Hyperbaric oxygen therapy in pediatric patients at the Centre of Hyperbaric Medicine Ostrava in the years 2007–2011


Authors: M. Hájek 1,5;  J. Slaný 2,9;  J. Maršálková 1;  J. Tichavská 1;  P. Němcová 1;  M. Lutzová 1;  I. Neuwirtová 1;  Z. Spilková 2;  M. Ručková 2;  A. Nogolová 2;  T. Bártová 2;  J. Duda 3;  V. Smolka 4;  E. Klásková 4;  M. Hladík 3;  B. Trávníček 3;  D. Chmelař 5;  V. Beran 5;  J. Štěrba 6;  T. Kepák 6;  M. Fedora 7;  M. Šeda 7;  J. Žurek 7;  F. Novomeský 8
Authors‘ workplace: Centrum hyperbarické medicíny, Městská nemocnice Ostrava, vedoucí MUDr. M. Hájek 1;  Oddělení dětského lékařství, Městská nemocnice Ostrava, vedoucí MUDr. A. Nogolová 2;  OPRIP, Klinika dětského lékařství, Fakultní nemocnice Ostrava, vedoucí doc. MUDr. M. Hladík, Ph. D. 3;  JIRP, Dětská klinika FN a LF UP Olomouc, přednosta prof. MUDr. V. Mihál, CSc. 4;  Katedra biomedicínských oborů, LF Ostravské univerzity, Ostrava, vedoucí doc. RNDr. K. Šafarčík, Ph. D. 5;  Klinika dětské onkologie FDN a LF MU, Brno, přednosta prof. MUDr. J. Štěrba, Ph. D. 6;  Klinika dětské anesteziologie a resuscitace FDN a LF MU, Brno, přednosta MUDr. P. Štourač, Ph. D. 7;  Ústav súdneho lekárstva JLF UK, Martin, vedoucí prof. MUDr. F. Novomeský, PhD. 8;  Fakulta zdravotníctva a sociálnej práce, Trnavská univerzita, Trnava, vedoucí prof. MUDr. J. Slaný, CSc. 9
Published in: Čes-slov Pediat 2015; 70 (4): 200-209.
Category: Original Papers

Overview

From 2007 to 2011 total of 103 pediatric patients have been treated with hyperbaric oxygen therapy at our workplace. The patients were treated for the following indications: sensorineural hearing loss or tinnitus, central nervous system impairment mostly due to traumatic brain injury or hypoxic-ischemic encephalopathy after cardiopulmonary resuscitation, acute carbon monoxide poisoning, complications of oncological treatment, acute traumatic peripheral ischemia, necrotizing soft tissue infections, nonhealing wound and chronic refractory osteomyelitis. 96% of the children were treated in hospital, of which 48% in the intensive care unit or department of pediatric resuscitation and intensive care.

The favorable outcome of the treatment was observed in 82% of cases. In 18% of cases, treatment was not successful, or it was not possible to assess the outcome. In 54 patients a total of 178 episodes of unexpected incidents were recorded during treatment. In relation to the total number of treatment sessions incident rate of 17.5% was detected. Serious health and life-threatening complications or side effects of treatment were not observed in any case.

Key words:
hyperbaric oxygen, pediatrics, acute peripheral traumatic ischemia, carbon monoxide poisoning, sensorineural hearing loss, traumatic brain injury, necrotizing soft tissue infections, nonhealing wounds, chronic refractory osteomyelitis, intensive care H.


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Labels
Neonatology Paediatrics General practitioner for children and adolescents
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