scholarly journals Hyperbaric oxygen therapy as an adjunctive treatment for descending necrotizing mediastinitis: about 6 cases

2020 ◽  
Vol 7 (11) ◽  
pp. 3647
Author(s):  
Zribi Hazem ◽  
Ammar Abdulrehamen ◽  
Abdelkabir Amina ◽  
Ben Ayed Ahmed ◽  
Touil Ameny ◽  
...  

Background: The objective study was to evaluate the use and the effectiveness of hyperbaric oxygen therapy as an adjuvant therapy in 6 cases of descending necrotizing mediastinitis.Methods: This is a retrospective descriptive study, performed between 2010 and 2019. Hyperbaric oxygen therapy was indicated in difficult clinical management cases despite surgery and antibiotic therapy.Results: Six patients had oxygen therapy sessions in addition to antibiotic treatment and surgery. There was marked clinical and radiological improvement in 5 cases. Only one patient died in a septic shock.Conclusions: Hyperbaric oxygen therapy, as adjuvant therapy to surgery and antibiotic treatment, can increase survival and provide good clinical results.

2017 ◽  
Vol 11 (suppl_1) ◽  
pp. S373-S374
Author(s):  
G. Piotrowicz ◽  
J. Kowerzanow ◽  
P. Banaszkiewicz ◽  
A. Babicki ◽  
J. Kot ◽  
...  

EMJ Neurology ◽  
2021 ◽  
Author(s):  
Rahmah Shafee ◽  
Mohd Amirullah Hamzah ◽  
Rajesh Kumar Muniandy

The World Health Organization (WHO) ranks migraine as the most prevalent and disabling neurological condition. Management of migraines can be broadly divided into lifestyle and trigger management, acute treatments, and preventive treatments. Despite pharmacological advances, this medical problem has remained undertreated. A 40-year-old male presented to the authors’ hospital and complained of severe, constant, and throbbing pain over the right side of his head. There was occasional photophobia but no visual disturbances. Oral analgesics were not helpful. After careful evaluation, he was advised to receive hyperbaric oxygen therapy sessions. He underwent one session per day, 5 days per week for 4 weeks. At the end of the 20 sessions, the patient reported an improvement in his symptoms, and did not require any oral medication. The authors concluded that hyperbaric oxygen therapy should be explored further as a treatment for pharmacologically resistant migraine.


2021 ◽  
Vol 30 (Sup9) ◽  
pp. S24-S28
Author(s):  
Areeg A Abu El Hawa ◽  
Jenna C Bekeny ◽  
Nituna W Phillips ◽  
Kelly Johnson-Arbor

Objective: Hyperbaric oxygen therapy (HBOT) is a useful adjunctive treatment for selected complicated wounds, including severe diabetic lower extremity ulcerations and compromised skin grafts or flaps. The Sars-CoV-2 (COVID-19) pandemic has disrupted healthcare delivery, with its effects extending to delivery of HBOT. During the pandemic, paediatric patients in our geographic region who were referred for HBOT faced challenges as centres temporarily closed or were unprepared to treat younger patients. Our monoplace HBOT centre modified existing practices to allow for treatment of these patients. This study aims to outline the steps necessary to adapting a pre-existing HBOT centre for the safe treatment of paediatric patients. Method: A retrospective review was performed to identify patients 18 years of age or younger referred for HBOT during 2020. Patient characteristics, referral indications and HBOT complications were collected. Changes implemented to the HBOT centre to accommodate the treatment of paediatric patients were documented. Results: A total of seven paediatric patients were evaluated for HBOT and six were treated. The mean patient age was four years (range: 1–11 years). Referral diagnoses included sudden sensorineural hearing loss, skin flap or graft compromise, and radiation-induced soft tissue necrosis. All patients tolerated HBOT treatment in monoplace chambers without significant complications noted. Enhancements made to our clinical practice to facilitate the safe and effective treatment of paediatric patients included ensuring the availability of acceptable garments for paediatric patients, maintaining uninterrupted patient grounding (in relation to fire safety), and enhancing social support for anxiety reduction. Conclusion: The results of our review show that paediatric patients can be safely treated within the monoplace hyperbaric environment.


Neurosurgery ◽  
2008 ◽  
Vol 62 (suppl_2) ◽  
pp. 1140-1145 ◽  
Author(s):  
Murat Kutlay ◽  
Ahmet Çolak ◽  
Şenol Yıldız ◽  
Nusret Demircan ◽  
Osman Niyazi Akın

2017 ◽  
Vol 152 (5) ◽  
pp. S409-S410
Author(s):  
Grazyna Piotrowicz ◽  
Jacek Kowerzanow ◽  
Piotr Banaszkiewicz ◽  
Andrzej Babicki ◽  
Jacek Kot ◽  
...  

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