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Correspondence  |   August 2000
Electric Pumps and Hyperbaric Treatment
Author Notes
  • Staff Anesthesiologist
  • Staff Anesthesiologist
  • Anesthesiology and Reanimation Service
  • “Carlos Haya” Regional University Hospital
  • Malaga, Spain
Article Information
Correspondence
Correspondence   |   August 2000
Electric Pumps and Hyperbaric Treatment
Anesthesiology 8 2000, Vol.93, 586. doi:
Anesthesiology 8 2000, Vol.93, 586. doi:
In Reply:—
The need to adjust different devices, such as electric syringes, blood pressure sensors, and respirators, during the compression and decompression stages of treatment with hyperbaric oxygen is known. 1 However, rather than being a problem of program readjustment, our case concerned the cessation of function of the epidural patient-controlled analgesia pump at a pressure of 2 absolute atmospheres (ATA), 2 as occurred in one of the cases mentioned in the letter by Levecque et al. 
Because the treatment schedule with hyperbaric oxygen in anaerobic infections involves 90-min sessions as 3 ATA, 1 we think it is wiser not to use the more sophisticated and expensive electronic pumps for patient-controlled analgesia, bearing in mind that rescue analgesia can be used for short periods to maintain good pain control, if necessary.
We are studying the behavior of these systems, and we welcome further correspondence that might help to resolve the problem.
References
Barriot P, Chave S, Pitti R: Oxigénothérapie hyperbare (OHB) (Principles et indications), Editions Techniques. Paris, Encycl Méd Chir, 1995, Anesthésie-Réanimation. Edited by Horay P. Paris, 36-940-A-10, p 10
Sanchez-Guijo JJ, Benavente MA, Crespo A: Failure of a patient-controlled analgesia pump in a hyperbaric environment. A nesthesiology 1999; 91:1540–2Sanchez-Guijo, JJ Benavente, MA Crespo, A