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

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

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

2019 ◽  
Vol 37 (3) ◽  
pp. 109-118
Author(s):  
Masroor Ur Rahman ◽  
Mohammad Rabiul Karim Khan ◽  
Tanveer Ahmed ◽  
Md Salek Bin Islam ◽  
Rahatun Nayeem ◽  
...  
Keyword(s):  
Hyperbaric Oxygen ◽  
Hyperbaric Oxygen Therapy ◽  
Oxygen Therapy ◽  
Reduction Rate ◽  
College Hospital ◽  
Moderate Amount ◽  
Diabetic Ulcer ◽  
Wound Size ◽  
Transcutaneous Oximetry ◽  
Healing Wounds

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

scholarly journals 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

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.

scholarly journals The effects of hyperbaric oxygen therapy (HBOT) on coronavirus disease-2019 (COVID-19): a systematic review

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Shahram Oliaei ◽  
SeyedAhmad SeyedAlinaghi ◽  
Mohammad Mehrtak ◽  
Amirali Karimi ◽  
Tayebeh Noori ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hyperbaric Oxygen ◽  
Hyperbaric Oxygen Therapy ◽  
Oxygen Therapy ◽  
Assessment Tool ◽  
Case Reports ◽  
Blood Oxygen Saturation ◽  
Screening Process ◽  
Online Databases ◽  
Full Text Screening

Abstract Background Oxygenation serves as a cornerstone in the treatment of COVID-19, and several methods have been extensively studied so far. Herein, we aimed to systematically review the studies discussing hyperbaric oxygen therapy (HBOT) to examine its reported efficacy and adverse events in patients with COVID-19. Methods We systematically searched and retrieved the relevant articles using keywords on the online databases, including PubMed, Scopus, Embase, Web of Science, and Cochrane databases up to April 11th, 2021. The retrieved records underwent a two-step title/abstract and full-text screening process, and the eligible papers were identified. National Institutes of health (NIH) quality assessment tool was used for this study. This study was registered in the International Prospective Register of Systematic Reviews (PROSPERO) with ID CRD42021269821. Results Eight articles from three countries were included. All the included studies had good and fair quality scores, with no poor studies included in this systematic review (Good: n = 5, Fair: n = 3). Studies were divided into clinical trials and case reports/series. Most of the studies used HBOT less than 1.5–2 absolute atmospheres (ATA) for 90 min sessions and thereafter sessions were decreased to 60 min. Trials demonstrated most of the patients recovered after receiving HBOT, and blood oxygen saturation increased after several sessions of HBOT. Conclusion Overall, HBOT seems to be a safe and effective oxygenation method in patients with COVID-19. However, there is limited knowledge and evidence regarding the effects and mechanism of HBOT in COVID-19 treatment, and further evaluations require extensive well-designed studies.

scholarly journals Effects of Pre-, Post- and Intra-Exercise Hyperbaric Oxygen Therapy on Performance and Recovery: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Xizhang Huang ◽  
Ran Wang ◽  
Zheng Zhang ◽  
Gang Wang ◽  
Binghong Gao
Keyword(s):  
Hyperbaric Oxygen ◽  
Exercise Performance ◽  
Hyperbaric Oxygen Therapy ◽  
Oxygen Therapy ◽  
Assessment Tool ◽  
Meta Analysis ◽  
Empirical Studies ◽  
Dynamic Strength ◽  
Control Group ◽  
Positive Effects

Background: As a World Anti-doping Agency (WADA)-approved treatment, hyperbaric oxygen (HBO2) therapy has been used to improve exercise performance in sports practice.Objective: We aimed to investigate the effect of pre-, post-, and intra-exercise HBO2 therapy on performance and recovery.Methods: A literature search was conducted using EMBASE, CENTRAL, PubMed, Web of Science, and SPORTDiscus to obtain literature published until May 2021. A total of 1,712 studies that met the following criteria were identified: (1) enrolled healthy adults who were considered physically active; (2) evaluated HBO2 therapy; (3) included a control group exposed to normobaric normoxic (NN) conditions; (4) involved physical testing (isokinetic or dynamic strength exercise, maximal incremental treadmill/cycle exercise, etc.); and (5) included at least one exercise performance/recovery index as an outcome measure. The Cochrane risk of bias assessment tool was used to evaluate the included studies, and the heterogeneity of therapy effects was assessed using the I2 statistic by Review Manager 5.3.Results: Ten studies (166 participants) were included in the qualitative analysis, and six studies (69 participants) were included in the quantitative synthesis (meta-analysis). In comparisons between participants who underwent HBO2 therapy and NN conditions, the effects of pre-exercise HBO2 therapy on exercise performance were not statistically significant (P &gt; 0.05), and the effects of post-exercise HBO2 therapy on recovery were not statistically significant either (P &gt; 0.05). Although individual studies showed positive effects of intra-exercise HBO2 therapy on exercise performance, a meta-analysis could not be performed.Conclusion: Hyperbaric oxygen therapy before or after exercise had no significant effect on performance and recovery. However, hyperbaric oxygen therapy during exercise could improve muscle endurance performance, which needs to be confirmed by further empirical studies. At present, the practical relevance of these findings should be treated with caution.

Experience in Applying Hyperbaric Oxygen Therapy Using Portable Pressure Chambers for the Treatment of Patients with the Novel Coronavirus Infection COVID-19

Biomeditsina ◽  
2020 ◽  
pp. 39-46
Author(s):  
A. S. Samoilov ◽  
Yu. D. Udalov ◽  
M. V. Sheyanov ◽  
A. V. Gholinsky ◽  
A. B. Litvinenko
Keyword(s):  
Oxygen Saturation ◽  
Hyperbaric Oxygen ◽  
Hyperbaric Oxygen Therapy ◽  
Oxygen Therapy ◽  
Capillary Blood ◽  
Blood Hemoglobin ◽  
Patient Groups ◽  
Radiological Changes ◽  
Coronavirus Infection ◽  
Novel Coronavirus

This communication presents the experience of using mobile pressure chambers in patients with the confi rmed novel coronavirus infection in hospital settings. The obtained preliminary results indicate positive antihypoxic effects of hyperbaric oxygen therapy (HBO) applied in the form of increased saturation. After a session of HBO, patients demonstrated an increase in the oxygen saturation of capillary blood hemoglobin at the average level of 3.71 points. Differences between SatO2 levels prior to and following HBO treatment were signifi cant in the CT2, CT3 and CT4 groups (p0.05). As expected, the effi cacy of HBO in terms of the oxygen saturation of capillary blood hemoglobin was the greatest in the patient groups showing pronounced clinical and radiological changes in the lungs.

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