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A procedure which uses a chamber that is pressurized with oxygen where the patient is introduced who needs to increase the amount of oxygen in the blood. Indicated in poisonings with carbon monoxide (CO), decompression sickness from diving, very serious infections and gas embolism (MedlinePlus 2016).
It has been used in the neonatal period (Sánchez 2013, Hsieh 1999), breastfeeding mothers (Guler 2015) and in serious complicated mastitis (Belokurov 1984).
It is relatively safe but there is a risk of several complications (Sadri 2017, Cooper 2017, Hadanny 2016, Yamamoto 2015, Frawley 2013 and 2012):
- Derivatives of increased pressure: otic, sinus, pulmonary and intestinal barotrauma
- Derivatives of the increase of oxygen concentration: neurological, pulmonary and ophthalmic toxicity.
Complications are more frequent in children (Cooper 2017, Hadanny 2016).
Authorized use in infants and children where this treatment is indicated, CO poisoning for example (Macnow 2016).
To minimize the baby's otic barotrauma and avoid the discomfort it causes, it is advisable that you breastfeed during the procedure.
As it is a treatment which is not free of risks, a healthy infant, and even less so if the infant is very small or premature, should not enter the chamber to accompany his/her mother. Only if the infant has medical indications should he/she be submitted to hyperbaric oxygen therapy.