Sinus and internal and external ear disorders are the most common side effects of hyperbaric oxygen therapy (HBO2).1 These spaces are the cranium’s pneumatic sockets and, particularly those of the middle and inner ear, are most frequently involved in the pressure stress caused by compression and decompression maneuvers during exposure to altered pressures in the hyperbaric chamber. Barotrauma is the mechanical tissue damage produced by environmental pressure variation, and the middle ear is the most frequently involved structure in this kind of damage. According to Boyle’s law (the product of pressure and volume is a constant for a given mass of confined gas) it is easy to understand why all enclosed air cavities are more susceptible to this kind of lesion. Barotraumas can occur due to an increase or decrease of gas volume. To avoid gas volume decrease during the compression phase, the patient must perform some compensatory maneuvers aimed at inhaling and forcing gas (air or oxygen) into the nasal and sinus cavities. During decompression in the chamber or even underwater, the body’s gas expands and is expelled from cavities to the outside, usually without any active maneuver. It is essential to teach the patient about the functions of the hyperbaric chamber and the correct maneuvers of baro compensation. In this article, we will describe the main barotraumas that can occur during hyperbaric oxygen therapy.
Did you know that you can purchase online CME/CEU courses in bulk at a reduced rate? Save money by purchasing a course package to address all of your continuing education needs this year, or the needs of your clinic staff members!
We conduct and announce a lot of courses in hyperbaric medicine throughout the year. Each course is a little different, with unique aspects we would like to highlight to help you decide which course might be a good fit for you to attend.
We get a lot of questions from hospital administrators and clinic directors asking what makes our Introductory Course in Hyperbaric Medicine unique. While there are many benefits to hosting hyperbaric team training through Wound Care Education Partners (WCEP), we have broken out the four most valuable reasons why hosting a live, classroom-based Introductory Course in Hyperbaric Medicine with WCEP may be right for your facility. Watch this short, insightful video to find answers before you book hyperbaric team training with any organization.
Many refer to Dr. Eric Kindwall at the "Father of Hyperbaric Medicine," and his contributions to hyperbaric medicine are legendary. Dr. Kindwall was born on January 17, 1934 and passed away on January 18, 2012. For this reason, we find it fitting to highlight his contributions to the field of hyperbaric medicine during the month of January.
Do you have trouble finding a CME/CEU course that fits your exact needs? Do you find that the topics never quite apply to you, or that the format of the course doesn't fit your schedule and/or budget? Is it difficult finding a course that offers the hours you need, without charging you for extra hours that you don't need?
Today is a special blog post, not our normal format. That said, as you may know, we are co-hosting a 21-Day Diabetes and Wound Care Challenge with Best Publishing Company. Registration for the 21-Day Diabetes and Wound Care Challenge opened on Wednesday and it has been very well received! There is a lot of excitement and enthusiasm among our colleagues! Have you accepted the challenge?
Ideally, an HBO program should have a detailed policy for the diabetic patient and the immediate steps that one should take to elevate the patient’s blood sugar. However, for the patient who has a recurring problem with blood sugars that are less than the recommended pretreatment level, there are several options. One option is to contact the managing physician and explain the need for relaxed glycemic control while receiving hyperbaric therapy.