HYPERBARIC OXYGEN FOR TREATMENT OF SEVERE INJURIES AND CRUSH INJURIES

Czech version

Authors: Michal Hájek; Pavel Zonča ^*
Authors‘ workplace: Centre of Hyperbaric Medicine, Department of Anesthesiology and Resuscitation, City Hospital of Ostrava ; Chirurgické oddělení , Městská nemocnice Ostrava ^*; Department of Surgery, City Hospital of Ostrava Centrum hyperbarické oxygenoterapie, Anesteziologicko-resuscitační oddělení, Městská nemocnice Ostrava ^*
Published in: Úraz chir. 15., 2007, č.4

Overview

Introduction:
Hyperbaric oxygen treatment is based on breathing of pure oxygen under higher pressure than ambient pressure. This method is used for treatment of more than twenty diseases and pathophysiologic conditions.

Material and mehods:
The aim of this study was to evaluate the importance of hyperbaric oxygen therapy for acute traumatic ischemia and crush injury. It is observational, retrospective study of treatment results of all patients admitted for treatment to our centre in 2005. Since 1965 more than 14,000 patients with total amount of 168,000 expositions were treated in our centre. We have treated more than 2,300 patients for severe injuries up to date. 40 patients (12 females and 28 males) with mean age of 47 years were treated in 2005.

Results:
Treatment results were assesed excellently in 30 patients (76 %) and treatment failure was observed in 5 patients (12 %). Treatment procces could not be finished according to the treatment schedule due to different reasons in 5 patients (12 %).

Conclusions:
Hyperbaric oxygen therapy is an effective adjunctive treatment method within complex approach to severely injured patients. This method should be extended and should be available within first 24 hours from injury particularly within traumatologic centres of teaching hospitals.

Key words:
hyperbaric oxygenation, ischemia, crush injury.

Sources

1. Al-Waili, N., S., Butler, G., J. Effects of hyper-baric oxygen on inflammatory response to wound and trauma: possible mechanism of action. Scientific World Journal. 2006, 3, s. 425–441.

2. Bouachour, G., et al. Hyperbaric oxygen therapy in the management of crush injuries: a randomized double-blind placebo-controlled clinical trial. J Trauma. 1996, 41, s. 333–339.

3. Doleček, R., Pleva, L. Endokrinologie traumatu. Úraz. chir. 2006, 14, Suppl., s. 1–52.

4. Kemmer, A. Crush Injury and Other Acute Traumatic Ischemia. In: Mathieu, D.: Handbook on Hyperbaric Medicine. Dordrecht, Springer, 2006, s. 305–327(812).

5. Maňák, P. Kompartment syndrom a crush syndrom - přehled literárních poznatků. Zp. úraz. chir. 1995, 3, s. 15–22.

6. Menger, M., D., Volmar, B. Surgical trauma: hyperinflammation versus immuno suppression? Langenbecks. Arch Surg. 2004, 389, s. 475–484.

7. Niinikowski, J., Hunt, T., K., Zederfeldt, B., H. Oxygen supply in healing tissue. Am J Surg. 1972, 123, s. 247–252.

Labels

Surgery Traumatology Trauma surgery

Possibilities of treatment of complex intraarticular fractures of distal radius

Article was published in

Trauma Surgery

2007 Issue 4