Resumen

TORRES LEON, J.M. et al. Pathologies treated with hyperbaric oxygen therapy in The Central Hospital of Defense. Sanid. Mil. [online]. 2015, vol.71, n.2, pp.77-83. ISSN 1887-8571.  https://dx.doi.org/10.4321/S1887-85712015000200002.

Introduction: Hyperbaric oxygen therapy (HBOT) is a therapeutic modality that is based on obtaining high partial pressures of oxygen in blood, breathing pure oxygen inside a hyperbaric chamber at a pressure above atmospheric. Their actions include hemodynamic effects, actions on immunity and O2 transport. This broad spectrum of effects makes its recommendations may include a variety of indications, some of them controversial. Objectives: To know the pathologies of patients treated with HBO in the Autonomous Community of Madrid (CAM) and review the scientific evidence for this. Method: At present the hyperbaric chamber MSB Service (Underwater Medicine) HCD (Central Hospital of Defense) is the reference in the CAM. The medical records of patients treated between February and June-13-14 were reviewed. The following variables were collected: 1) Sick accepted and rejected for treatment. 2) Age and sex of patients treated. 3) Pathology for which treatment is indicated. 4) Complications observed in connection with HBO. Results: 113 patients accepted for treatment from 15 hospitals in the CAM. Were rejected for HBO therapy for pathologies 22 patients or active treatments did not advisable HBO therapy at that time. The 59.82% were male and 40.18% female. Mean age 64.72 years. The main indications for treatment were within lesions induced 52.21% of cases (n = 59) and ulcers and wounds torpid with poor response to conventional treatment 23% of cases (n = 26). The treatment had to be suspended in 8 patients (7.14% treated) by poor tolerance or mild complications. Discussion and conclusions: The indications for HBO in our sample comprises a large number of pathologies. Radio induced injuries are the most common indication for patients treated with HBO in the HCD. In this group highlights the jaw osteoradionecrosis (ORNM) after radiotherapy (RT) in head and neck tumors. All indications OHB sample have presented studies supporting its use, although there are none for randomized controlled trials, double-blind. The complications observed in the HBO treatment in our sample are mild so we can consider it a safe treatment. We believe that HBO offers a great opportunity to investigate the firm scientific evidence to support its indications discussion.

Palabras clave : Hyperbaric oxygen therapy; Radio induced lesions.

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