Hyperbaric Oxygen and Chronic Osteomyelitis

The Classic: A Clinical Staging System for Adult Osteomyelitis

“…The B-host challenges the frontiers of modern medicine and brings the search for effective adjunctive therapies to the forefront. [6][7][8][9][28][29][30][31][32][33] In our experience, indium-111 chloride imaging has been accurate in localizing per- Cavitation and reclassification to Stage III or IV will occur whenever Stages I and II appear simultaneously. sistent osteomyelitis in adults.…”

“…Without reference to these factors, it is difficult to compare the results of different treatment protocols [1][2][3][4][5] and the effectiveness of new therapeutic modalities. [6][7][8][9] The UTMB classification of adult osteomyelitis 10 (the disease) with three physiologic classes (the host) to define 12 clinical stages (Table I).…”

Complications of Tympanostomy Tubes Inserted for Facilitation of Hyperbaric Oxygen Therapy

“…3 These factors have led to the application of HBO as an adjunctive measure for treating conditions resulting from tissue hypoxia, such as clostridial myonecrosis, severe crush injuries with traumatic ischemia, necrotizing fasciitis, chronic osteomyelitis, and nonhealing wounds in diabetic patients and patients with peripheral vascular disease. 4 In addition, HBO has emerged as the primary treatment modality for carbon monoxide poisoning, decompression sickness, and air embolism. 5 Middle ear barotrauma is the most common adverse effect of HBO.…”

Osteomyelitis in the spinal cord injured: a review and a preliminary report on the use of hyperbaric oxygen therapy

“…The role of hyperbaric oxygen therapy in chronic refractory osteomyelitis has been reported by various authors (Bingham and Hart, 1977;Evans, 1976;Strauss, 1980;Mader, 1981;Morrey, 1979;Depenbush et al, 1972).…”