This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Hirko, M. K. Articles by Rubin, J. R. Search for Related Content PubMed Articles by Hirko, M. K. Articles by Rubin, J. R. Social Bookmarking                         What's this?

Treatment of Rheumatoid Vasculitic Cutaneous Ulcers with Regional Hyperbaric Oxygen

Department of Surgery, Western Reserve Care System, Youngstown; Department of Surgery, Northeastern Ohio Universities College of Medicine, Rootstown, Ohio, Florida

Mohammad Jamshidi, DO

Department of Surgery, Western Reserve Care System, Youngstown, Florida

Ashish Gupta, MD

Department of Surgery, University of South Florida, Tampa, Florida

Jeffrey R. Rubin, MD, FACS

Department of Surgery, Western Reserve Care System, Youngstown; Department of Surgery, Northeastern Ohio Universities College of Medicine, Rootstown, Ohio, Florida

Hyperbaric oxygen therapy (HBO) has been used to promote healing of cutaneous ulcers secondary to diabetes mellitus, ionized radiation exposure injuries, gas gangrene, crush injuries, and necrotizing fasciitis. Despite the beneficial effects of HBO, there have been conflicting clinical experiences reported regarding its efficacy. To evaluate the effects of localized HBO, eight patients who were referred to a vascular surgery service with nonhealing rheumatoid vasculitic cutaneous ulcers were placed on a regional HBO regimen consisting of 100% fraction of inspired oxygen at 2 x atmospheric pressure for 60-90 minutes three times daily. Wound healing occurred in 87.5% of patients with a mean healing time of 4.7 weeks (range 2-10 weeks). The authors conclude that localized HBO for the treatment of refractory rheumatoid vasculitic ulcers is a safe and expedient modality to be considered and that these chronically hospitalized patients, exhausting other treatment regimens, may benefit from HBO therapy.

Vascular and Endovascular Surgery, Vol. 33, No. 4, 381-385 (1999)
DOI: 10.1177/153857449903300409


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?