Multi-target mechanism and clinical transformation of hyperbaric oxygen therapy in the treatment of hypoxic-ischemic brain injury after cardiopulmonary resuscitation | Canada Hyperbarics Skip to main content
Systematic Review Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2025

Multi-target mechanism and clinical transformation of hyperbaric oxygen therapy in the treatment of hypoxic-ischemic brain injury after cardiopulmonary resuscitation

Huang Y, Yang X, Zhang S — Zhonghua Wei Zhong Bing Ji Jiu Yi Xue, 2025

Tier 1, Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

Chinese researchers systematically reviewed the biological mechanisms by which HBOT may protect the brain after cardiac arrest and successful resuscitation (CPR), focusing on how HBOT targets multiple injury pathways simultaneously.

What They Found

Survival after CPR globally is below 8%, with brain injury (hypoxic-ischaemic brain injury, HIBI) causing death in 68% of survivors. The review identified four HBOT mechanisms for HIBI: blocking cell death, reducing oxidative damage, lowering brain inflammation, and improving blood-brain barrier function. Emerging combinations with gut microbiome modulation and active CPR techniques were identified as promising targets.

Canadian Relevance

No direct Canadian connection identified.

Study Limitations

This is a narrative review and does not include a meta-analysis of clinical trial data; it reflects preclinical and early clinical evidence, not proven patient outcomes.

This plain-language summary is generated with AI assistance and checked against the source abstract before publication. See our editorial policy.

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Study Details

Study Type Systematic Review
Category Neurological
Source Pubmed
PubMed ID 41500696
Year Published 2025
Journal Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
MeSH Terms Humans; Apoptosis; Blood-Brain Barrier; Cardiopulmonary Resuscitation; Heart Arrest; Hyperbaric Oxygenation; Hypoxia-Ischemia, Brain; Oxidative Stress

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.

Last reviewed: March 19, 2026 | Reviewed by: Canada Hyperbarics Editorial Team | Editorial process | Research sources | Counts & methodology