PMID- 18571913 OWN - NLM STAT- MEDLINE DCOM- 20090317 LR - 20171116 IS - 0954-6111 (Print) IS - 0954-6111 (Linking) VI - 102 IP - 8 DP - 2008 Aug TI - Are pulmonary bleb and bullae a contraindication for hyperbaric oxygen treatment? PG - 1145-7 LID - 10.1016/j.rmed.2008.03.012 [doi] AB - 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. FAU - Toklu, Akin Savas AU - Toklu AS AD - Department of Underwater and Hyperbaric Medicine, Istanbul University, Istanbul Faculty of Medicine, 34093 Fatih, Istanbul, Turkey. akin@toklu.net FAU - Korpinar, Sefika AU - Korpinar S FAU - Erelel, Mustafa AU - Erelel M FAU - Uzun, Gunalp AU - Uzun G FAU - Yildiz, Senol AU - Yildiz S LA - eng PT - Journal Article PT - Multicenter Study DEP - 20080620 PL - England TA - Respir Med JT - Respiratory medicine JID - 8908438 SB - IM MH - Barotrauma/epidemiology/etiology MH - Blister/complications/diagnosis MH - Contraindications MH - Cysts/complications/diagnosis MH - Health Care Surveys MH - Humans MH - *Hyperbaric Oxygenation/methods MH - Lung Diseases/*complications/diagnosis MH - Lung Injury/epidemiology/etiology MH - Professional Practice/statistics & numerical data MH - Turkey/epidemiology EDAT- 2008/06/24 09:00 MHDA- 2009/03/18 09:00 CRDT- 2008/06/24 09:00 PHST- 2008/02/04 00:00 [received] PHST- 2008/03/04 00:00 [revised] PHST- 2008/03/10 00:00 [accepted] PHST- 2008/06/24 09:00 [pubmed] PHST- 2009/03/18 09:00 [medline] PHST- 2008/06/24 09:00 [entrez] AID - S0954-6111(08)00122-4 [pii] AID - 10.1016/j.rmed.2008.03.012 [doi] PST - ppublish SO - Respir Med. 2008 Aug;102(8):1145-7. doi: 10.1016/j.rmed.2008.03.012. Epub 2008 Jun 20.