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KMID : 1013220130110020081
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Jouranl of the Korean Society of Clinical Toxicology
2013 Volume.11 No. 2 p.81 ~ p.88
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Recent 10-Year Experience of One Regional Emergency Center and Recommendation for Hyperbaric Oxygen Therapy (HBOT)
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Yoon Jung-Hoon
Kim Gi-Woon
Jung Yoon-Seok
Han Cheol-Soo
Min Young-Gi
Cho Joon-Pil
Choi Sang-Cheon
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Abstract
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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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KEYWORD
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Hyperbaric Oxygen Therapy, Indication, Complication
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