Academic Journal
1000 Hyperbaric Oxygen Therapy for Compromised Residual Limbs
| Τίτλος: | 1000 Hyperbaric Oxygen Therapy for Compromised Residual Limbs |
|---|---|
| Συγγραφείς: | Kopari, Nicole, Draper, Robin |
| Πηγή: | Journal of Burn Care & Research ; volume 46, issue Supplement_1, page S398-S398 ; ISSN 1559-047X 1559-0488 |
| Στοιχεία εκδότη: | Oxford University Press (OUP) |
| Έτος έκδοσης: | 2025 |
| Περιγραφή: | Introduction With impaired microcirculatory circulation and peripheral neuropathy, diabetics are at an increased risk of developing scald burn injuries and are less likely to heal them. In the setting of impaired microcirculation and a compromised wound bed, hyperbaric oxygen (HBO) therapy provides a potential means to improve the oxygen concentration in the healing wound and may allow a wound to heal that would otherwise require amputation. We present an interesting case using HBO as a salvage option for a compromised residual limb after a diabetic patient underwent a transmetatarsal amputation (TMA) for a scald burn. Methods A retrospective chart review was performed on a 64-year-old male with a history of diabetes and peripheral neuropathy who presented to the emergency department (EM) after sustaining a scald burns to his left foot. Patient suffered a burn from his sauna when exposed to a disconnected hose for 10 minutes. He presented with fully demarcated tissue necrosis to left forefoot. Results Patient was taken to the operating room (OR) for guillotine TMA secondary to concerns of gangrene in the setting of poorly controlled diabetes. He was placed in wet to dry dressings and 3 days later he underwent formalization of the TMA. Patient was discharged on post-operative day 3 with instructions to remain non-weightbearing and elevate for edema management. The team failed to notice early signs of tissue compromise at his discharge. At his first clinic visit, 10 days after his TMA, concerns for non-compliance with non-weightbearing status, edema, and tissue compromise were identified. The patient was re-admitted to the hospital for wound care, edema management, and consultation with the HBO team for treatment. He underwent 5 sessions (1x/day) of HBO therapy (one 60-minute session and four 90-minute sessions) while inpatient. He had significant improvement after the initial treatment but remained hospitalized until outpatient HBO insurance authorization was obtained. Patient underwent an additional 15 ... |
| Τύπος εγγράφου: | article in journal/newspaper |
| Γλώσσα: | English |
| DOI: | 10.1093/jbcr/iraf019.531 |
| Διαθεσιμότητα: | https://doi.org/10.1093/jbcr/iraf019.531 https://academic.oup.com/jbcr/article-pdf/46/Supplement_1/S398/62823840/iraf019.531.pdf |
| Rights: | http://creativecommons.org/licenses/by/4.0/ |
| Αριθμός Καταχώρησης: | edsbas.C6EC2849 |
| Βάση Δεδομένων: | BASE |
| FullText | Text: Availability: 0 CustomLinks: – Url: https://doi.org/10.1093/jbcr/iraf019.531# Name: EDS - BASE (ns324271) Category: fullText Text: View record from BASE |
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| Items | – Name: Title Label: Title Group: Ti Data: 1000 Hyperbaric Oxygen Therapy for Compromised Residual Limbs – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Kopari%2C+Nicole%22">Kopari, Nicole</searchLink><br /><searchLink fieldCode="AR" term="%22Draper%2C+Robin%22">Draper, Robin</searchLink> – Name: TitleSource Label: Source Group: Src Data: Journal of Burn Care & Research ; volume 46, issue Supplement_1, page S398-S398 ; ISSN 1559-047X 1559-0488 – Name: Publisher Label: Publisher Information Group: PubInfo Data: Oxford University Press (OUP) – Name: DatePubCY Label: Publication Year Group: Date Data: 2025 – Name: Abstract Label: Description Group: Ab Data: Introduction With impaired microcirculatory circulation and peripheral neuropathy, diabetics are at an increased risk of developing scald burn injuries and are less likely to heal them. In the setting of impaired microcirculation and a compromised wound bed, hyperbaric oxygen (HBO) therapy provides a potential means to improve the oxygen concentration in the healing wound and may allow a wound to heal that would otherwise require amputation. We present an interesting case using HBO as a salvage option for a compromised residual limb after a diabetic patient underwent a transmetatarsal amputation (TMA) for a scald burn. Methods A retrospective chart review was performed on a 64-year-old male with a history of diabetes and peripheral neuropathy who presented to the emergency department (EM) after sustaining a scald burns to his left foot. Patient suffered a burn from his sauna when exposed to a disconnected hose for 10 minutes. He presented with fully demarcated tissue necrosis to left forefoot. Results Patient was taken to the operating room (OR) for guillotine TMA secondary to concerns of gangrene in the setting of poorly controlled diabetes. He was placed in wet to dry dressings and 3 days later he underwent formalization of the TMA. Patient was discharged on post-operative day 3 with instructions to remain non-weightbearing and elevate for edema management. The team failed to notice early signs of tissue compromise at his discharge. At his first clinic visit, 10 days after his TMA, concerns for non-compliance with non-weightbearing status, edema, and tissue compromise were identified. The patient was re-admitted to the hospital for wound care, edema management, and consultation with the HBO team for treatment. He underwent 5 sessions (1x/day) of HBO therapy (one 60-minute session and four 90-minute sessions) while inpatient. He had significant improvement after the initial treatment but remained hospitalized until outpatient HBO insurance authorization was obtained. Patient underwent an additional 15 ... – Name: TypeDocument Label: Document Type Group: TypDoc Data: article in journal/newspaper – Name: Language Label: Language Group: Lang Data: English – Name: DOI Label: DOI Group: ID Data: 10.1093/jbcr/iraf019.531 – Name: URL Label: Availability Group: URL Data: https://doi.org/10.1093/jbcr/iraf019.531<br />https://academic.oup.com/jbcr/article-pdf/46/Supplement_1/S398/62823840/iraf019.531.pdf – Name: Copyright Label: Rights Group: Cpyrght Data: http://creativecommons.org/licenses/by/4.0/ – Name: AN Label: Accession Number Group: ID Data: edsbas.C6EC2849 |
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