2025 Volume 38 Issue 3 Pages 273-276
An 89-year-old woman with a pacemaker was found at home face-down on top of the quilt on her charcoal-based kotatsu. She was able to respond to voices by moving her head, but could not speak herself. She was transferred to our hospital and administered oxygen en route. Blood tests showed a COHb level of 15.9%. According to her pacemaker’s manufacturer, hyperbaric oxygen therapy(HBOT)was performed at 1.5 ATA for 1 hour. After HBOT, her family said that her state of consciousness had returned to the same condition as before. Due to the patient’s advanced age, she was transferred to a rehabilitation hospital on the ninth day of hospitalization.
Since there are currently no HBOT guidelines for patients with pacemakers, we suggest that such guidelines should be created. When HBOT is performed on patients with the pacemaker, the safety of the pacemaker must be considered along with its indications.
