[abstract] ADJUNCTIVE HYPERBARIC OXYGEN TREATMENT FOR 8 PATIENTS WITH CRUSH SYNDROME IN DEVASTATING EARTHQUAKE.

Rubicon Research Repository/Manakin Repository

[abstract] ADJUNCTIVE HYPERBARIC OXYGEN TREATMENT FOR 8 PATIENTS WITH CRUSH SYNDROME IN DEVASTATING EARTHQUAKE.

Show full item record


Title: [abstract] ADJUNCTIVE HYPERBARIC OXYGEN TREATMENT FOR 8 PATIENTS WITH CRUSH SYNDROME IN DEVASTATING EARTHQUAKE.
Author: Yu, SY
Abstract: BACKGROUND: Hyperbaric oxygen therapy (HBOT) has been reported as an useful adjunct for the management of crush injuries. A devastating earthquake scaled 7.3 hit central Taiwan in the early morning on Sep. 21, 1999, and aftershocks scaled between 5 to 6 persisted for months. Changhua Christian Hospital, the nearest medical center to the quake region, has received more than 2000 emergent trasferral during the disaster. CASE REPORT: There were 8 severely injured patients managed with both traditional treatments and adjunctive hyperbaric oxygen treatment. Two of them received amputation finally. An 8-year-old girl with severe crush over both lower limbs lost her left leg by a below-knee amputation because of irreversible gangrenous change and uncontrolled sepis. Hypoxia of her right leg was reversed by fasciotomy and intensive HBOT. A 6-year-old girl with duodenal perforation and totally crushed left lower limb underwent emergent laparotomy, fasciotomy and early HBOT. An inevitable transmetatarsal amputation was done for her to remove the gangrenous part of foot. A back hoes tilted over a 25-year-old young man resulting in an open tibial fracture and severe crush, which was corrected by repeated operations and HBOT. Compartment syndrome also developed in another 4 patients, and relieved with no or mild neurologic deficit after 5 to 20 dives of HBOT. A 6-year-old girl with cardiac tamponade underwent emergent cardiac ventricle repair and depended on ventilator for pulmonary contussion postoperatively. The sternotomy wound was dehescenced and deeply infected, but healed well after repeated operations and 12 dives of HBOT. CONCLUSION: With the benefit of promoting wound healing, decreasing infection and shortening hospital day, these cases are to be presented to conclude that early adjunctive hyperbaric oxygen therapy plays an important role in the treatment of crush syndrome.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org)
URI: http://archive.rubicon-foundation.org/6872
Date: 2000

Files in this item

Files Size Format View
abstract.txt 193bytes Text file View/Open

This item appears in the following Collection(s)

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

Show full item record

Browse

My Account