Document Category: Infectology

Cost and mortality data of a regional limb salvage and hyperbaric medicine program for Wagner Grade 3 or 4 diabetic foot ulcers

We obtained costs and mortality data in two retrospec tive cohorts totaling 159 patients who have diabetes mellitus and onset of a diabetic foot ulcer (DFU). Data were collected from 2005 to 2013, with a follow-up period through September 30, 2014. A total of 106 patients entered an evidence-based limb salvage protocol (LSP) for Wagner Grade …

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The role of hyperbaric oxygen therapy in the treatment of sternal wound infection

SummarySternal wound dehiscence and infection are major problems for patients and health care providers. A range of risk factors, including diabetes, obesity and internal thoracic artery harvest, has been implicated. Several pathophysiological mechanisms, which may account for the development of infection, have been proposed. There is a growing body of evidence which suggests that sternal …

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Hyperbaric oxygen therapy as additional treatment in deep sternal wound infections – a single center’s experience

AbstractIntroduction: Deep sternal wound infection (DSWI) is one of the most serious complications after cardiac surgery proce dures, observed in 5% of patients. Current standard medical therapy for DSWI includes antibiotics, surgical debridement, resuturing or negative pressure wound therapy (NPWT). Un fortunately, in some cases these methods are insufficient, and additional therapeutic options are needed. Aim: To …

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Hyperbaric Oxygen Therapy for Wound Dehiscence After Intraoral Bone Grafting in the Nonirradiated Patient: A Case Series

Purpose: In maxillofacial surgery, hyperbaric oxygen treatment is used almost exclusively as adjunctive therapy for osteoradionecrosis of the mandible in irradiated patients. It also is used to prevent the occur rence of osteoradionecrosis in the irradiated patient when dental surgery is indicated. Theoretically, hyper baric oxygen therapy should benefit the nonirradiated patient in maxillofacial surgery …

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Can hyperbaric oxygen be used to prevent deep infections in neuro-muscular scoliosis surgery?

AbstractBackground: The prevalence of postoperative wound infection in patients with neuromuscular scoliosis surgery is significantly higher than that in patients with other spinal surgery. Hyperbaric oxygen has been used as a supplement to treat postsurgical infections. Our aim was to determine beneficiary effects of hyperbaric oxygentreatment in terms of prevention of postoperative deep infection in …

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Role of Hyperbaric Oxygen Therapy in the Treatment of Postoperative Organ/Space Sternal Surgical Site Infections

AbstractBackground A prospective trial was designed to evaluatethe effect of hyperbaric oxygen (HBO) therapy on organ/space sternal surgical site infections (SSIs) following car diac surgery that requires sternotomy.Methods A total of 32 patients who developed postop erative organ/space sternal SSI were enrolled in this study from 1999 through 2005. All patients were offered HBOtherapy. Group …

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Evaluation of the Occlusive Arterial Disease and Diabetic Angiopathy Treatment Effects by Hyperbaric Oxygenation

Introduction: One of the most severe complications of atherosclerosis is arterial occlusive disease (AOD) and with diabetic angiopathy (DA), is a common chronic problem in clinical practice worldwide. Hyperbaric oxygen (HBO) therapy is a therapeutic modality for solving all forms of hypoxia. Aim: To compare the treatment with HBO therapy in patients with AOD and DA ischemic …

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Transcutaneous Oxygen Measurements Under Hyperbaric Oxygen Conditions as a Predictor for Healing of Problem Wounds

Controversy exists as to what transcutaneous oxygen (PICO.) levels are required for wound healing and what role hyperbaric oxygen has for this. Current information sug gests that 30 to 40 mmHg juxta-wound oxygen tensions in room air are required. We recorded P,cO. measure ments in room air and with hyperbaric oxygen in 190 patients with …

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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

Aims/hypothesis The randomised, double-blind, placebo controlled Hyperbaric Oxygen Therapy (HBOT) in Diabetic Patients with Chronic Foot Ulcers (HODFU) study showed beneficial effect of HBOT. As this treatment is expensive and time-consuming, being able to select patients for therapy would be very useful. The aim of this study was to evaluate whether circulatory variables could help …

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 Leer más »

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Systematic Review or Meta-analysis Systematic review and meta-analysis of clinical trials examining the effect of hyperbaric oxygen therapy in people with diabetes-related lower limb ulcers

AbstractAim To examine the efficacy of hyperbaric oxygen therapy in healing diabetes-related lower limb ulcers through a meta-analysis of randomized clinical trials.Methods A literature search was conducted to identify appropriate clinical trials. Inclusion required randomized study design and reporting of the proportion of diabetes-related lower limb ulcers that healed. A meta-analysis was performed to examine …

Systematic Review or Meta-analysis Systematic review and meta-analysis of clinical trials examining the effect of hyperbaric oxygen therapy in people with diabetes-related lower limb ulcers Leer más »

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