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Hyperbaric Oxygen Therapy

Hyperbaric Oxygen Therapy is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

  • Administration of 100% oxygen at >1 atm (typically 2–3 atm)
  • Mechanisms of action:
    • Increases oxygen availability at the cellular level:
      • Breathing 100% oxygen at 3 atm supplies enough dissolved oxygen to support life without hemoglobin.
    • Compresses formed gas bubbles (in cases of air embolism or decompression sickness)
  • 2 types of hyperbaric oxygen chambers:
    • Monoplace:
      • Accommodates 1 supine patient
      • Technician outside the chamber for monitoring
      • Compressed with 100% oxygen
    • Multiplace:
      • Holds multiple patients
      • Holds attendants who “dive” with the patients
      • Airlocks available for medication/equipment transfer outside of the chamber
      • Compressed with air—patients breath oxygen by face mask, endotracheal tube, or face hood.

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Citation

Rosen, Peter, et al., editors. "Hyperbaric Oxygen Therapy." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307112/all/Hyperbaric_Oxygen_Therapy.
Hyperbaric Oxygen Therapy. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307112/all/Hyperbaric_Oxygen_Therapy. Accessed April 22, 2019.
Hyperbaric Oxygen Therapy. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307112/all/Hyperbaric_Oxygen_Therapy
Hyperbaric Oxygen Therapy [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 22]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307112/all/Hyperbaric_Oxygen_Therapy.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Hyperbaric Oxygen Therapy ID - 307112 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307112/all/Hyperbaric_Oxygen_Therapy PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -