Advertisement

Evidence-Based Hyperbaric Oxygen Therapy

  • F. Wattel
  • D. Mathieu
Conference paper

Abstract

Medical practice is changing and the change, which involves using the medical literature more effectively in guiding medical practice, is profound enough that it can appropriately be called a paradigm shift. To get rid of the blame being “a therapy in search of disease” [1], hyperbaric oxygen therapy (HBOT) has to prove its effectiveness in comparison with alternative therapeutic procedures, as well as to be technically feasible and safe, with a minimum of possible adverse effects. It is now accepted that virtually no drug — and hyperbaric oxygen must be considered as a drug — can enter clinical practice without a demonstration of its efficacy in clinical trials.

Keywords

Necrotizing Fasciitis Alpha Toxin Critical Ischaemia Necrotizing Soft Tissue Infection Normobaric Oxygen 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Gabb G, Robin ED (1987) Hyperbaric oxygen: a therapy in search of diseases. Chest 92:1074–1082PubMedCrossRefGoogle Scholar
  2. 2.
    Gyatt G and the Evidence Based Medicine working group (1992) Evidence based medicine. A new approach to teaching the practice of medicine. JAMA 268:2420–2425CrossRefGoogle Scholar
  3. 3.
    Wattel F, Mathieu D (1994) Proceedings of the 1st European Consensus Conference on Hyperbaric Medicine, vol. 1. CRAM Nord-Picardie, Lille, p 504Google Scholar
  4. 4.
    Wattel F, Mathieu D (1996) Proceedings of the 2nd Consensus Conference devoted to the treatment of decompression accidents in recreational diving, vol. 1. Faculté de Médecine de Lille, Lille, p 225Google Scholar
  5. 5.
    Marroni A (1996) The Divers Alert Network in Europe: risk evaluation and problem management in a European recreational divers population. In: Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 265–267Google Scholar
  6. 6.
    Dutka AJ (1991) Air or gas embolism. In: Camporesi EM, Barker AC (eds) Hyperbaric oxygen therapy: a critical review. Undersea and Hyperbaric Medical Society, Bethesda, pp 1–10Google Scholar
  7. 7.
    Moon RE (1996) Gas embolism. In: Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 229–248CrossRefGoogle Scholar
  8. 8.
    Mathieu D, Wattel F, Neviere R, Mathieu-Nolf M (1996) Carbon monoxide poisoning: mechanism, clinical presentation and management. In: Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 281–296CrossRefGoogle Scholar
  9. 9.
    Thorn S (1993) Leukocytes in carbon monoxide mediated brain oxidative injury. Toxicol Appl Pharmacol 123:234–247CrossRefGoogle Scholar
  10. 10.
    Thorn S (1993) Functional inhibition of leukocyte B2 integrins by hyperbaric oxygen in carbon monoxide mediated brain injury in rats. Toxicol Appl Pharmacol 123:248–256CrossRefGoogle Scholar
  11. 11.
    Park MK, Muhvich KH, Myers RAM, Mazella L (1994) Effects of hyperbaric oxygen infectious diseases: basic mechanisms. In: Kindwall EP (ed) Hyperbaric medicine practice. Best, Flagstaff, AZ,pp 141–172Google Scholar
  12. 12.
    Hart GB, Strauss MB (1990) Gas gangrene — clostridial myonecrosis — a review. J Hyperbaric Med 5:125–144Google Scholar
  13. 13.
    Bakker DJ, Van der kleij AJ (1996) Clostridial myonecrosis. In: Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 362–385Google Scholar
  14. 14.
    Mader JT (1988) Mixed anaerobic and aerobic soft tissue infections. In: Davis JC, Hunt TK (eds) Problem wound: the role of oxygen. Elsevier, New York, pp 153–172Google Scholar
  15. 15.
    Marroni A, Oriani G, Wattel F (1996) Cost-benefit and cost efficiency evaluation of hyperbaric oxygen therapy. In: Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 879–886CrossRefGoogle Scholar
  16. 16.
