HBO and bronchiectisis

Hi, just a safety HBO question. We have a patient being evaluated for HBO for ORN, with CT findings of mild bronchiectisis and bronchiolectisis. No blebs and assuming pulmonary function tests are not showing severe disease, are there any concerns?
Thanks,
Bill

Sep 1, 2022 by Bill Khoury,

2 replies

Mike White
MD, UHM, MMM, CWS

Bill,

I could not find anything specific with regards to HBO and bronchiectisis and bronchiolitis. There was one paper from 2019 (https://bmcpulmmed.biomedcentral.com/articles/10.1186/s12890-019-0893-8) that looked at PFT changes with HBO, there were none, but these were in healthy patients. If this patient wants to proceed with HBO, you may want to consider a Pulmonary consult for clearance. I would talk with the pulmonologist first and let them know specifically what questions you need answered. If you choose to treat the patient I would definitely us a slower compression/decompression rate (1ft/min). I will continue to look for a better answer to your question.

Sep 1, 2022

Bill Khoury

Thank you, good advice.

Sep 1, 2022

* Information provided without clinical evaluation and is not intended as a replacement for in-person consultation with a medical professional. The information provided through Curbside Consult is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

Basic Navigation

Feature Navigation

Solutions

Individuals:

Institutions:

Special Features:

Newsletter Signup