Hyperbaric oxygen 100 percent oxygen at two to threetimes the atmospheric pressure at sea level can resultin arterial oxygen tension in excess of 2000 mm Hg1 and oxygentension in tissue of almost 400 mm Hg.2,3 Such doses of oxygenhave a number of beneficial biochemical, cellular, and physiologiceffects, and today there are 259 hyperbaric facilities in theUnited States with 344 single-occupant ("monoplace") hyperbaric-oxygenchambers.4 In this article, we review the mechanisms of action,evidence of clinical efficacy, and risks of therapy with hyperbaricoxygen.
From the Department of Emergency Medicine, University of Massachusetts Medical Center, 55 Lake Ave. N., Worcester, MA 01655, where reprint requests should be addressed to Dr. Tibbles.
References
Related Letters:
Hyperbaric-Oxygen Therapy
Geiderman J. M., Ault M. J., Jain K.K., Schaefer B., Weinstock V. M., Weinstock S. J., Tibbles P. M., Edelsberg J. S.
Extract |
Full Text
N Engl J Med 1996;
335:1684-1686, Nov 28, 1996.
Correspondence
This article has been cited by other articles:
Rubinstein, I., Abassi, Z., Milman, F., Ovcharenko, E., Coleman, R., Winaver, J., Better, O. S.
(2008). Hyperbaric oxygen treatment improves GFR in rats with ischaemia/reperfusion renal injury: a possible role for the antioxidant/oxidant balance in the ischaemic kidney. Nephrol Dial Transplant
0: gfn511v1-gfn511
[Abstract][Full Text]
Gu, G.-J., Li, Y.-P., Peng, Z.-Y., Xu, J.-J., Kang, Z.-M., Xu, W.-G., Tao, H.-Y., Ostrowski, R. P., Zhang, J. H., Sun, X.-J.
(2008). Mechanism of ischemic tolerance induced by hyperbaric oxygen preconditioning involves upregulation of hypoxia-inducible factor-1{alpha} and erythropoietin in rats. J. Appl. Physiol.
104: 1185-1191
[Abstract][Full Text]
Lo, C.-P., Chen, S.-Y., Lee, K.-W., Chen, W.-L., Chen, C.-Y., Hsueh, C.-J., Huang, G.-S.
(2007). Brain Injury After Acute Carbon Monoxide Poisoning: Early and Late Complications. Am. J. Roentgenol.
189: W205-W211
[Abstract][Full Text]
Weaver, L. K., Valentine, K. J., Hopkins, R. O.
(2007). Carbon Monoxide Poisoning: Risk Factors for Cognitive Sequelae and the Role of Hyperbaric Oxygen. Am. J. Respir. Crit. Care Med.
176: 491-497
[Abstract][Full Text]
Hiraki, T., Fujiwara, H., Sakurai, J., Iguchi, T., Gobara, H., Tajiri, N., Mimura, H., Kanazawa, S.
(2007). Nonfatal Systemic Air Embolism Complicating Percutaneous CT-Guided Transthoracic Needle Biopsy: Four Cases From a Single Institution. Chest
132: 684-690
[Abstract][Full Text]
Funk, D. J., Clay, A. S.
(2007). A 29-Year-Old Woman With Sudden Anemia and Arterial Oxygen Desaturation. Chest
131: 621-623
[Full Text]
Choi, H., Kim, S.-H., Chun, Y.-S., Cho, Y.-S., Park, J.-W., Kim, M.-S.
(2006). In vivo hyperoxic preconditioning prevents myocardial infarction by expressing bcl-2.. Exp. Biol. Med.
231: 463-472
[Abstract][Full Text]
Henry, C. R., Satran, D., Lindgren, B., Adkinson, C., Nicholson, C. I., Henry, T. D.
(2006). Myocardial Injury and Long-term Mortality Following Moderate to Severe Carbon Monoxide Poisoning. JAMA
295: 398-402
[Abstract][Full Text]
Kunnavatana, S. S., Quan, S. Y., Koch, R. J.
(2005). Combined Effect of Hyberbaric Oxygen and N-Acetylcysteine on Fibroblast Proliferation. Arch Otolaryngol Head Neck Surg
131: 809-814
[Abstract][Full Text]
Satran, D., Henry, C. R., Adkinson, C., Nicholson, C. I., Bracha, Y., Henry, T. D.
(2005). Cardiovascular Manifestations of Moderate to Severe Carbon Monoxide Poisoning. J Am Coll Cardiol
45: 1513-1516
[Abstract][Full Text]
Cancio, L. C
(2005). Current concepts in the pathophysiology and treatment of inhalation injury. Trauma
7: 19-35
[Abstract]
Annane, D., Depondt, J., Aubert, P., Villart, M., Gehanno, P., Gajdos, P., Chevret, S.
(2004). Hyperbaric Oxygen Therapy for Radionecrosis of the Jaw: A Randomized, Placebo-Controlled, Double-Blind Trial From the ORN96 Study Group. JCO
22: 4893-4900
[Abstract][Full Text]
Gill, A.L., Bell, C.N.A.
(2004). Hyperbaric oxygen: its uses, mechanisms of action and outcomes. QJM
97: 385-395
[Full Text]
Dean, J. B., Mulkey, D. K., Henderson, R. A. III, Potter, S. J., Putnam, R. W.
(2004). Hyperoxia, reactive oxygen species, and hyperventilation: oxygen sensitivity of brain stem neurons. J. Appl. Physiol.
96: 784-791
[Abstract][Full Text]
Kang, T. S., Gorti, G. K., Quan, S. Y., Ho, M., Koch, R. J.
