HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Frostbite of both first digits of the foot treated with delayed hyperbaric oxygen:a case report and review of literature.

AbstractBACKGROUND:
Frostbite is an uncommon event that can occur from exposure to temperatures below -4 degrees C and can lead to potential serious tissue damage and necrosis. This in turn can result in debilitating amputations in otherwise healthy people. The pathophysiological mechanisms of frostbite have marked similarities to those seen in thermal burns, ischemia/reperfusion injuries and crush injuries--i.e., non-healing wounds and inflammatory processes. These injuries are commonly treated with hyperbaric oxygen therapy.
OBJECTIVES:
Evidence for treating frostbite with hyperbaric oxygen (HBO2) is scarce, and to date HBO2 is not a standard addition in the multidisciplinary care of freezing injuries. We aim to contribute to the available evidence with a case report and review the literature to reassess the multidisciplinary treatment of frostbite injuries.
CASE REPORT AND REVIEW OF LITERATURE:
We present a case report of a woman with deep frostbite of the toes treated with hyperbaric oxygen therapy, after a delay of 21 days, with good results. No surgical intervention was needed. A literature search revealed 17 human case reports on frostbite and four animal studies in which hyperbaric oxygen was applied. All case reports showed positive effects, and in none of the cases was amputation necessary. In the animal studies, two showed significant positive results regarding tissue loss and reduction of inflammatory markers, whereas two did not.
CONCLUSIONS:
Based on our case report as well as the literature and the mechanisms of hyperbaric oxygen, we make the recommendation that this therapy be considered as an addition to the multidisciplinary treatment of frostbite, even after significant delay of treatment.
AuthorsTom C P M Kemper, Vincent M de Jong, Helen A Anema, Albert van den Brink, Robert A van Hulst
JournalUndersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc (Undersea Hyperb Med) 2014 Jan-Feb Vol. 41 Issue 1 Pg. 65-70 ISSN: 1066-2936 [Print] United States
PMID24649719 (Publication Type: Case Reports, Journal Article, Review)
Topics
  • Female
  • Frostbite (pathology, physiopathology, therapy)
  • Humans
  • Hyperbaric Oxygenation (methods)
  • Mountaineering (injuries)
  • Nepal
  • Time Factors
  • Toes (injuries)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: