Hyperbaric oxygen therapy in traumatic brain injury cases
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 10, Issue 1
Abstract
Background: Traumatic brain injury (TBI) is a significant cause of premature death and disability. Despite the deployment of increasingly sophisticated therapy and increased monitoring in hospital, the mortality rate remains high. Hyperbaric oxygen therapy (HBOT) is a current interest in the field of neurological diseases. The clinical efficiency of HBOT in TBI remains controversial. Aim: To evaluate the effect of hyperbaric oxygen therapy in traumatic brain injury cases. Material and Methods: A total of 169 patients with traumatic brain injury cases with post-operative Glasgow Coma Score of 3-13 and GCS 13-15 with motor or language deficits were treated with HBOT. They were given 100% oxygen at 1.5-2 Atmospheric Absolute (ATA) for 60 minutes for 5-10 sittings at mean 3 days interval. Results: Out of the total 169 patients with traumatic brain injury cases, most of the patients had extradural haemorrhage i.e., 74 (43.78%) followed by subdural haemorrhage in 54 (31.95%) cases, diffused axonal injury in 22 (13.01%) cases and sub arachnoid haemorrhage in 19 (11.24%) cases. Conclusion: HBOT has been demonstrated to have neuroprotective effects without increased oxygen toxicity in experimental TBI models when administered at pressures of 1.5-2 ATA, if safety guidelines are strictly followed, HBOT is a modality with an acceptable rate of complications.
Authors and Affiliations
Kailas Bhivaji Kanthewad, Rohan Khairatkar
Keywords
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- EP ID EP613798
- DOI 10.26611/1061017
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