[Prevention of wound infection after open injuries of the limbs by hyperbaric oxygenation]. / Profilaktika ranevoi infektsii pri otkrytoi travme konechnostei posredstvom giperbaricheskoi oksigenatsii.

The effect of HBO on the clinical course of open traumas of extremities was studied in 165 patients. The early inclusion of HBO in the complex therapy of such patients was found to give 2,4 times less incidence of wound infections. The normalizing effect of HBO on central hemodynamics, local blood circulation in the trauma zone, microcirculation in this area, immunity and external ventilation was noted.

[Hyperbaric oxygenation in the prevention of wound infection in open injury to the locomotor apparatus]. / Giperbaricheskaia oksigenatsiia v profilaktike ranevoi infektsii pri otkrytoi travme oporno-dvigatel'nogo apparata.

Hyberbaric oxygenation in altitude chambers OKA-MT was used in the complex of prophylactic measures against wound infection in 91 patients with open traumas of the extremities (fractures, amputations, etc.). The effect of hyperbaric oxygenation on the external respiration was studied by the method of spirography. Tetrapolar rheography was used to follow the central hemodynamics. A number of immune parameteres were also studied. Hyperbaric oxygenation was established to abolish hyperventilation and myocardium hyperdynamia, to accelerate the recovery of the neutrophil phagocytic activity and immunoglobulin level, to contribute to the quicker diminishing of edema in the wound area and healing of the stump and open fracture without suppuration, early formation of dry necrosis with a distinct line of demarcation.