[abstract] HBO2 TREATMENT OF NEUROSURGICAL INFECTIONS

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[abstract] HBO2 TREATMENT OF NEUROSURGICAL INFECTIONS

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Title: [abstract] HBO2 TREATMENT OF NEUROSURGICAL INFECTIONS
Author: Larsson, A; Uusijarvi, J; Kihlstrum, L; Wallstedt, L; Mathiesen, T; Lind, F
Abstract: INTRODUCTION/BACKGROUND: HBO has the potential to correct hypoxia, improve tissue perfusion, stimulate tissue repair and enhance leukocyte bacterial killing capacity. We have previously (Larsson et al. Neurosurgery 2002;50:287-296) reported the clinical usefulness of HBO treatment as an alternative to the traditional neurosurgical procedures. Golden standard involves removal of bone flap or foreign material in the presence of infection. MATERIALS and METHODS: We have evaluated yet another group of 42 consecutive patients, including 6 children, admitted to the hyperbaric unit during the period 2001-2003. RESULTS: As previously reported (Larsson 2002) HBO improved outcomes, reduced the need for reoperations, and allowed infection control, especially in complex situations. In this new material, a wider range of severe and complex cranial and spinal infections has been treated, including 9 cerebral infections/ brain abscesses/ empyemas. Evaluation is ongoing, one patient died in tumour recurrence before evaluation and 9 patients have not yet been contacted. Successful results (infection control and healing without removal of bone flaps or foreign material) were achieved for 25 of 32 patients. Three children with postoperative infections after major scoliosis reconstructive surgery all healed without removal of spinal fixation systems. SUMMARY/ CONCLUSION: We conclude that HBO treatment offers a powerful cure for many complicated cranial and spinal infectious problems. It can be an alternative / adjunct to standard surgical procedures. An international prospective trial is proposed to assess the medical and economic implications of this new treatment regime.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1606
Date: 2004

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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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