PMID: 9556121Apr 29, 1998Paper

Delivery of hyperbaric oxygen therapy to critically ill, mechanically ventilated children

Journal of Critical Care
H T KeenanN B Hampson

Abstract

The purpose of this article is (1) to describe our method of mechanical ventilation and monitoring of critically ill children during administration of hyperbaric oxygen therapy (HBO2) in a multiplace chamber; and (2) to review the complications they experienced during transport to the HBO2 chamber and HBO2 treatment. A case series from a university-affiliated children's hospital and regional hyperbaric medicine treatment facility. Patients studied included all children who required HBO2 therapy while mechanically ventilated at any time between April 1985 and June 1995. Thirty-two children were treated with HBO2 while mechanically ventilated. Ages ranged from 3 days to 11.3 years (mean 4.8+/-3.5 years). There were 22 males. Twenty-one children had necrotizing infections, 9 had carbon monoxide (CO) poisoning, and 2 had iatrogenic arterial air embolism. Complications or events occurring during HBO2 therapy included hypotension (63%), bronchospasm (34%), hemotympanum (13%), and progressive hypoxemia (6%). The only complication during transport was one accidental extubation (3%). Hyperbaric oxygen therapy can be administered safely to most critically ill children in a multiplace chamber if they are monitored closely. Although compli...Continue Reading

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Citations

Apr 9, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Kenneth M LeDez, Geoff Zbitnew
May 5, 2005·Pathophysiology : the Official Journal of the International Society for Pathophysiology·John H ZhangAustin Colohan
Dec 6, 2008·Pediatrics and Neonatology·Chi-Hsiun ChoChun-Chih Peng
Jul 30, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Andrew NewcombYves d'Udekem
Apr 5, 2011·Critical Care Medicine·Lindell K Weaver
May 31, 2012·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Geoff P Frawley, Andrew Fock
Feb 1, 2013·Anaesthesia and Intensive Care·G FrawleyN Banham
Aug 19, 1999·The Journal of Trauma·R L Sheridan, E S Shank

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