[abstract] Hyperbaric Oxygen Therapy in Russia - More than 60 Indications: Literature Review

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[abstract] Hyperbaric Oxygen Therapy in Russia - More than 60 Indications: Literature Review

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Title: [abstract] Hyperbaric Oxygen Therapy in Russia - More than 60 Indications: Literature Review
Author: Aksenov, IV; Tonkopi, F
Abstract: INTRODUCTION: Hyperbaric Oxygen Therapy (HBOT) is widely used in Russia as a method of treatment for different conditions. Some of these conditions are not approved by UHMS. The goal of this study is to review specific indications and supporting studies that are available in Russian medical literature. METHOD: An extensive literature review of scientific journal articles, academic texts, Internet sources and Medline survey was conducted. RESULTS: A review of the literature and official documents revealed more than 60 approved indications for HBOT in Russia. HBOT in Russia is used in the following areas of medicine: cardiology, pulmonology, gastroenterology, hepatology, nephrology, hematology, oncology, endocrinology, rheumatology, allergology and immunology, infectious disease, emergency medicine, diving medicine, general surgery, orthopedic surgery, thermal injuries, neurology, neurosurgery, obstetrics and gynecology, neonatology and pediatrics, otolaryngology, clinical toxicology, ophthalmology, urology and psychiatry. Most of the studies are small controlled series with an evaluation of general clinical parameters. Transcutaneous oxygen monitoring was not used in any of these studies. Double blind controlled studies were not found. Studies comparing cost effectiveness of HBOT with traditional treatment modalities were also not found. Most of the applied protocols utilized pressure of 1.5-2.0 ATA and the duration of sessions at 45-60 minutes. CONCLUSION: There are more than 60 approved indications for HBOT in Russia. Some of the indications are based on small controlled series and lack objective supporting data. Some well-designed studies with good supporting data were identified. These conditions include neonatal injuries (fetal asphyxia), gynecological and urological diseases of infectious etiology, surgical and neurosurgical conditions associated with significant tissue destruction and poor healing. These conditions need additional well-designed investigations to prove effectiveness of HBOT.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1545
Date: 2004

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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