Document Detail


Pulmonary barotrauma and cerebral arterial gas embolism during hyperbaric oxygen therapy.
MedLine Citation:
PMID:  20824998     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hyperbaric oxygen therapy (HBOT) is used to treat a variety of disorders. It is a safe treatment modality, but rare catastrophic complications may occur. In this case report, we describe the occurrence of irreversible spastic quadriparesis in a patient who suffered a cerebral arterial gas embolism (CAGE) during decompression from HBOT. The patient had a history of respiratory disease and was subsequently found to have bullous changes in the left lung, which almost certainly predisposed to this rare event. We discuss appropriate pretreatment screening to prevent such events and highlight the paradox that HBOT, the cause of the CAGE, is also the treatment of choice.
Authors:
Gareth Rivalland; Simon J Mitchell; Johan M van Schalkwyk
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Aviation, space, and environmental medicine     Volume:  81     ISSN:  0095-6562     ISO Abbreviation:  Aviat Space Environ Med     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-09     Completed Date:  2010-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501714     Medline TA:  Aviat Space Environ Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  888-90     Citation Subset:  IM; S    
Affiliation:
Department of Clinical Oncology, Auckland City Hospital, Park Road, Grafton, Auckland 1023, New Zealand. garethr@adhb.govt.nz
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MeSH Terms
Descriptor/Qualifier:
Acute Lung Injury / etiology*
Aged
Barotrauma / etiology*
Cerebral Arterial Diseases / etiology*
Embolism, Air / etiology*
Humans
Hyperbaric Oxygenation / adverse effects*,  contraindications
Male
Pulmonary Disease, Chronic Obstructive / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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