New Technique of Applying Topical Oxygen Therapy as a Cost-Effective Procedure

Abstract

To describe the newly designed technique of applying topical oxygen therapy for large wounds. C arm sterile disposable cover is used for covering the wound. For abdominal and pelvis wounds, two artificial holes are created at one end of the cover for the inclusion of the limb. Free end of the cover is secured with adhesive, and a hole is created for the insertion of the suction catheter. Oxygen cylinder is connected to the suction catheter, and oxygen is supplied at the rate of 10 L/min. Three patients were treated with topical oxygen therapy. These patients were cases of necrotizing soft tissue infections and large post traumatic wounds. There were less requirements of debridement and granulation tissue appeared earlier. The cost of one cycle of the therapy is less than 500 INR. Topical oxygen therapy is the recent modality for improved wound healing. The novel method of applying topical oxygen devised by us is effective, feasible, and cost-effective as compared to standard devices.

Topical oxygen therapy & micro/nanobubbles: a new modality for tissue oxygen delivery

“…In order reduce the cost associated with prefabricated TPOT, Agarwal et al used a disposable bag and oxygen cylinder connected to a suction catheter to create a makeshift TPOT delivery device . Patients with necrotising soft tissue infections and large post‐traumatic wounds showed improved healing, earlier granulation tissue development and reduced hospital stays with this new technique …”

Chitosan/PVA Hetero-Composite Hydrogel Containing Antimicrobials, Perfluorocarbon Nanoemulsions, and Growth Factor-Loaded Nanoparticles as a Multifunctional Dressing for Diabetic Wound Healing: Synthesis, Characterization, and In Vitro/In Vivo Evaluation

“…However, coverage provided by dressings may form another barrier to oxygen delivery over the exudates on the wound bed, as oxygen plays a crucial role in many biochemical and cellular processes related to wound healing, such as infection control [ 7 , 8 ], construction of the extracellular matrix [ 9 , 10 ], and collagen formation/remodeling [ 11 , 12 ]. Although hyperbaric oxygen therapy (HBOT) and topical pressurized oxygen therapy (TPOT) have been widely utilized to reduce hypoxia for DFU treatment, HBOT is costly, difficult to operate and maintain, toxic to the central nervous system, and may cause barotrauma and/or cell cycle arrest due to overexposure to a high-pressure, high-oxygen environment [ 13 , 14 ], while TPOT is hampered by its complicated and labor-consuming procedures [ 15 ].…”

Topical Oxygen Jet Therapy (TOJT) for treating infected chronic surgical wounds

“…Pressurized Topical Oxygen Wound therapy (TWO2) had been mentioned in a publication in 2003 by Gogia. 18 , 19 , 20…”