[abstract] MANAGEMENT OF ACUTE ELECTRICAL BURNS WITH ADJUNCTIVE HYPERBARIC OXYGEN THERAPY

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[abstract] MANAGEMENT OF ACUTE ELECTRICAL BURNS WITH ADJUNCTIVE HYPERBARIC OXYGEN THERAPY

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Title: [abstract] MANAGEMENT OF ACUTE ELECTRICAL BURNS WITH ADJUNCTIVE HYPERBARIC OXYGEN THERAPY
Author: Sanchez, EC; Galindo, E; Vazquez, V; Garcia, L; Clark, D
Abstract: BACKGROUND: High voltage electrical burns behave as thermal burns and as crush injuries (both accepted conditions for the UHMS). The main purpose of the treatment after resuscitation, is to reduce muscular and other tissue damage. OBJECTIVE: To determine if hyperbaric oxygen therapy (HBO2) is an adjunctive therapy for the management of acute high voltage electrical burns. DESIGN: Retrospective review. MATERIALS AND METHODS: Charts reviewed of 3 patients who had contact with greater than 1,000 volts of electricity in the last 18 months. MAIN RESULTS: Three upper extremities, two lower extremities, and two trunks were treated within 8 hours of contact with high voltage (mean: 11,000 volts), to determine in HBO2 was able to avoid progressive clinical compartment syndrome, progressive muscular death, progressive nerve dysfunction, and renal and cardiac insufficiency; and could reduce the number of amputations and length of hospital stay. Treatment was 2.0 atm abs/90 min/TID/24 hours, BID for 7 days, and QID for the rest of HBO2 (mean, 30). There was complete normalization of alkaline phosphatase, SGTP, SGTO, and LDH within the first36-48 hours; CPK was reduced more than 50percent in this same time. The myoglobinuria was stabilized within 36 hours and the creatnine levels were never above normal limits. The amputation rate was of 20percent (vs. 45percent from literature reports), but was always more conservative than expected. There was no modification in the length of stay of these patients. CONCLUSIONS: We conclude that the use of HBO2 in the early phases of high voltage electrical burns helps preserve the salvagable tissue, reduces muscle and nerve necrosis, helps preserve renal and cardiac function, reduces the need for major amputations, and probably inhibits the progressive obliterative endoartheritis, respondsible of late complications. There were no side effects reported from hyperbaric treatment. There is a need of a prospective randomized controlled clinical trials to determine the real value of HBO2 in the management of actue high voltage electrical burns.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/804
Date: 1999

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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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