Skip Navigation
Skip to contents

J Trauma Inj : Journal of Trauma and Injury

OPEN ACCESS
SEARCH
Search

Author index

Page Path
HOME > Browse Articles > Author index
Search
Carlos Henrique Rodrigues de Almeida 1 Article
Hyperbaric oxygen therapy for the treatment of a crush injury of the hand: a case report
Pedro Henry Neto, Zamara Brandão Ribeiro, Adriano Bastos Pinho, Carlos Henrique Rodrigues de Almeida, Carlos Alberto de Albuquerque Maranhão, Joaquim da Cunha Campos Goncalves
J Trauma Inj. 2022;35(3):209-214.   Published online May 26, 2022
DOI: https://doi.org/10.20408/jti.2021.0048
  • 5,726 View
  • 163 Download
  • 1 Citations
AbstractAbstract PDF
We describe a case of hyperbaric oxygen therapy (HBOt) as an adjunct to treatment of a crush injury to the hand. A 34-year-old male paramedic was involved in a motor vehicle accident and admitted for diagnosis and surgical treatment. He sustained a crush injury to his right hand and presented with significant muscle damage, including multiple fractures and dislocations, an avulsion injury of the flexor tendons, and amputation of the distal phalanx of the little finger. He underwent reconstructive surgery and received HBOt over the following days. In the following 2 months, he lost the distal and middle phalanges of the little finger and recovered hand function. Posttraumatic compartment syndrome responds well to HBOt, which reduces edema and contributes to angiogenesis, as well as promoting the cascade of healing events. High-energy trauma causes massive cell destruction, and the blood supply is usually not sufficient to meet the oxygen demands of viable tissues. Hyperbaric oxygenation by diffusion through interstitial and cellular fluids increases tissue oxygenation to levels sufficient for the host’s responses to injury to work and helps control the delayed inflammatory reaction. HBOt used as an adjunct to surgical treatment resulted in early healing and rehabilitation, accelerating functional recovery. The results suggest that adjunctive HBOt can be beneficial for the treatment of crush injuries of the hand, resulting in better functional outcomes and helping to avoid unnecessary amputations.
Summary

Citations

Citations to this article as recorded by  
  • Hyperbaric Oxygen Therapy: An Evidence-Based Primer for Emergency Physicians
    Margot Samson, Michael Gottlieb, Christopher Logue, Daniel Popa
    The Journal of Emergency Medicine.2024;[Epub]     CrossRef

J Trauma Inj : Journal of Trauma and Injury
TOP