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

Respir Med. 2008 Aug;102(8):1145-7. doi: 10.1016/j.rmed.2008.03.012. Epub 2008 Jun 20.

Abstract

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 blebs 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 lung 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.

Publication types

  • Multicenter Study

MeSH terms

  • Barotrauma / epidemiology
  • Barotrauma / etiology
  • Blister / complications
  • Blister / diagnosis
  • Contraindications
  • Cysts / complications
  • Cysts / diagnosis
  • Health Care Surveys
  • Humans
  • Hyperbaric Oxygenation* / methods
  • Lung Diseases / complications*
  • Lung Diseases / diagnosis
  • Lung Injury / epidemiology
  • Lung Injury / etiology
  • Professional Practice / statistics & numerical data
  • Turkey / epidemiology