Effectiveness of hyperbaric chamber ventilation

(Matity L, Burman F, Kot J, Caruana J. Effectiveness of hyperbaric chamber ventilation. Diving and Hyperbaric Medicine. 2023 June 30;53(2):85-91. doi: 10.28920/dhm53.2.85-91. PMID: 37365125.) Introduction: Hyperbaric chamber ventilation (HCV) refers to the intentional introduction of fresh gas, whether air, oxygen, or heliox, into a pressurised hyperbaric chamber in order to remove stale or otherwise compromised gas. The minimum required continuous HCV rate is usually determined by mathematical models derived from the contaminant mass balance within a well-stirred compartment. Non-uniform contaminant distribution patterns inside a hyperbaric chamber could emerge and invalidate the predictions of well-stirred models.Methods: Contaminant distribution was investigated inside a clinical hyperbaric chamber with the aim of comparing well -stirred model predictions with the actual contaminant concentration measurements.Results: Local ventilation effectiveness inside a clinical hyperbaric chamber may be compromised, leading to higher contaminant concentration values compared to the predictions of a mathematical model with a well-stirred assumption.Conclusions: A well-stirred assumption in mathematical models is a useful simplification that allows reasonably accurate estimates of HCV requirements. However, local ventilation effectiveness values in a particular hyperbaric chamber might vary, with the potential for hazardous contaminant accumulation in under-ventilated zones.