Background/Aim. Prolonged exposure to hyperbaric oxygen leads to changes of
erythrocytes shape as a consequence of toxic effects of oxygen on the
erythrocyte membrane. The aim of this study was to examine the association
between occurance of pathological forms of erythrocytes at different time
from the start of hyperbaric oxygenation and the moment of convulsions
occurrence, an interrelationship of different pathological forms of
erythrocytes during exposure to hyperbaric oxygenation, as well as the
correlation between the presence of ruptured erythrocytes and function of
central nervous system (CNS) after completion of hyperbaric treatment.
Methods. Sixty laboratory mice, Mus musculus, were exposed to the
wholly-oxygen pressure of 3.5 absolute atmospheres (ATA). Blood was collected
at the 32nd, 34th, 36th, 38th and 40th minutes after the exposure to oxygen.
Pathological forms of erythrocytes were examined by electron microscopy. A
moment of convulsions occurrence was registered in all animals. After
decompression neurological examinations of experimental animals were
perfomed. The Pearson's coefficient of correlation, and linear regression
equations for the parameters outlined in the aim of the study were
calculated. Results. Hyperbaric oxygen caused damages of erythrocytes at the
34th minute after beginning of the treatment. Various forms of abnormal red
blood cells occured, and immediately before the occurrence of irreversible
changes (erythrocyte membrane rupture) echinocyte shape was dominated. A
significant correlation between the number of damaged red blood cells at 34th
minute and their number at the 36th, 38th and 40th minute was found.
Convulsions were diagnosed significantly earlier in mice with a greater
number of damaged red blood cells (p < 0.01). There was a negative
correlation between the number of irreversiblly damaged red blood cells
(ruptured) at the 40th minute and neurological score in the studied animals
(p < 0.05). Conclusion. The analysis of altered erythrocytes during
hyperbaric oxygenation could predict a moment of seizures occurrence, and
therefore the duration of the therapy with hyperbaric oxygen. Ehinocytes
indicate impending rupture of red blood cells and a possible occurrence of
seizures. An increased number of ruptured red blood cells may also even
indicate the potential burden of CNS after cessation of hyperbaric
oxygenation.