Seizure During Hyperbaric Oxygen Therapy for Carbon Monoxide Toxicity: A Case Series and Five-year Experience

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• 作者：Robert W. Sanders ; MD ; DMT^鈦?/sup> ; ^&dagger ; ; ^&Dagger ; ; ; Kenneth D. Katz ; MD^鈦?/sup> ; ^§ ; ; Joe Suyama ; MD^鈦?/sup> ; Jawaid Akhtar ; MD^鈦?/sup> ; ^§ ; ; Kevin S. O'Toole ; MD^鈦?/sup> ; Diann Corll ; RN^鈦?/sup> ; Regan N. Ladenburger ; MD^鈦?/sup>
• 关键词：hyperbaric oxygen ; carbon monoxide ; poisoning ; seizure ; structure fire ; oxygen toxicity
• 刊名：Journal of Emergency Medicine
• 出版年：2012
• 期刊代码：156_07364679
• 类别：med
• 出版时间：April, 2012
• 卷：42
• 期：4
• 页码：e69-e72
• 文件大小：164 K

摘要

Background: Hyperbaric oxygen (HBO) therapy is recommended to reduce the delayed neurologic sequelae resulting from carbon monoxide (CO) toxicity. Although HBO is generally well tolerated, there exists a risk of seizure in all patients that may be increased in patients with predisposing factors including: fever, hypothermia, prior seizure, or brain injury. Case Report: We present two cases of patients without known risk factors who experienced seizures associated with HBO therapy during treatment for CO toxicity. Conclusion: This facility's 5-year experience and a review of the germane literature are also presented to elucidate the risk factors and incidence of seizures in patients treated with HBO for CO toxicity.