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Hyperbaric oxygen therapy in low extremity trauma: A case series.
Oley, Mendy Hatibie; Oley, Maximillian Christian; Noersasongko, Albertus Djarot; Islam, Andi Asadul; Tulong, Marcella Tirsa; Siwabessy, Melfrits; Panduwinata, Dicky; Faruk, Muhammad.
Affiliation
  • Oley MH; Division of Plastic Reconstructive & Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia.
  • Oley MC; Division of Plastic Reconstructive & Aesthetic Surgery, Department of Surgery, R. D. Kandou Hospital, Manado, Indonesia.
  • Noersasongko AD; Hyperbaric Centre Siloam Hospital, Manado, Indonesia.
  • Islam AA; Hyperbaric Centre Siloam Hospital, Manado, Indonesia.
  • Tulong MT; Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia.
  • Siwabessy M; Division of Neurosurgery, Department of Surgery, R. D. Kandou Hospital, Manado, Indonesia.
  • Panduwinata D; Division of Orthopedic and Traumatology Surgery, Department of Surgery, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia.
  • Faruk M; Department of Neurosurgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Ann Med Surg (Lond) ; 78: 103896, 2022 Jun.
Article in En | MEDLINE | ID: mdl-35734724
ABSTRACT

Introduction:

Trauma to the extremities is a common major health problem that requires special attention because it can have a dangerous impact on both the viability of the limb and the patient's life. Hyperbaric oxygen therapy is an alternative therapy hypothesized to improve the prognosis in lower extremity trauma. Case presentation We present a series of 7 cases of lower extremity trauma treated with hyperbaric oxygen therapy soft tissue loss, neglected chronic burn injury, high-voltage electrical burn, gas gangrene, crush injury, chemical burn, and excoriation with skin loss.

Discussion:

Hyperbaric oxygen therapy involves giving 100% oxygen in a chamber at pressures above atmospheric pressure (2-3 atm absolute [ATA]). It can increase oxygen delivery to peripheral tissues with vascular compromise, cytogenic and vasogenic edema, and cellular hypoxia caused by limb trauma.

Conclusion:

Hyperbaric oxygen therapy has many benefits in lower extremity trauma for wound recovery, preventing complications, and helping patients return to daily activities.
Key words

Full text: 1 Database: MEDLINE Therapeutic Methods and Therapies TCIM: Terapias_biologicas / Oxigenoterapia_hiperbrica Language: En Journal: Ann Med Surg (Lond) Year: 2022 Type: Article Affiliation country: Indonesia

Full text: 1 Database: MEDLINE Therapeutic Methods and Therapies TCIM: Terapias_biologicas / Oxigenoterapia_hiperbrica Language: En Journal: Ann Med Surg (Lond) Year: 2022 Type: Article Affiliation country: Indonesia