Hyperbaric oxygen as a treatment modality in cyclophosphamide-induced hemorrhagic cystitis

Dominder Kaur, Shakila P. Khan, Vilmarie Rodriguez, Carola Arndt, Paul Claus

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Late-onset HC is a well-recognized complication associated with cyclophosphamide/acrolein-induced toxicity. It poses a management challenge when hyperhydration and bladder irrigation do not result in clinical improvement as desired. The data regarding use of hyperbaric oxygen therapy (HBO2) as an early treatment modality in this clinical setting are limited. We present 2 cases, that were refractory to hyperhydration and bladder irrigation but responded to HBO2. They were treated with 20-30 daily sessions over weekdays with 100% oxygen for 90 minutes at 2 atmospheric pressure units (2 atm). Both patients reported improved symptoms within the first 15 sessions, and hematuria diminished by 20 sessions. Hyperbaric oxygen is a less invasive, outpatient therapy that is effective for treatment of HC and is tolerated well by young patients.

Original languageEnglish (US)
Article numbere13171
JournalPediatric Transplantation
Volume22
Issue number4
DOIs
StatePublished - Jun 2018

Keywords

  • HC
  • HSCT
  • bone marrow transplant
  • cyclophosphamide
  • hyperbaric oxygen
  • pediatric

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

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