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

摘要

We previously published our method of performing continuous bladder irrigation (CBI) in a monoplace hyperbaric chamber W. 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 our previously 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.