    Wattel F, Mathieu D, Neviere R (1996) Les indications de l’oxygénothérapie hyperbare — organisation d’une unité de traitement. Formation des personnels. Bull Acad Nat Med 180: 949–964Google Scholar
  17. 17.
    Wattel F, Ohresser Ph, Mathieu D et al (1986) Perineal gangrene — clinical presentation and management. J Hyperbare Med 1:215–221Google Scholar
  18. 18.
    Mathieu D, Neviere R, Chagnon JL, Wattel F (1995) Cervical necrotizing fasciitis — clinical manifestations and management. Clin Infect Dis 21:51–56PubMedCrossRefGoogle Scholar
  19. 19.
    Bakker DJ, Van der Kleij AJ (1996) Soft tissue infection excluding clostridial myonecrosis: diagnosis and treatment. In: Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 343–361CrossRefGoogle Scholar
  20. 20.
    Riseman JA, Zamboni WA, Curtis A (1990) Hyperbaric oxygen therapy for necrotizing fasciitis reduces mortality and the need for debridements. Surgery 108:847–850PubMedGoogle Scholar
  21. 21.
    Niniikoski J, Hunt TK (1996) Oxygen and healing wounds: tissue-bone repair enhancement. In: Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 485–507CrossRefGoogle Scholar
  22. 22.
    Zamboni WA (1994) The microcirculation and ischemia-reperfusion: basic mechanisms of hyperbaric oxygen. In: Kindwall EP (ed) Hyperbaric medicine practice. Best, Flagstaff, AZ, pp 551–564Google Scholar
  23. 23.
    Bouachour G, Cronier P (1996) Hyperbaric oxygen in crush injuries. In: Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 428–442Google Scholar
  24. 24.
    Zamboni WA (1996) Applications of hyperbaric oxygen therapy in plastic surgery. In: Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 443–483CrossRefGoogle Scholar
  25. 25.
    Lind F (1996) HBO therapy in burns and smoke inhalation injury. In: Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 509–520CrossRefGoogle Scholar
  26. 26.
    Wattel F, Mathieu D (1998) Hyperbaric oxygen in the treatment of post-hanging cerebral anoxia. In: Gullo A (ed) APICE 12. Springer, Berlin Heidelberg New York, pp 459–473Google Scholar
  27. 27.
    Ducasse JL, Cathala B (1996) Brain injuries and HBO. In: G. Oriani, Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 404–408Google Scholar
  28. 28.
    Nemiroff PM, Merwin GE, Brant T, Cassisi NJ (1985) Effects of hyperbaric oxygen and irradiation on experimental skin flaps in rats. Otolaryngol Head Neck Surg 93:485–491PubMedGoogle Scholar
  29. 29.
    Mathieu D, Neviere R, Wattel F (1996) Transcutaneous oximetry in hyperbaric medicine. In: Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 686–698Google Scholar
  30. 30.
    Van Merkesteyn JPR, Bakker DJ, Kooijman R (1996) Radionecrosis. In: Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 387–401CrossRefGoogle Scholar
  31. 31.
    Marx RE (1994) Radiation injury to tissue. In: Kindwall EP (ed) Hyperbaric medicine practice. Best, Flagstaff, AZ, pp 448–503Google Scholar
  32. 32.
    Britt M, Calhoun J, Mader JT, Mader JP (1994) The use of hyperbaric oxygen in the treatment of osteomyelitis. In: Kindwall EP (ed) Hyperbaric medicine practice. Best, Flagstaff, AZ,pp 419–427Google Scholar
  33. 33.
    NHLBI Workshop summary (1991) Hyperbaric oxygenation therapy. Am Rev Resp Dis 144: 1414–1421Google Scholar
  34. 34.
    Camporesi EM, Mascia MF, Thorn SR (1996) Physiological principles of hyperbaric oxygenation. In: Oriani G, Marroni A, Wattel F (eds) Handbook on hyperbaric medicine. Springer, Berlin Heidelberg New York, pp 35–58CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 1999

Authors and Affiliations

  • F. Wattel
    • 1
  • D. Mathieu
    • 1
  1. 1.Dept. of Respiratory Emergency, Resuscitation and Hyperbaric MedicineCalmette Hospital — CHRULilleFrance

Personalised recommendations