Evaluation of the role of hyperbaric oxygen therapy in the treatment of diabetic foot ulcers: a prospective comparative study

Munjewar, Chandrakant; Nabi, Ishaq; Gautam, Santosh; Ahirwar, Neelam; Chaudhary, Poras; Kumar, Rajiv; Arora, Mansi; Ramteke, V. K.

doi:10.1007/s13126-016-0321-y

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Their results showed a significant incidence of DFU healing in patients who were treated with HBOT of approximately 73.3%, compared to patients who received standard therapy, which was only 13.3% over eight weeks. These results, therefore, recommend the use of this therapy for the treatment of DFUs [134]. Investigations of the cost, benefit, efficacy, and safety were carried out for HBOT.…”

Section: Devicesmentioning

confidence: 94%

Diabetic Foot Ulcers: Current Advances in Antimicrobial Therapies and Emerging Treatments

et al. 2019

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Diabetic foot ulcers (DFUs) are very important diabetes-related lesions that can lead to serious physical consequences like amputations of limbs and equally severe social, psychological, and economic outcomes. It is reported that up to 25% of patients with diabetes develop a DFU in their lifetime, and more than half of them become infected. Therefore, it is essential to manage infection and ulcer recovery to prevent negatives outcomes. The available information plays a significant role in keeping both physicians and patients aware of the emerging therapies against DFUs. The purpose of this review is to compile the currently available approaches in the managing and treatment of DFUs, including molecular and regenerative medicine, antimicrobial and energy-based therapies, and the use of plant extracts, antimicrobial peptides, growth factors, ozone, devices, and nano-medicine, to offer an overview of the assessment of this condition.2 of 32 history [2]. DFUs are one of the most severe complications of diabetes, and more than half of those ulcers become infected. Every single one of these infected lesions has the potential to get worse and compromise the integrity of the lower limbs. To avoid amputations and improve the patient's quality of life, it is very important to implement a strict program for the prevention and treatment of ulcers, as well as proper management of infections [3]. Thus, it is critical to keep diabetes patients aware of new therapies and treatments and their availability in the healthcare system. The treatment of DFUs requires a multidisciplinary approach with proper medical tools, skills, and knowledge. This starts from patient education, with the application of new classifications to guide the treatment to prevent amputations. New diagnosis methods should become available, such as the 16S ribosomal DNA sequence in bacteria, to provide a better understanding of the microbiota in DFUs. It is reported that DFU has a polymicrobial nature, and, according to its geographical location, certain marked differences, wound characteristics, antibiograms according to local epidemiology, individualized antimicrobial guided therapy, regular debridement, regular assessment of wounds, and change of dressings. The latter characteristics are also aided by new biological and molecular therapies that were proven to improve infection control, the regulation of the local inflammatory profile, and improved quality of the cicatrizing process. In the next sections, this review presents an approach for the diagnosis and treatment of DFUs, focusing on the current advances in antimicrobial therapies, such as dressings,

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Section: Devicesmentioning

confidence: 94%

Diabetic Foot Ulcers: Current Advances in Antimicrobial Therapies and Emerging Treatments

et al. 2019

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“…The use of perioperative HBOT has been shown to increase the rate of wound healing, 49 improve the survival of partially viable tissue, 50 and increase the survival benefit of patients with necrotizing soft tissue infections. 51 Clinicians use transcutaneous oxygen measurements to assess the degree of periwound hypoxia, which is important in assessing the usefulness of HBOT for the patient.…”

Section: Postoperative Nursing Carementioning

confidence: 99%

A Perioperative Approach to Increase Limb Salvage When Treating Foot Ulcers in Patients With Diabetes

Howell¹,

Criscitelli²,

Woods³

et al. 2018

AORN Journal

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Foot ulceration in patients with diabetes increases the risk of lower extremity amputation. Major amputations produce substantial adverse consequences, increase length of hospital stay, diminish quality of life, and increase mortality. In this article, we describe approaches that decrease amputations and improve the quality of life for patients with diabetes and foot ulcers. We highlight the role of the perioperative nurse, who is essential to providing optimal patient care in the perioperative period. Perioperative care of patients with diabetes involves providing optimal surveillance for a break in the skin of the foot, screening for neuropathy, following guidelines for foot ulcer infections, preparing for pathophysiology-based debridement, using adjuvant therapies, and offloading the patient's affected foot. Nurses should understand the disease process and pathophysiology and how to use these approaches in the perioperative setting to assist in curtailing the morbidity and mortality associated with foot ulcers in patients with diabetes.

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Therapeutic outcomes evaluation of adjuvant hyperbaric oxygen therapy for non-healing diabetic foot ulcers among sudanese patients

Fadol

Suliman

Osman

et al. 2021

Diabetes & Metabolic Syndrome: Clinical Research & Revi

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Evaluation of the role of hyperbaric oxygen therapy in the treatment of diabetic foot ulcers: a prospective comparative study

Cited by 3 publications

References 12 publications

Diabetic Foot Ulcers: Current Advances in Antimicrobial Therapies and Emerging Treatments

Diabetic Foot Ulcers: Current Advances in Antimicrobial Therapies and Emerging Treatments

A Perioperative Approach to Increase Limb Salvage When Treating Foot Ulcers in Patients With Diabetes

Therapeutic outcomes evaluation of adjuvant hyperbaric oxygen therapy for non-healing diabetic foot ulcers among sudanese patients

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