[abstract] THE TREATMENT OF DEEP FROSTBITE OF BOTH FEET IN TWO PATIENTS WITH HYPERBARIC OXYGEN

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[abstract] THE TREATMENT OF DEEP FROSTBITE OF BOTH FEET IN TWO PATIENTS WITH HYPERBARIC OXYGEN

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Title: [abstract] THE TREATMENT OF DEEP FROSTBITE OF BOTH FEET IN TWO PATIENTS WITH HYPERBARIC OXYGEN
Author: Ay, H; Uzun, G; Yildiz, S; Solmazgul, E; Dundar, K; Qyrdedi, T; Yildirim, I; Gumus, T
Abstract: BACKGROUND: Frostbite is the acute freezing of the skin and tissues following exposure to low temperatures. There are only a few reports in the literature concerning the use of hyperbaric oxygen (HBO2) therapy in patients with frostbite. MATERIAL AND METHODS: Two patients suffering from deep frostbite presented to our department on the 14th and 6th days post injury. Both patients were treated with HBO2 6 days a week, on an in-patient basis. Wound care was performed daily. RESULTS: The first patient, who was recommended for bilateral 1st, 2nd and 3rd toe amputation on both feet before referral to our clinic, had a slight tissue loss on the tips of the 1st and 2nd right toes and the tip of the 1st left toe, and the second patient, who was recommended for bilateral below-knee amputation before referral to our clinic, underwent bilateral transmetatarsal amputation. No major amputation was performed. No adverse effects of HBO2 were observed. CONCLUSIONS: In the early stages of freezing, HBO2 can assist in the salvaging of a greater amount of tissue by increasing the viability of reversibly damaged cells (i.e. those neighboring on necrotic tissue) by preventing hypoxia and reducing edema. In the late stage, it shortens the duration of hospitalization by accelerating wound healing and reducing the development of secondary infection. HBO2 also increases the success of surgical interventions planned for tissue defects. Prospective clinical studies are needed to demonstrate the beneficial effects of HBO2 in deep frostbite treatment. There are only a few reports in the literature concerning the use of hyperbaric oxygen in patients with frostbite. We believe hyperbaric oxygen is beneficial in frostbite both early and late period of injury. We want to make our study as an oral presentation to draw researchers attention on this topic.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1629
Date: 2005

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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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