(2004). Effect of Hyperbaric Oxygen on the Growth Factor Profile of Fibroblasts. Arch Facial Plast Surg
6: 31-35
[Abstract][Full Text]
Allan, G. M., Kenny, D.
(2003). High-altitude decompression illness: case report and discussion. CMAJ
169: 803-807
[Abstract][Full Text]
Dean, J. B., Mulkey, D. K., Garcia, A. J. III, Putnam, R. W., Henderson, R. A. III
(2003). Neuronal sensitivity to hyperoxia, hypercapnia, and inert gases at hyperbaric pressures. J. Appl. Physiol.
95: 883-909
[Abstract][Full Text]
Mulkey, D. K., Henderson, R. A. III, Putnam, R. W., Dean, J. B.
(2003). Hyperbaric oxygen and chemical oxidants stimulate CO2/H+-sensitive neurons in rat brain stem slices. J. Appl. Physiol.
95: 910-921
[Abstract][Full Text]
Kanhai, A., Losito, J. M.
(2003). Hyperbaric Oxygen Therapy for Lower-Extremity Soft-Tissue Sports Injuries. J. Am. Podiatr. Med. Assoc.
93: 298-306
[Abstract][Full Text]
Mokhlesi, B., Leikin, J. B., Murray, P., Corbridge, T. C.
(2003). Adult Toxicology in Critical Care: Part II: Specific Poisonings. Chest
123: 897-922
[Full Text]
Weaver, L. K., Hopkins, R. O., Chan, K. J., Churchill, S., Elliott, C. G., Clemmer, T. P., Orme, J. F. Jr., Thomas, F. O., Morris, A. H.
(2002). Hyperbaric Oxygen for Acute Carbon Monoxide Poisoning. NEJM
347: 1057-1067
[Abstract][Full Text]
Dwyer, K. M., Francis, D. M. A., Hill, P. A., Murphy, B. F.
(2002). Calcific uraemic arteriolopathy: local treatment and hyperbaric oxygen therapy. Nephrol Dial Transplant
17: 1148-1149
[Full Text]
Grant, M. J. C., Clay, B.
(2002). Accidental Carbon Monoxide Poisoning With Severe Cardiorespiratory Compromise in 2 Children. Am J Crit Care
11: 128-131
[Full Text]
Abramovich, A., Yanir, Y., Shupak, A., Hamad, A., Alghadban, A., Ward, L.
(2001). Medical Problems in Scuba Diving. Chest
120: 1040-1040
[Full Text]
Cosgrove, H., Bryson, P.
(2001). Hyperbaric medicine in soft tissue trauma. Trauma
3: 133-141
[Abstract]
Webster, K. H., Martens, P. R., Murphy, M., Sumpio, B. E., Blume, P. A.
(2001). Treatment of Foot Ulcers. NEJM
344: 139-140
[Full Text]
Salo, J. A., Savola, J. K., Toikkanen, V. J., Perhoniemi, V. J., Pettila, V. Y.O., Klossner, J. A., Toivonen, H. J.
(2000). Successful treatment of mediastinal gas gangrene due to esophageal perforation. Ann. Thorac. Surg.
70: 2143-2145
[Abstract][Full Text]
Dean, J. B., Mulkey, D. K.
(2000). Continuous intracellular recording from mammalian neurons exposed to hyperbaric helium, oxygen, or air. J. Appl. Physiol.
89: 807-822
[Abstract][Full Text]
Petzold, T., Feindt, P. R., Carl, U. M., Gams, E.
(1999). Hyperbaric Oxygen Therapy in Deep Sternal Wound Infection After Heart Transplantation. Chest
115: 1455-1458
[Abstract][Full Text]
Weaver, L. K., Hopkins, R. O., Elliott, G., Leikin, J. B., Clifton, J. C., Hanashiro, P. K., Woehlck, H. J., Kauffman, H. M., Ryan, D. P., Cosentino, A. M., Ernst, A., Zibrak, J.
(1999). Carbon Monoxide Poisoning. NEJM
340: 1290-1292
[Full Text]
Ernst, A., Zibrak, J. D.
(1998). Carbon Monoxide Poisoning. NEJM
339: 1603-1608
[Full Text]
Waisman, D., Shupak, A., Weisz, G., Melamed, Y.
(1998). Hyperbaric Oxygen Therapy in the Pediatric Patient: The Experience of the Israel Naval Medical Institute. Pediatrics
102: 53e-53
[Abstract][Full Text]
Rachmilewitz, D, Karmeli, F, Okon, E, Rubenstein, I, Better, O S
(1998). Hyperbaric oxygen: a novel modality to ameliorate experimental colitis. Gut
43: 512-518
[Abstract][Full Text]
Best, T. M., Loitz-Ramage, B., Corr, D. T., Vanderby, R. Jr
(1998). Hyperbaric Oxygen in the Treatment of Acute Muscle Stretch Injuries: Results in an Animal Model. Am J Sports Med
26: 367-372
[Abstract][Full Text]
Committee on Infectious Diseases,
(1998). Severe Invasive Group A Streptococcal Infections: A Subject Review. Pediatrics
101: 136-140
[Abstract][Full Text]
Stamler, J. S., Jia, L., Eu, J. P., McMahon, T. J., Demchenko, I. T., Bonaventura, J., Gernert, K., Piantadosi, C. A.
(1997). Blood Flow Regulation by S-Nitrosohemoglobin in the Physiological Oxygen Gradient. Science
276: 2034-2037
[Abstract][Full Text]
Geiderman, J. M., Ault, M. J., Jain, K.K., Schaefer, B., Weinstock, V. M., Weinstock, S. J., Tibbles, P. M., Edelsberg, J. S.
(1996). Hyperbaric-Oxygen Therapy. NEJM
335: 1684-1686
[Full Text]