Coma Reversal and Functional Recovery after Hyperbaric Oxygen Therapy and Rehabilitation in the Subacute Phase of Carbon Monoxide Poisoning: A casereport and Literature Review

Authors

Chun-Hui Wang
Fook-Cheung Wan

Translated Title

一氧化碳中毒患者在亞急性期接受高壓氧及復健治療後之復甦與功能恢復：病例報告暨文獻回顧

Abstract

Hyperbaric oxygen (HBO) effectively decreases the morbidity and mortality of carbon monoxide poisoning . Immediate HBO treatment is indicated as it yields a more rapid and greater neuropsychological recovery. HBO significantly decreases the half life of carboxy hemoglobin (COHb) and increases the tissue clearance of residual carbon monoxide, thus decreasing the neuropsychological deficit. HBO enhances the outcome even in the subacute phase of CO poisoning as in this case. A thirteen year old girl was admitted to our hospital in a deep coma after severe CO poisoning from gas leakage and was referred for HBO treatment one month after carbon monoxide poisoning. She was administered and received the second course of HBO 8 months later . Ten months after carbon monoxide poisoning, she regained consciousness but remained mute. After four weeks of rehabilitation she started talking. Her speech was coherent and relevant. However, her thought content was childish and superficial. She became partially independent in daily activities. Based on this case study, we highly recommend HBO therapy and intensive rehabilitation in the management of an acute and subacute CO poisoning patient with serious neurological sequelae.

Language

English

First Page

163

Last Page

170

Recommended Citation

Wang, Chun-Hui and Wan, Fook-Cheung (2000) "Coma Reversal and Functional Recovery after Hyperbaric Oxygen Therapy and Rehabilitation in the Subacute Phase of Carbon Monoxide Poisoning: A casereport and Literature Review," Rehabilitation Practice and Science: Vol. 28: Iss. 3, Article 5.
DOI: https://doi.org/10.6315/3005-3846.2108
Available at: https://rps.researchcommons.org/journal/vol28/iss3/5