Recent 10-Year Experience of One Regional Emergency Center and Recommendation for Hyperbaric Oxygen Therapy (HBOT).
- Author:
Jung Hoon YOON
1
;
Gi Woon KIM
;
Yoon Seok JUNG
;
Cheol Soo HAN
;
Young Gi MIN
;
Joon Pil CHO
;
Sang Cheon CHOI
Author Information
1. Department of Emergency Medicine, Ajou University Hospital, Korea. avenue59@ajou.ac.kr
- Publication Type:Original Article
- Keywords:
Hyperbaric Oxygen Therapy;
Indication;
Complication
- MeSH:
Academic Medical Centers;
Carbon Monoxide;
Earache;
Electronic Mail;
Emergencies*;
Humans;
Hyperbaric Oxygenation*;
Critical Care;
Mastoid;
Mastoiditis;
Medical Records;
Oxygen;
Retrospective Studies;
Skin Care;
Wounds and Injuries
- From:Journal of The Korean Society of Clinical Toxicology
2013;11(2):81-88
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aim of this study is to investigate current status, indications, and complications of hyperbaric oxygen therapy. METHODS: A retrospective investigation of patients who underwent hyperbaric oxygen therapy at a university medical center from September 2004 to August 2013 was conducted based on patients' medical records and results of an email survey for 99 emergency centers. RESULTS: During the study period, a total of 233 patients underwent hyperbaric oxygen therapy. Indications for hyperbaric oxygen treatment of illness or injury were as follows: 1) 151 cases of acute carbon monoxide poisoning(65.4%), 2) flap wound management, including 42 cases(18.2%), 3) skin care transplanted, including 23 cases(10.4%), 4) Burger's disease, including 5 five cases(2.1%), respectively. Total application time* frequency was 1,088 and total time was 1,239 hours. Among 233 patients who underwent hyperbaric oxygen therapy, 32 patients(13.7%) had complications: 1) otalgia in 21 cases(9.0%), 2) mastoiditis? in six cases(2.6%), 3) hemotympanum in five cases(2.1%), respectively. There were only 8 emergency centers that currently had an operational hyperbaric oxygen chamber in 77 emergency centers(10.4%). CONCLUSION: Indications identified through this study showed difference from current indications worldwide. It seems necessary that physicians' perception regarding application of hyperbaric oxygen therapy for more indications be changed and improved. A hyperbaric chamber capable of providing respiratory assistance and intensive care is also needed. A good network for sharing treatment experiences and a specialized team for administration of hyperbaric oxygen therapy is also required.
