PMID- 37718293
OWN - NLM
STAT- MEDLINE
DCOM- 20230919
LR  - 20231223
IS  - 1833-3516 (Print)
IS  - 2209-1491 (Electronic)
IS  - 1833-3516 (Linking)
VI  - 53
IP  - 3
DP  - 2023 Sep 30
TI  - Hyperbaric oxygen treatment in children: experience in 329 patients.
PG  - 203-209
LID - 10.28920/dhm53.3.203-209 [doi]
AB  - INTRODUCTION: Paediatric patients, like adults, may undergo hyperbaric oxygen 
      treatment (HBOT) in both life-threatening situations and chronic diseases. There 
      are particular challenges associated with managing paediatric patients for HBOT. 
      This paper documents the indications, results, complications, and difficulties 
      that occur during HBOT for a large cohort of paediatric patients and compares 
      them with adult data in the literature. Methods used to reduce these difficulties 
      and complications in children are also discussed. METHODS: This was a 15-year 
      retrospective review of paediatric patients treated with HBOT at two hyperbaric 
      centres. Between January 2006 and June 2021, patients under the age of 18 who 
      received at least one session of HBOT were included. RESULTS: Three hundred and 
      twenty-nine paediatric patients underwent a total of 3,164 HBOT exposures. 
      Two-hundred and fifty-four patients (77.2%) completed treatment as planned and 
      218 (66.5%) achieved treatment goals without complications. Two patients treated 
      for carbon monoxide poisoning exhibited neurological sequelae. Amputation was 
      performed in one patient with limb ischaemia. Middle ear barotrauma events 
      occurred in five treatments. No central nervous system oxygen toxicity was 
      recorded during the treatments. CONCLUSIONS: This patient series indicates that 
      HBOT can be safely performed in pediatric patients with low complication rates by 
      taking appropriate precautions. The cooperation of hyperbaric medicine physicians 
      and other physicians related to paediatric healthcare is important in order for 
      more patients to benefit from this treatment. When managing intubated patients an 
      anaesthesiologist may need to participate in the treatment in order to perform 
      necessary interventions.
CI  - Copyright: This article is the copyright of the authors who grant Diving and 
      Hyperbaric Medicine a non-exclusive licence to publish the article in electronic 
      and other forms.
FAU - Aydin, Figen
AU  - Aydin F
AD  - Department of Hyperbaric Medicine, University of Health Sciences, Izmir Bozyaka 
      Training and Research Hospital, Izmir, Turkey.
AD  - Corresponding author: Dr Figen Aydin, Saim Cikrikci Cad. No:59, 35110 
      Karabaglar/Izmir, Turkey, figen.aydin@yahoo.com.
LA  - eng
PT  - Journal Article
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
RN  - S88TT14065 (Oxygen)
SB  - IM
MH  - Adult
MH  - Humans
MH  - Child
MH  - *Hyperbaric Oxygenation
MH  - Oxygen
MH  - *Barotrauma
MH  - Central Nervous System
MH  - Ear, Middle
PMC - PMC10735713
OTO - NOTNLM
OT  - Barotrauma
OT  - Carbon monoxide
OT  - Hearing loss sudden
OT  - Safety
OT  - Side effects
COIS- Conflict of interest and funding: nil
EDAT- 2023/09/18 00:41
MHDA- 2023/09/19 06:42
PMCR- 2024/09/30
CRDT- 2023/09/17 22:53
PHST- 2023/02/08 00:00 [received]
PHST- 2023/06/23 00:00 [accepted]
PHST- 2024/09/30 00:00 [pmc-release]
PHST- 2023/09/19 06:42 [medline]
PHST- 2023/09/18 00:41 [pubmed]
PHST- 2023/09/17 22:53 [entrez]
AID - 10.28920/dhm53.3.203-209 [doi]
PST - ppublish
SO  - Diving Hyperb Med. 2023 Sep 30;53(3):203-209. doi: 10.28920/dhm53.3.203-209.