Author: Nuthall, G. et al.
Source: PEDIATRICS Volume 106, Number 6, December 2000
In this case series, physicians from the Pediatric Intensive Care Unit and Pediatric Neurology department of Children's and Women's Hospital join a physician from the Hyperbaric Oxygen Unit of Vancouver General Hospital (All in Vancouver, Canada) to report on two young children who were required admission to the Pediatric Intensive Care Unit shortly after undergoing hyperbaric oxygen threrapy (HBOT) at a nearby center. One child, a 4 year old boy who had eaten during a break between two separate HBOT sessions, was diagnosed with aspiration pneumonia after regurgitating and choking on his feeds during the second treatment. The other 10 month old boy had a seizure from a stroke caused by a blood clot on the left side of his brain following two days of twice-daily HBOT. Each boy was receiving twice a day sessions of HBOT using 100% oxygen at less than 2 atmoshperes of pressure. The authors believe that the timing of these events, combined with their clinical findings, suggest that the use of HBOT was likely responsible for these complications. They recommend that, until the results of a randomized controlled trail are available to prove its usefulness, HBOT should not be recommended as a treatment for CP in children.
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