Hyperbaric oxygen therapy in pediatric patients at the Centre of Hyperbaric Medicine Ostrava in the years 2007–2011
Authors:
M. Hájek 1,5; J. Slaný 2,9; J. Maršálková 1; J. Tichavská 1; P. Němcová 1; M. Lutzová 1; I. Neuwirtová 1; Z. Spilková 2; M. Ručková 2; A. Nogolová 2; T. Bártová 2; J. Duda 3; V. Smolka 4; E. Klásková 4; M. Hladík 3; B. Trávníček 3; D. Chmelař 5; V. Beran 5; J. Štěrba 6; T. Kepák 6; M. Fedora 7; M. Šeda 7; J. Žurek 7; F. Novomeský 8
Authors‘ workplace:
Centrum hyperbarické medicíny, Městská nemocnice Ostrava, vedoucí MUDr. M. Hájek
1; Oddělení dětského lékařství, Městská nemocnice Ostrava, vedoucí MUDr. A. Nogolová
2; OPRIP, Klinika dětského lékařství, Fakultní nemocnice Ostrava, vedoucí doc. MUDr. M. Hladík, Ph. D.
3; JIRP, Dětská klinika FN a LF UP Olomouc, přednosta prof. MUDr. V. Mihál, CSc.
4; Katedra biomedicínských oborů, LF Ostravské univerzity, Ostrava, vedoucí doc. RNDr. K. Šafarčík, Ph. D.
5; Klinika dětské onkologie FDN a LF MU, Brno, přednosta prof. MUDr. J. Štěrba, Ph. D.
6; Klinika dětské anesteziologie a resuscitace FDN a LF MU, Brno, přednosta MUDr. P. Štourač, Ph. D.
7; Ústav súdneho lekárstva JLF UK, Martin, vedoucí prof. MUDr. F. Novomeský, PhD.
8; Fakulta zdravotníctva a sociálnej práce, Trnavská univerzita, Trnava, vedoucí prof. MUDr. J. Slaný, CSc.
9
Published in:
Čes-slov Pediat 2015; 70 (4): 200-209.
Category:
Original Papers
Overview
From 2007 to 2011 total of 103 pediatric patients have been treated with hyperbaric oxygen therapy at our workplace. The patients were treated for the following indications: sensorineural hearing loss or tinnitus, central nervous system impairment mostly due to traumatic brain injury or hypoxic-ischemic encephalopathy after cardiopulmonary resuscitation, acute carbon monoxide poisoning, complications of oncological treatment, acute traumatic peripheral ischemia, necrotizing soft tissue infections, nonhealing wound and chronic refractory osteomyelitis. 96% of the children were treated in hospital, of which 48% in the intensive care unit or department of pediatric resuscitation and intensive care.
The favorable outcome of the treatment was observed in 82% of cases. In 18% of cases, treatment was not successful, or it was not possible to assess the outcome. In 54 patients a total of 178 episodes of unexpected incidents were recorded during treatment. In relation to the total number of treatment sessions incident rate of 17.5% was detected. Serious health and life-threatening complications or side effects of treatment were not observed in any case.
Key words:
hyperbaric oxygen, pediatrics, acute peripheral traumatic ischemia, carbon monoxide poisoning, sensorineural hearing loss, traumatic brain injury, necrotizing soft tissue infections, nonhealing wounds, chronic refractory osteomyelitis, intensive care H.
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Labels
Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2015 Issue 4
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