Hyperbaric oxygen therapy for acute coronary syndrome

Bennett, Michael H; Lehm, Jan P; Jepson, Nigel

doi:10.1002/14651858.cd004818.pub4

Cited by 10 publications

(4 citation statements)

References 29 publications

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“…Thus a series of Cochrane systematic reviews on HBOT application against acute coronary syndrome (56), chronic wounds (57), and as an adjunctive therapy against traumatic brain injury (58) have come to an almost uniform conclusion that there is considerable evidence for short term benefits, while the long term effects are more uncertain. The suggestion for improvement, in these reviews, is also quite uniform, emphasizing the need for more precise quantification, personalization and long terms assessment of the treatments: "an appropriately powered trial of high methodological rigour is justified to define those patients (if any) who can be expected to derive most benefit from HBOT" (56). The present review concurs with this suggestion.…”

Section: The Use Of Hbot In Treating Aging-related Diseasessupporting

confidence: 62%

Hyperbaric oxygenation for resuscitation and therapy of elderly patients with cerebral and cardio-respiratory dysfunction

Rogatsky

Stambler

2017

Front Biosci

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Hyperbaric oxygenation therapy (HBOT) has been gaining an increasing recognition as a versatile therapeutic approach. This article reviews the application of hyperbaric oxygenation as a method for resuscitation and therapy of elderly patients with cerebral and cardio-respiratory dysfunction, in acute as compared to chronic impairments. The vital role of proper dosage of HBO therapy to ensure both the efficacy and safety of the treatment is emphasized. We argue that in the acute stages of brain and cardiorespiratory impairment, the adequate hyperbaric oxygen dose is the most important condition for obtaining maximum therapeutic effect, due to the powerful anti-hypoxic capabilities of this method. In contrast, during the chronic course of such impairments, there is an increased importance of safe dosing for the prevention of oxygen intoxication. Further dosage adjustments need to be made for the elderly as compared to younger patients, while examining and taking into consideration long term therapy effects. Some potential geroprotective mechanisms of HBO therapy are considered, that may be analogous to other geroprotective medications.

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Section: The Use Of Hbot In Treating Aging-related Diseasessupporting

confidence: 62%

Hyperbaric oxygenation for resuscitation and therapy of elderly patients with cerebral and cardio-respiratory dysfunction

Rogatsky

Stambler

2017

Front Biosci

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“…28–32 Although acute ischemic or traumatic injuries seem logical targets for HBOT research, the significant challenges involved in providing HBOT immediately to very sick patients have limited their application to the chronic phase of these conditions, a time frame during which any beneficial effects of HBOT (assuming they exist) are least likely to be identified. 33 …”

Section: Indications and Mechanism Of Actionmentioning

confidence: 99%

An Update on the Appropriate Role for Hyperbaric Oxygen: Indications and Evidence

Fife

Eckert

Carter

2016

Plastic &Amp; Reconstructive Surgery

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Background:Among advanced therapeutic interventions for wounds, hyperbaric oxygen therapy (HBOT) has the unique ability to ameliorate tissue hypoxia, reduce pathologic inflammation, and mitigate ischemia reperfusion injury. Most of the conditions for which it is utilized have few successful alternative treatments, and the morbidity and mortality associated with treatment failure are significant. Data on the efficacy and effectiveness of HBOT were reviewed, comparative effectiveness research of HBOT was explained, and a new paradigm for the appropriate use of HBOT was described.Methods:Systematic reviews and randomized controlled trials that have evaluated HBOT were reviewed.Results:Although numerous small randomized controlled trials provide compelling support for HBOT, the physics of the hyperbaric environment create significant barriers to trial design. The electronic health record infrastructure created to satisfy mandatory quality and registry reporting requirements as part of healthcare reform can be harnessed to facilitate the acquisition of real world data for HBOT comparative effectiveness studies and clinical decision support.Conclusions:Predictive models can identify patients unlikely to heal spontaneously and most likely to benefit from HBOT. Although electronic health records can automate the calculation of predictive models making them available at the point of care, using them in clinical decision making is complicated. It is not clear whether stakeholders will support the allocation of healthcare resources using mathematical models, but the current patient selection process mandates a 30-day delay for all patients who might benefit and allows treatment for at least some patients who cannot benefit.

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“…В литературе встречаются примеры успешного применения ГБО при нестабильной стенокардии и остром инфаркте миокарда [17][18][19][20][21][22]. Однако данные работы носят характер клинического эксперимента и не признаются большинством кардиологов.…”

Section: применение гипербарической оксигенации на дооперационном эта...unclassified

Possibilities of using hyperbaric oxygen therapy at different stages of cardiac surgery

Крылов

Kolchina

2022

Journal of Clinical Practice

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Relevance: Nowadays the evolution of cardiac surgery is impossible without continuous improvement of all stages of treatment. One of the promising ways to achieve this goal is the active use of hyperbaric oxygen therapy in the preoperative preparation and postoperative rehabilitation. Objective: Presented a short history of the development of hyperbaric oxygen therapy in cardiac surgery, pathophysiological and pathobiochemical mechanisms of its therapeutic effect and scenarios for its use in the preoperative preparation and postoperative rehabilitation of cardiac surgery patients. Conclusion: The introduction of hyperbaric oxygen therapy into cardiac surgery can improve results of surgical treatment, as well as reduce terms of preoperative preparation and postoperative rehabilitation of cardiac surgery patients, which will increase significantly the quality and efficiency of cardiac surgery.

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Hyperbaric oxygen therapy for acute coronary syndrome

Cited by 10 publications

References 29 publications

Hyperbaric oxygenation for resuscitation and therapy of elderly patients with cerebral and cardio-respiratory dysfunction

Hyperbaric oxygenation for resuscitation and therapy of elderly patients with cerebral and cardio-respiratory dysfunction

An Update on the Appropriate Role for Hyperbaric Oxygen: Indications and Evidence

Possibilities of using hyperbaric oxygen therapy at different stages of cardiac surgery

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