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Should hyperbaric oxygen be used to treat the pregnant patient for acute carbon monoxide poisoning? A case report and literature review.

Publication ,  Journal Article
Van Hoesen, KB; Camporesi, EM; Moon, RE; Hage, ML; Piantadosi, CA
Published in: JAMA
February 17, 1989

Carbon monoxide (CO) is the leading cause of death due to poisoning. Although uncommon, CO poisoning does occur during pregnancy and can result in fetal mortality and neurological malformations in fetuses who survive to term. Uncertainty arises regarding the use of hyperbaric oxygen (HBO) as a treatment for the pregnant patient because of possible adverse effects on the fetus that could be induced by oxygen at high partial pressures. While the dangers of hyperoxia to the fetus have been demonstrated in animal models, careful review of animal studies and human clinical experience indicates that the short duration of hyperoxic exposure attained during HBO therapy for CO poisoning can be tolerated by the fetus in all stages of pregnancy and reduces the risk of death or deformity to the mother and fetus. A case is presented of acute CO poisoning during pregnancy that was successfully treated with HBO. Recommendations are suggested for the use of HBO during pregnancy.

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Published In

JAMA

DOI

ISSN

0098-7484

Publication Date

February 17, 1989

Volume

261

Issue

7

Start / End Page

1039 / 1043

Location

United States

Related Subject Headings

  • Pregnancy Complications
  • Pregnancy
  • Hyperbaric Oxygenation
  • Humans
  • Half-Life
  • General & Internal Medicine
  • Fetal Death
  • Female
  • Carboxyhemoglobin
  • Carbon Monoxide Poisoning
 

Citation

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Van Hoesen, K. B., Camporesi, E. M., Moon, R. E., Hage, M. L., & Piantadosi, C. A. (1989). Should hyperbaric oxygen be used to treat the pregnant patient for acute carbon monoxide poisoning? A case report and literature review. JAMA, 261(7), 1039–1043. https://doi.org/10.1001/jama.261.7.1039
Van Hoesen, K. B., E. M. Camporesi, R. E. Moon, M. L. Hage, and C. A. Piantadosi. “Should hyperbaric oxygen be used to treat the pregnant patient for acute carbon monoxide poisoning? A case report and literature review.JAMA 261, no. 7 (February 17, 1989): 1039–43. https://doi.org/10.1001/jama.261.7.1039.
Van Hoesen KB, Camporesi EM, Moon RE, Hage ML, Piantadosi CA. Should hyperbaric oxygen be used to treat the pregnant patient for acute carbon monoxide poisoning? A case report and literature review. JAMA. 1989 Feb 17;261(7):1039–43.
Van Hoesen, K. B., et al. “Should hyperbaric oxygen be used to treat the pregnant patient for acute carbon monoxide poisoning? A case report and literature review.JAMA, vol. 261, no. 7, Feb. 1989, pp. 1039–43. Pubmed, doi:10.1001/jama.261.7.1039.
Van Hoesen KB, Camporesi EM, Moon RE, Hage ML, Piantadosi CA. Should hyperbaric oxygen be used to treat the pregnant patient for acute carbon monoxide poisoning? A case report and literature review. JAMA. 1989 Feb 17;261(7):1039–1043.
Journal cover image

Published In

JAMA

DOI

ISSN

0098-7484

Publication Date

February 17, 1989

Volume

261

Issue

7

Start / End Page

1039 / 1043

Location

United States

Related Subject Headings

  • Pregnancy Complications
  • Pregnancy
  • Hyperbaric Oxygenation
  • Humans
  • Half-Life
  • General & Internal Medicine
  • Fetal Death
  • Female
  • Carboxyhemoglobin
  • Carbon Monoxide Poisoning