[abstract] OUTCOMES IN 124 PATIENTS AFTER MONOPLACE HYPERBARIC OXYGEN THERAPY FOR RADIATION TISSUE DAMAGE - A 14 YEAR EXPERIENCE.

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[abstract] OUTCOMES IN 124 PATIENTS AFTER MONOPLACE HYPERBARIC OXYGEN THERAPY FOR RADIATION TISSUE DAMAGE - A 14 YEAR EXPERIENCE.

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dc.contributor.author Slade, B en_US
dc.contributor.author Cianci, PE en_US
dc.date.accessioned 2006-08-01T21:05:15Z
dc.date.available 2006-08-01T21:05:15Z
dc.date.issued 1998 en_US
dc.identifier.other Undersea Hyp Med 1998 en_US
dc.identifier.uri http://archive.rubicon-foundation.org/581
dc.description Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org ) en_US
dc.description.abstract BACKGROUND: Hyperbaric oxygen (HBO2) is an important therapeutic modality for the spectrum of bone and soft tissue radiation damage for releif of signs, symptoms, prevention of complications, and enhancement of healing. This is a report of a 14-year experience.METHOD: Medical records of all patients referred to two northern California community hosptials for HBO2 treatment of radiation tissude damage between 1983-97 were reviewed. Treatment plans were coordinated with the involved specialist(s). Patients accepted for HBO2 were treated at 2 atm abs for 90-120 minutes usually daily, occasionally bid.RESULTS: Diagnoses for the 164 patients accepted for HBO2 included ORN (39percent), ORN prevention (2percent), proctitis (10percent), cystitis (8percent), anterior chest wall radiation necrosis in breast cancer patients (6percent), all other soft tissue radiation damage (36percent) including head and neck, problem wounds, compromised flaps and grafts, optic neuropathy, brain/spinal cord, abdominal wall and vaginal vault. HBO2 therapy raned from 20-67 treatments for 124 patients. Of the 40 patients treated less than 20 times, 30 stopped for miscellaneous or undocumented reasons, 4 had prior HBO2, 4 healed or improved significantly, and 2 were referred to other chamber facilities. There were no complications of HBO2 therapy. Of the 124 patients who received greater than 20 treatments, 117 (94percent) had significant improvement or healed completely with total resolution of objective findings and/or symptoms. The average number of treatments for these 117 patients was 22.1. Average HBO2 costs were $15,800 per course.CONCLUSIONS: HBO2 therapy is a highly effective (94percent) madality for the treatment of radiation tissue injury. These data suggest that a minimum of 30 treatments are necessary for optimal results. Need to develop more definitive outcome predictors and treatment portocols for soft tissue radiation damage indications. en_US
dc.language.iso en_US
dc.rights Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org ) en_US
dc.subject cystitis en_US
dc.subject radionecrosis en_US
dc.subject radiation en_US
dc.subject hyperbaric en_US
dc.subject outcomes en_US
dc.subject chamber en_US
dc.title [abstract] OUTCOMES IN 124 PATIENTS AFTER MONOPLACE HYPERBARIC OXYGEN THERAPY FOR RADIATION TISSUE DAMAGE - A 14 YEAR EXPERIENCE. en_US

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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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