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Recent 10-Year Experience of One Regional Emergency Center and Recommendation for Hyperbaric Oxygen Therapy (HBOT)

Other Title
고압산소 치료에 대한 일개 권역 응급센터의 최근 10년 경험 및 제언
윤, 정훈 | 김, 기운  | 정, 윤석  | 한, 철수 | 민, 영기  | 조, 준필  | 최, 상천
Journal of the Korean Society of Clinical Toxicology, 11(2). : 81-88, 2013
Journal Title
Journal of the Korean Society of Clinical Toxicology
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.
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Journal Papers > School of Medicine / Graduate School of Medicine > Emergency Medicine
Ajou Authors
김, 기운  |  민, 영기  |  정, 윤석  |  조, 준필  |  최, 상천
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