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Updated: Oct 24, 2025

Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
Published on: January 17, 2025
Point-of-care ultrasound in a multiplace hyperbaric chamber
Kirsten Hornbeak1, Jay Duchnick2, Anthony Medak2
1Undersea and Hyperbaric Medicine Division, Department of Emergency Medicine, Keck School of Medicine of USC, Los Angeles, California U.S.
Point-of-care ultrasound (POCUS) can now be safely used during hyperbaric oxygen (HBO2) therapy. This breakthrough allows real-time patient assessments in hyperbaric chambers without equipment modification, enhancing critical care.
Area of Science:
- Medical Imaging
- Hyperbaric Medicine
- Critical Care
Background:
- Electronic devices are typically prohibited during hyperbaric oxygen (HBO2) therapy due to fire risks in oxygen-rich, pressurized environments.
- Point-of-care ultrasound (POCUS) is a valuable imaging tool in various clinical settings.
- Critically ill patients in hyperbaric chambers could benefit from real-time assessments using POCUS.
Purpose of the Study:
- To demonstrate the feasibility, safety, and efficacy of using an off-the-shelf handheld POCUS system within a clinical hyperbaric environment.
- To overcome previous limitations requiring specialized equipment modifications for POCUS use during HBO2 therapy.
Main Methods:
- Utilized an unmodified, off-the-shelf handheld POCUS system (SonoSite iViz).
- Tested the POCUS system within a clinical hyperbaric chamber setting.
- Assessed device performance and safety under hyperbaric conditions.
Main Results:
- Successfully demonstrated proof of concept for POCUS use in a hyperbaric environment.
- Confirmed the safety of the off-the-shelf POCUS system during HBO2 therapy.
- Showcased the successful performance of the handheld POCUS device without modifications.
Conclusions:
- An unmodified, off-the-shelf handheld POCUS system can be safely and effectively used in clinical hyperbaric settings.
- This facilitates real-time patient assessment during hyperbaric oxygen therapy, improving critical care capabilities.
- Overcomes previous safety and equipment modification barriers for POCUS integration in hyperbaric medicine.
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