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involves central nervous system symptoms like seizures Contraindications and Precautions Certain conditions require careful evaluation or may rule out HBOT entirely: Untreated tension pneumothorax (collapsed lung): absolute contraindication Severe COPD with air trapping Recent ear surgery or middle ear injuries Untreated upper respiratory infections Certain chemotherapy agents (discuss with your oncologist) Fetal hemoglobin considerations in newborns (hospital setting only) Pregnancy is a special situation