, Volume 24, Issue 3, pp 155-156
Date: 23 Aug 2012

The Myth

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Myth: a traditional story originating in a preliterate society, dealing with supernatural beings, ancestors, or heroes that serve as primordial types in a primitive view of the world.

Buckley and colleagues[1]are to be commended on their systematic review and critical analysis of the evidence regarding the role of hyperbaric oxygen (HBO) in carbon monoxide (CO) poisoning. This analysis is invaluable. The authors have dispelled the myth that there is evidence-based treatment for CO-exposed patients. The authors conclude that “the role of HBO remains unclear and the weight of the available evidence neither confirms nor refutes a clinically meaningful net benefit”.[1]

We should not be surprised. It is very difficult to design a study that determines the role of HBO in CO poisoning. A number of studies have attempted to answer this question, although few studies are randomised controlled trials. Each study addressing this question has methodological shortcomings. Following publication of eac ...