Table 2.
Reported cases of CPR during hyperbaric oxygen therapy (HBOT)
| Author, Year, Country, Location | Cases (n) |
Age (years) |
Sex (m/f) | Indication for HBOT and cause of CPR | Iatrogenic (Y/N) |
CPR during HBOT | Outcome |
|---|---|---|---|---|---|---|---|
|
Bayrakci, 2008 [47] Turkey, Ankara |
1 | 7 | m | -CO-intoxication due to CO seepage | N | -90 min of 2nd HBOT on 2nd day after accident | -brain dead, organs were donored |
|
Burcharth, 2012 [48] Denmark, Copenhagen |
1 | 50 | f |
-laparoscopic cholecystectomy + liver cyst fenestration -VAE, suspected AAE |
Y | -CA at 243 min | -discharge w/o complications POD day 14 |
|
Dieterich, 2016 [6] Germany, Murnau |
1 | 89 | f |
-gas gangrene after dynamic hip screw -septic shock |
Y | -During HBOT | -fatal |
|
Erdmann, 2009 [49] Germany, Murnau |
1 | 22 | m |
-CO-intoxication (suicidal) -hypothermia, lactic acidosis, hyperkalemia |
N | -transition into 2nd decompression | -no neurological sequelae 3 months after treatment |
|
Frye, 2007 [50] USA, Houston (Texas) |
1 | 13 | m |
-pulmonary valve replacement -AGE |
Y | -during HBOT | -no brainstem reflexes, no spontaneous breathing |
|
Kjeld, 2012 [20] Denmark, Copenhagen |
1 | 52 | f |
-laparoscopy, CCE liver cyst marsupialization -postoperative PEA due to VGE, later VF with CA |
Y | -during decompression (pressure lowered to 1.9 ATA after 2,5 h) | -full recovery POD 4 |
|
Lalieu, 2020 [51] Netherlands, Raamsdonksveer |
1 | 37 | m |
-non-healing venous leg ulcer -acute COT with seizure tachy-/ apnea |
N | -last minute of decompression | -fatal |
|
Machicado, 2013 [52] USA, Houston (Texas) |
1 | 69 | f |
-flight take-off -systemic AE (bronchogenic cyst) |
N | -during decompression | -fatal |
|
Maples, 2008 [53] USA, Norfolk (Virginia) |
1 | 32 | f |
-dive (60 m) -AGE |
N | -during decompression | -died after several days |
|
Mendez, 2017 [54] Mexico, Yucatán |
1 | 35 | m |
-dive (25 m for 90 min) -suspected cardiopulmonary DCS |
N | -HBOT (150 min) after recompression | -fatal |
|
Murphy, 1991 [23] USA, Chicago (Illinois) |
1 | 17 | f |
-CO-intoxication -then tension pneumothorax |
N | -before and after 5 min of HBOT | -declared brain dead next day |
|
Quesada Suescun, 2011 [55] Spain, Santander |
2 | - | - | - | - | - | -fatal |
|
Sloan, 1989 [56] USA, Chicago (Illinois) |
3 | - | - | -CO-intoxication | N | -during HBOT | - |
|
Van Meter, 2011 [57] USA, New Orleans (Louisiana) |
1 | 35 | m |
-commercial diving -hypoxia due to air supply compression |
N | -before HBOT until first round of 6 ATA HBOT | -full recovery |
|
Weaver, 1999 [58] USA, Salt Lake City (Utah) |
1 | 25 | m |
-CO-intoxication -aspiration pneumonia, cerebral edema |
N | -2,9 ATA breathing O2 | -stabilization |
|
Wolf, 1990 [22] USA, Durham (North Carolina) |
1 | 69 | w |
-non-healing ulcer of the foot -suspected pulmonary barotrauma with air embolism |
N |
-defibrillation during decompression |
-fatal |
|
Wright, 2016 [59] Micronesia, Guam (Territory of the United States) |
2 | 27 | m |
-scuba diving -DCS |
N | -during the third O2 period | -fatal |
| 43 | m |
-deep dive -DCS |
N | -after recompression (due to tachypnea during fifth O2 period at 60 fsw) | -fatal | ||
|
Xiangdong, 2008 [60] China, Shandong |
1 | 37 | m |
-poisoning due to accidental inhalation of hydrogen cyanide |
N | -during HBOT | -CPR succeeded after 10 min |
AAE = arterial air embolism; AE = arterial embolism; AGE = arterial gas embolism; ATA = atmospheres absolute; CA = cardiac arrest; CPR = cardiopulmonary resuscitation; CO = carbon monoxide; COT = cerebral oxygen toxicity; DCS = decompression sickness; HBOT = hyperbaric oxygen therapy; PEA = pulseless electrical activity; USA = United States of America VAE = venous air embolism; VF = ventricular fibrillation; VGE = venous gas embolism; VT = ventricular tachycardia; w/o = without; POD = postoperative day