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Is decompression illness possible during hyperbaric therapy? a case report.
Gariel, C; Delwarde, B; Beroud, S; Soldner, R; Floccard, B; Rimmelé, T.
Affiliation
  • Gariel C; Department of Anaesthesiology and Intensive Care, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.
  • Delwarde B; Department of Anaesthesiology and Intensive Care, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.
  • Beroud S; EA7426 Hospices Civils de Lyon - bioMérieux - University Claude Bernard Lyon 1 "Pathophysiology of Injury Induced Immunosuppression".
  • Soldner R; Emergency Department, Lyon Sud Hospital, Hospices Civils de Lyon, Lyon, France.
  • Floccard B; Department of Hyperbaric Medicine, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.
  • Rimmelé T; Department of Anaesthesiology and Intensive Care, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.
Undersea Hyperb Med ; 44(3): 283-285, 2017.
Article in En | MEDLINE | ID: mdl-28779585
ABSTRACT
A 57-year-old woman was admitted to the intensive care unit in a state of severe hypotensive shock following a session of hyperbaric oxygen (HBO2) therapy. Shock was attributed to gastric barotrauma, which resulted in a massive venous gas embolism. Gastric barotrauma was attributed to the presence of a filled gastric band/cuff during the HBO2 therapy that prevented expanding gas from escaping on decompression. After deflation of the gastric band, two additional HBO2 sessions were performed and resulted in complete symptom resolution. Vasoactive drugs could be weaned, and the patient was discharged from hospital on Day Three with complete symptom resolution. Given the risk of gastric barotrauma and venous gas embolism, physicians should be aware of gastric band history before HBO2 therapy.
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Collection: 01-internacional Database: MEDLINE Main subject: Stomach / Barotrauma / Gastroplasty / Decompression Sickness / Embolism, Air / Hyperbaric Oxygenation Limits: Female / Humans / Middle aged Language: En Journal: Undersea Hyperb Med Journal subject: FISIOLOGIA Year: 2017 Type: Article Affiliation country: France
Search on Google
Print
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PubMed Links

Collection: 01-internacional Database: MEDLINE Main subject: Stomach / Barotrauma / Gastroplasty / Decompression Sickness / Embolism, Air / Hyperbaric Oxygenation Limits: Female / Humans / Middle aged Language: En Journal: Undersea Hyperb Med Journal subject: FISIOLOGIA Year: 2017 Type: Article Affiliation country: France