Related Experiment Video
Updated: May 10, 2025
08:21
Effects of Blast-induced Neurotrauma on Pressurized Rodent Middle Cerebral Arteries
Published on: April 1, 2019
7.1K
Risk Factors Associated with Middle Ear Barotrauma in Patients Undergoing Monoplace Hyperbaric Oxygen Therapy.
Yoon Sung Lee1, Sang Won Ko1, Hyoung Youn Lee2,3
1Department of Emergency Medicine, Chonnam National University Hospital, Gwangju, Korea.
Yonsei Medical Journal
|April 27, 2025
Summary
Altered mental status and emergency treatment classification are key risk factors for middle ear barotrauma (MEB) during hyperbaric oxygen therapy (HBOT). These findings help improve HBOT safety protocols.
Area of Science:
- Hyperbaric Medicine
- Otolaryngology
- Patient Safety
Background:
- Monoplace hyperbaric oxygen therapy (HBOT) is widely used for various medical conditions.
- Middle ear barotrauma (MEB) is a common complication during HBOT.
- Identifying risk factors for MEB is crucial for enhancing patient safety.
Purpose of the Study:
- To identify independent risk factors for middle ear barotrauma (MEB) symptoms.
- To analyze patient data from monoplace hyperbaric oxygen therapy (HBOT).
- To inform the development of safer HBOT protocols.
Main Methods:
- A single-center study analyzed data from 296 patients undergoing monoplace HBOT.
- Multivariable logistic regression was used to identify independent risk factors for MEB.
- Patient factors and treatment classifications were examined.
Main Results:
- Altered mental status was significantly associated with increased odds of MEB (OR 2.50).
- Patients in the emergency treatment group for HBOT showed a 6.75 times higher likelihood of MEB.
- Confidence intervals indicate statistical significance for both findings.
Conclusions:
- Altered mental status and emergency treatment classification are independent risk factors for MEB in monoplace HBOT.
- These findings contribute to a better understanding of MEB development.
- The results can guide the implementation of improved safety measures in HBOT procedures.
Related Concept Videos
01:26Pneumothorax-I
154
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
154
01:25Hyperpnea and Hyperventilation
910
Hyperventilation refers to a higher-than-normal rate and depth of breathing, often associated with anxiety attacks. This excessive breathing surpasses the body's need to expel CO2, leading to a condition known as hypocapnia - an unusually low level of carbon dioxide in the blood. Hypocapnia can constrict cerebral blood vessels, reducing blood flow to the brain, which may result in dizziness or fainting. Early signs include tingling and muscle spasms in the hands and face, caused by falling...
910
01:23Oxygen Delivering System III: Tracheostomy and T-piece
218
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
218
01:27Pneumothorax-II
104
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
104
01:21Acute Respiratory Failure-II
126
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
126
01:30Acute Respiratory Failure-III
139
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
139