Are pulmonary bleb and bullae a contraindication for hyperbaric oxygen treatment?

作者：Toklu Akin Savas^*; Korpinar Sefika; Erelel Mustafa; Uzun Gunalp; Yidiz Senol

来源：Respiratory Medicine, 2008, 102(8): 1145-1147.

DOI：10.1016/j.rmed.2008.03.012

• pulmonary barotrauma
• hyperbaric oxygen
• bleb
• bullae

Background: Air cysts or blebs in the lungs may predispose pulmonary barotrauma (PBT) by causing air trapping when there is a change in environmental pressure. The changes in the environmental pressure are also seen during hyperbaric oxygen treatments (HBOT).
Aim: The aim of this study was to determine how patients were evaluated for pulmonary Webs or bullae, and PBT prevalence in different HBOT centers. Methods: HBOT centers were asked to participate in this study and a questionnaire was send via e-mail. A total of 98 centers responded to our questionnaire.
Results: Sixty-five HBOT centers (66.3%) reported that they applied HBOT to the patients with air cysts in their lungs. X-ray was the most widely used screening method for patients with a history of a tung disease. The prevalence of PBT in theses centers was calculated as 0.00045%.
Conclusions: Our survey demonstrated that (1) a significant portion of the HBO centers accept patients with pulmonary bleb or bullae, (2) although insufficient, X-ray is the mostly used screening tool. for patients with a history of pulmonary disease and (3) the prevalence of pulmonary barotrauma is very low in HBOT.

• 出版日期2008-8
• 单位中国人民解放军军事医学科学院