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Hyperbaric oxygen and surgery.

C MacFarlane1, F J Cronjé

  • 1Gauteng Health Department, Emergency Medical Services, University of the Witwatersrand, Johannesburg.

South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|February 1, 2002
PubMed
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Hyperbaric oxygen (HBO) therapy, delivering 100% oxygen under pressure, offers proven benefits for various surgical conditions. Proper medical supervision ensures its effective use as an evidence-based adjunct to surgical practice.

Area of Science:

  • Surgical Medicine
  • Oxygen Therapy

Background:

  • Hyperbaric oxygen (HBO) therapy involves administering 100% oxygen under pressure.
  • Its efficacy has been demonstrated and audited for specific surgical applications.

Purpose of the Study:

  • To outline the evidence-based indications for HBO therapy in surgical conditions.
  • To address past inappropriate uses and knowledge gaps regarding HBO therapy.

Main Methods:

  • Review of existing evidence and clinical applications of HBO therapy.
  • Identification of specific surgical conditions where HBO is beneficial.

Main Results:

  • HBO therapy is indicated for gas gangrene, crush injuries, compartment syndromes, acute traumatic ischemias, problem wound healing, severe anemia, necrotizing soft-tissue infections, refractory osteomyelitis, radionecrosis, compromised grafts/flaps, thermal burns, and intracranial abscesses.

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  • Past use has sometimes been inappropriate due to lack of knowledge and facility limitations.

    • Conclusions:

    • HBO therapy, when supervised by trained physicians and used for appropriate indications, serves as a valuable adjunct in surgical practice.
    • Proper application and physician training are crucial for maximizing the benefits of HBO therapy.