Contraindications
| Medicine | Reason Contraindicated | Necessary Conditions Prior to HBOT | |
|---|---|---|---|
| 1. | Bleomycin | Interstitial pneumonitis | No treatment |
| 2. | Cisplatin | Impaired wound healing | No treatment |
| 3. | Disulfiram | Blocks superoxide dismutase | Discontinue medication |
| 4. | Doxorubicin | Cardiotoxity | Discontinue medication |
| 5. | Sulfamylon | Impaired wound healing | Discontinue & remove medication |
| 6. | Asthma | Air trapped upon ascent leading to pneumothorax | Must be well controlled with medication |
| 7. | Claustrophobia | Anxiety | Treatment with benzodiazepines |
| 8. | Congenital spherocytosis | Severe hemolysis | None, HBOT for emergencies only |
| 9. | Chronic obstructive pulmonary disease | Loss of hypoxic drive to breathe | Observation in chamber |
| 10. | Eustachian tube dysfunction | Barotrauma to tympanic membrane | Training, PE tubes |
| 11. | High Fever | High risk of seizures | Provide antipyretic |
| 12. | Pacemaker or epidural pain pump | Malfunction or deformation of device under pressure | Ensure company has pressure tested device and what depth |
| 13. | Pregnancy | Unknown effect on fetus | None, but HBOT may be used in emergencies |
| 14. | Seizures | May have lower seizure threshold | Should be stable on medications, may be treated with Benzodiazepines |
| 15. | Upper respiratory infection (URI) | Barotrauma | Resolution of symptoms or decongestants |