What Researchers Did
The researchers retracted their previously published method for performing continuous bladder irrigation (CBI) in a monoplace hyperbaric chamber, citing a case of iatrogenic bladder rupture.
What They Found
They found that using an IV pump for continuous bladder irrigation (CBI) in a monoplace hyperbaric chamber led to iatrogenic bladder rupture in one reported case, necessitating cystectomy for a woman with hemorrhagic radiation cystitis. Consequently, they retracted their previous method, recommending either a gravity-fed system or delaying hyperbaric oxygen therapy until CBI is no longer required.
What This Means for Canadian Patients
Canadian patients requiring continuous bladder irrigation during hyperbaric oxygen therapy should ensure their medical team uses a gravity-fed system or delays treatment to avoid the risk of bladder rupture. This change in practice aims to enhance patient safety during a specialized treatment for conditions like hemorrhagic radiation cystitis.
Canadian Relevance
This study has no direct Canadian connection.
Study Limitations
A primary limitation of this study is that the retraction and revised recommendation are based on a single reported case of bladder rupture.