A Case of Hyperbaric Oxygen as Adjunct to Fascio-tomies in Compartment Syndrome, Ischemia-Re-perfusion Injury, and Delayed Secondary Infection
Background: Fasciotomies are a therapeutic treatment for compartment syndrome, but they also allow reperfusion to tissues that have been hypoxic. We report a case study of a 52-year-old male with an ischemic leg. Despite prophylactic fasciotomies, ischemia-reperfusion injury resulted in delayed myon...
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doaj-2a54023de9a74bbb8ec77d7bcb04e2862020-11-25T03:17:49ZengInternational Journal of Medical StudentsInternational Journal of Medical Students2076-63272013-08-0112919310.5195/ijms.2013.211211A Case of Hyperbaric Oxygen as Adjunct to Fascio-tomies in Compartment Syndrome, Ischemia-Re-perfusion Injury, and Delayed Secondary InfectionDawnielle C. Endly0Joan V. Eggert1Midwestern University College of Osteopathic Medicine, Glendale, AZ, USAIntermountain Dixie Regional Health Center, St. George, UT, USABackground: Fasciotomies are a therapeutic treatment for compartment syndrome, but they also allow reperfusion to tissues that have been hypoxic. We report a case study of a 52-year-old male with an ischemic leg. Despite prophylactic fasciotomies, ischemia-reperfusion injury resulted in delayed myonecrosis and progressive necrotizing fasciitis. Results: After two hyperbaric oxygen treatments, edema was markedly reduced and all visible wound tissues were well perfused without evidence of ascending infection, allowing the patient more time for further evaluation. The patient did opt for an above the knee amputation in a non-emergent setting and now successfully utilizes a prosthesis for ambulation. Conclusion: Ischemia-reperfusion injury may result in delayed tissue loss in spite of appropriate fasciotomies. Hyperbaric oxygen may be a useful adjunct therapy even when initiated days after the initial injury.http://ijms.info/IJMS/article/view/211reperfusion injuryhyperbaric oxygenationsurgical decompression |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dawnielle C. Endly Joan V. Eggert |
spellingShingle |
Dawnielle C. Endly Joan V. Eggert A Case of Hyperbaric Oxygen as Adjunct to Fascio-tomies in Compartment Syndrome, Ischemia-Re-perfusion Injury, and Delayed Secondary Infection International Journal of Medical Students reperfusion injury hyperbaric oxygenation surgical decompression |
author_facet |
Dawnielle C. Endly Joan V. Eggert |
author_sort |
Dawnielle C. Endly |
title |
A Case of Hyperbaric Oxygen as Adjunct to Fascio-tomies in Compartment Syndrome, Ischemia-Re-perfusion Injury, and Delayed Secondary Infection |
title_short |
A Case of Hyperbaric Oxygen as Adjunct to Fascio-tomies in Compartment Syndrome, Ischemia-Re-perfusion Injury, and Delayed Secondary Infection |
title_full |
A Case of Hyperbaric Oxygen as Adjunct to Fascio-tomies in Compartment Syndrome, Ischemia-Re-perfusion Injury, and Delayed Secondary Infection |
title_fullStr |
A Case of Hyperbaric Oxygen as Adjunct to Fascio-tomies in Compartment Syndrome, Ischemia-Re-perfusion Injury, and Delayed Secondary Infection |
title_full_unstemmed |
A Case of Hyperbaric Oxygen as Adjunct to Fascio-tomies in Compartment Syndrome, Ischemia-Re-perfusion Injury, and Delayed Secondary Infection |
title_sort |
case of hyperbaric oxygen as adjunct to fascio-tomies in compartment syndrome, ischemia-re-perfusion injury, and delayed secondary infection |
publisher |
International Journal of Medical Students |
series |
International Journal of Medical Students |
issn |
2076-6327 |
publishDate |
2013-08-01 |
description |
Background: Fasciotomies are a therapeutic treatment for compartment syndrome, but they also allow reperfusion to tissues that have been hypoxic. We report a case study of a 52-year-old male with an ischemic leg. Despite prophylactic fasciotomies, ischemia-reperfusion injury resulted in delayed myonecrosis and progressive necrotizing fasciitis. Results: After two hyperbaric oxygen treatments, edema was markedly reduced and all visible wound tissues were well perfused without evidence of ascending infection, allowing the patient more time for further evaluation. The patient did opt for an above the knee amputation in a non-emergent setting and now successfully utilizes a prosthesis for ambulation. Conclusion: Ischemia-reperfusion injury may result in delayed tissue loss in spite of appropriate fasciotomies. Hyperbaric oxygen may be a useful adjunct therapy even when initiated days after the initial injury. |
topic |
reperfusion injury hyperbaric oxygenation surgical decompression |
url |
http://ijms.info/IJMS/article/view/211 |
work_keys_str_mv |
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