Abstract:Acute hind‐limb ischaemia was produced in anaesthetized, ventilated dogs. During ischaemia the femoral venous oxygen tension fell markedly and both oxygen extraction and consumption appeared to increase. Oxygen at 2 ATA produced a relatively small increase in oxygen availability to the ischaemic tissues; femoral venous oxygen tension rose by 20 mm. Hg but oxygen extraction and consumption remained elevated.
“…Hyperbaric oxygen has been used extensively for more than 50 years in the treatment of ischemic wounds, largely on an empirical basis, and with a paucity of controlled clinical trials. [8][9][10][11][12] Nevertheless, in some studies, hyperbaric oxygen has shown some clear-cut benefits for wound healing, [13][14][15] and it has been accepted as an efficacious therapy for diabetic ulcers in the setting of ischemia. [16][17][18] With the recognition of oxygen as a signaling molecule, and experimental observations that intermittent hyperbaric oxygen can induce growth factors and their receptors 19 and enhance growth-factor activities, 20 there has been an increased understanding of the mechanism of action of hyperbaric oxygen therapy.…”
Transdermal sustained-delivery oxygen therapy improves wound healing. Design: Experimental study using a well-established rabbit ear model for acute wound healing. Setting: Wound-healing research laboratory in a university center. Methods: Four full-thickness 7-mm punch wounds were created on each ear of young, female New Zealand white rabbits. Treated ears received transdermal sustained delivery of oxygen via silicone tubing tunneled subcutaneously to a pocket under a semiocclusive dressing. Oxygen production (100% oxygen at 3 mL/h continuously) relied on a small, self-contained device connected to the silicone tubing and secured to the rabbit's back for the duration of the experiment using a body harness. Ears were harvested at each of 2 time points: day 5 and day 8. Results: Histologic analysis of the wounds showed significantly greater healing at both day 5 and day 8 in response to oxygen therapy. Most significantly, epithelial wound coverage was almost doubled in treated ear wounds when compared with controls. Conclusion: Our results suggest that epithelial wound healing is improved by transdermal sustained-delivery treatment with 100% oxygen.
“…Hyperbaric oxygen has been used extensively for more than 50 years in the treatment of ischemic wounds, largely on an empirical basis, and with a paucity of controlled clinical trials. [8][9][10][11][12] Nevertheless, in some studies, hyperbaric oxygen has shown some clear-cut benefits for wound healing, [13][14][15] and it has been accepted as an efficacious therapy for diabetic ulcers in the setting of ischemia. [16][17][18] With the recognition of oxygen as a signaling molecule, and experimental observations that intermittent hyperbaric oxygen can induce growth factors and their receptors 19 and enhance growth-factor activities, 20 there has been an increased understanding of the mechanism of action of hyperbaric oxygen therapy.…”
Transdermal sustained-delivery oxygen therapy improves wound healing. Design: Experimental study using a well-established rabbit ear model for acute wound healing. Setting: Wound-healing research laboratory in a university center. Methods: Four full-thickness 7-mm punch wounds were created on each ear of young, female New Zealand white rabbits. Treated ears received transdermal sustained delivery of oxygen via silicone tubing tunneled subcutaneously to a pocket under a semiocclusive dressing. Oxygen production (100% oxygen at 3 mL/h continuously) relied on a small, self-contained device connected to the silicone tubing and secured to the rabbit's back for the duration of the experiment using a body harness. Ears were harvested at each of 2 time points: day 5 and day 8. Results: Histologic analysis of the wounds showed significantly greater healing at both day 5 and day 8 in response to oxygen therapy. Most significantly, epithelial wound coverage was almost doubled in treated ear wounds when compared with controls. Conclusion: Our results suggest that epithelial wound healing is improved by transdermal sustained-delivery treatment with 100% oxygen.
Limb blood-flow (ml. per min.) pvco, (mm., Hg) 0, availability (ml. per min.) 0, extraction (per cent) OI consumption (ml. per min.) Excess lactate (mmol per litre) Pvo, (mm. Hg)
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