Risk of continuous bladder irrigation in the monoplace hyperbaric chamber: a cautionary tale

Research output: Contribution to journalArticle

Abstract

We previously published our method of performing continuous bladder irrigation (CBI) in a monoplace hyperbaric chamber [1]. This method entailed the use of an IV pump to infuse saline into the monoplace chamber. The specter of causing iatrogenic rupture of the bladder was raised following such a case, reported herein, of a woman with hemorrhagic radiation cystitis leading to cystectomy. Due to the danger of bladder rupture while providing CBI with a pump, we retract ourpreviously reported method and encourage the use of either a gravity-fed system or delay in hyperbaric oxygen therapy treatment until CBI is no longer necessary.

Original languageEnglish (US)
Pages (from-to)683-684
Number of pages2
JournalUndersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc
Volume45
Issue number6
StatePublished - Nov 1 2018

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Urinary Bladder
Rupture
Hyperbaric Oxygenation
Cystitis
Cystectomy
Gravitation
Radiation
Therapeutics

Keywords

  • continuous bladder irrigation
  • monoplace hyperbaric chamber

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Physiology (medical)

Cite this

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abstract = "We previously published our method of performing continuous bladder irrigation (CBI) in a monoplace hyperbaric chamber [1]. This method entailed the use of an IV pump to infuse saline into the monoplace chamber. The specter of causing iatrogenic rupture of the bladder was raised following such a case, reported herein, of a woman with hemorrhagic radiation cystitis leading to cystectomy. Due to the danger of bladder rupture while providing CBI with a pump, we retract ourpreviously reported method and encourage the use of either a gravity-fed system or delay in hyperbaric oxygen therapy treatment until CBI is no longer necessary.",
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