Complications and side effects of hyperbaric XXXX therapy.

@entity1 @entity227 @entity137 @entity410 @entity231 @entity75 @entity1009 @entity26 @entity409 @entity4053 @entity148 @entity397 @entity158 @entity413 @entity1714
BACKGROUND: Despite ongoing controversy, hyperbaric @entity26 (HBO) therapy is frequently administered in various clinical situations. Probably because of the unique atmospheric conditions to which the @entity1 is exposed, there are concerns about the safety aspects of this therapy. Possible complications during HBO therapy include @entity75 (middle ear, nasal sinuses, inner ear, lung, teeth), @entity26 @entity137 (central nervous system, lung), confinement @entity148 , and ocular effects ( @entity1714 , @entity231 growth). METHODS: To analyze the medical safety of HBO therapy, this report reviewed complications and side effects of 782 @entity1 treated for various indications with a total of 11,376 HBO therapy sessions within a multiplace chamber. The absolute treatment pressure was 240 or 250 kPa 114 or 15 msw). The compression was performed in a linear manner with 14 to 15 kPa (1.4 to 1.5 msw) x @entity1009 ). All data were gathered prospectively within a special database. RESULTS: More than 17% of all @entity1 experienced @entity158 or discomfort as an expression of problems in equalizing the middle ear pressure. Most episodes were not related to a persistent @entity409 since they only occurred once. @entity227 (ear microscopy) were verified in 3.8% of all @entity1 . @entity1 with sensory deficits involving the ear region need special attention, because they seem to be at risk for @entity397 of the tympanic membrane (three cases documented). A barotrauma of the nasal sinuses occurred rarely and no @entity75 of the inner ear, lung, or teeth were noted. @entity26 @entity137 of the CNS manifested by generalized @entity410 affected four @entity1 without any recognizable risk factors or prodromes. None of the @entity1 suffered recurrences or sequelae. Regular checks of the blood @entity413 in diabetics failed to reveal episodes of @entity4053 as a cause for @entity410 . Lung function tests of @entity1 undergoing prolonged treatment (average 52.8 sessions) did not deteriorate. CONCLUSION: @entity1 scheduled for HBO therapy need a careful pre-examination and monitoring. If safety guidelines are strictly followed, HBO therapy is a modality with an acceptable rate of complications. The predominant complication is represented by pressure equalization problems within the middle ear. Serious complications rarely occur.
