Hyperbaric Oxygen Therapy in Non Healing Wounds in a Referral Hospital of Bangladesh

Introduction: The therapeutic use of oxygen under pressure is known as hyperbaric oxygen therapy (HBOT) and has been used to assist wound healing for almost 40 years. The purpose of the present study was to see the outcome of hyperbaric oxygen therapy following its use in non healing wounds. Methods: This prospective observational study was conducted in the Department of Plastic Surgery, Dhaka Medical College Hospital, Dhaka, from March 2016 to February 2017 for a period of 12 (twelve) months. The study was carried out on patients with non healing wounds. Patients were initially assessed with detailed history, clinical examination and investigations, and then treated with hyperbaric oxygen therapy for 90 minutes per session in 6 days a week for 25 cycles. Wound was assessed clinically, and with transcutaneous oximetry and laboratory investigations. Results: Eighty patients were included, where 52 (65.0%) patients had diabetic ulcer, followed by post traumatic wound (14) and venous ulcer (7). Fifty nine (73.75%) patients had initial wound size of < 50 cm2 with mean size 14.78 ± 12.5 cm2. Wound size reduction rate after 15 cycles of HBOT was 42.78%, and after 25 cycles of HBOT it was 61.21%. Among the 80 patients, 60 (75.0%) had moderate amount of discharge before HBOT; 19 (31.67%) & 25 (41.67%) reduced to small & no discharge after 25 cycles of HBOT respectively. 39 (48.75%) patients had serosanguineous discharge before HBOT, followed by 36 (45.0%) and 5 (6.25%) patients with purulent and serous discharge. Among the 39 patients with serosanguineous discharge, 15 (38.46%) & 20 (51.28%) patients had serous & no discharge after 25 cycles of HBOT respectively. Before starting HBOT, mean transcutaneous oximetry was 58.26 ± 3.84 mmHg, and it was 62.1 ± 6.27 mmHg and 66.92 7.52 mmHg after 15 and 25 cycles of HBOT respectively. Conclusion: So it can be stated that the hyperbaric oxygen therapy is a good option in treating different non healing wounds. J Bangladesh Coll Phys Surg 2019; 37(3): 109-118

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Evaluation of the efficacy of hyperbaric oxygen therapy in the management of diabetic ulcer using Bates-Jensen wound assessment tool

Anesthesia Essays and Researches ◽

10.4103/aer.aer_68_20 ◽

2020 ◽

Vol 14 (2) ◽

pp. 335

Author(s):

S Anushapreethi ◽

Usha Shukla ◽

Atit Kumar ◽

ShaileneraPal Singh

Keyword(s):

Hyperbaric Oxygen ◽

Hyperbaric Oxygen Therapy ◽

Oxygen Therapy ◽

Assessment Tool ◽

Diabetic Ulcer ◽

Wound Assessment

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Relationship between ulcer healing after hyperbaric oxygen therapy and transcutaneous oximetry, toe blood pressure and ankle–brachial index in patients with diabetes and chronic foot ulcers

Diabetologia ◽

10.1007/s00125-010-1946-y ◽

2010 ◽

Vol 54 (1) ◽

pp. 65-68 ◽

Cited By ~ 40

Author(s):

M. Löndahl ◽

P. Katzman ◽

C. Hammarlund ◽

A. Nilsson ◽

M. Landin-Olsson

Keyword(s):

Blood Pressure ◽

Hyperbaric Oxygen ◽

Ulcer Healing ◽

Hyperbaric Oxygen Therapy ◽

Oxygen Therapy ◽

Ankle Brachial Index ◽

Foot Ulcers ◽

Patients With Diabetes ◽

Transcutaneous Oximetry ◽

Toe Blood Pressure

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Ossigenoterapia iperbarica e terapia a pressione negativa nel trattamento delle lesioni difficili/Hyperbaric oxygen therapy and negative pressure wound therapy in the treatment of non-healing wounds

Italian Journal of Wound Care ◽

10.4081/ijwc.2018.34 ◽

2018 ◽

Vol 2 (3) ◽

Author(s):

Chiara Bissoni ◽

Klarida Hoxha ◽

Alessandro Scalise ◽

Pasquale Longobardi

Keyword(s):

Hyperbaric Oxygen ◽

Hyperbaric Oxygen Therapy ◽

Oxygen Therapy ◽

Real Data ◽

Complete Healing ◽

Pressure Therapy ◽

Wound Assessment ◽

Healing Wounds ◽

Individual Use ◽

The Individual

Lo scopo di questo articolo è valutare i risultati ottenibili trattando lesioni difficili attraverso la combinazione di ossigenoterapia iperbarica (OTI) e terapia a pressione negativa (TPN). Individuare le modalità con cui queste possano agire in sinergia coadiuvandosi, al fine di ottimizzare la rigenerazione dei tessuti e favorire la guarigione come qualità e tempi più brevi. Sono stati presi in analisi i dati di tre pazienti trattati presso il Centro Iperbarico di Ravenna che presentavano ferite agli arti inferiori aperte da più di sei settimane. È stato eseguito l’assessment iniziale della ferita e applicato un approccio multi terapeutico OTI e TPN per un periodo compreso tra 3-6 settimane. I pazienti presi in analisi sono giunti a guarigione completa entro 10 settimane di trattamento rispetto alla media di presa in carico per 28 settimane degli altri pazienti trattati presso la stessa struttura (dato reale) e alla media di 12 settimane previste nelle linee guida (benchmark). Le due terapie associate hanno prodotto un esito positivo che avrebbe richiesto tempi e costi maggiori se fossero state utilizzate singolarmente. The purpose of this work is the evaluation of the results obtaineble by treating hard to heal wounds with the combination of Hyperbaric Oxygen Therapy (HBOT) and Negative Wound Pressure Therapy (NWPT). Identify how HBOT and NWPT can act in synergy, in order to optimize tissue regeneration and promote a good quality healing and in shorter time. The study analyzes data of three patients affected, for more than six week, by lower limb wounds and treated at the Hyperbaric Center of Ravenna. The initial wound assessment was performed and a multi-therapeutic approach, HBOT and NWPT, was applied over a period of 3-6 weeks. The patients underwent to a complete healing after a maximum of 10 weeks of treatment compared to the 28-weeks average of other patients treated at the same facility (real data) and the 12-weeks average expected in the guidelines (benchmark).The combination of the two therapies, has led to a positive result saving time and money; the individual use of them would have required more time and costs.

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