Yoko YamamotoKen Kitamura
Mar 24, 2012·International Journal of Radiation Oncology, Biology, Physics·Caspian OliaiLydia T Komarnicky
Jul 5, 2016·Disaster Medicine and Public Health Preparedness·Adriano ValerioStefano Tardivo
Oct 27, 2017·Allergy & Rhinology·Reza VaezeafsharJayakar V Nayak
Jul 24, 2014·Plastic and Reconstructive Surgery·Harunosuke KatoKotaro Yoshimura

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