Hyperbaric oxygen treatment for intrauterine limb ischaemia: A newborn in the chamber

Intrauterine limb ischaemia is a rare condition that may have devastating results. Various treatments are reported in the literature; however, results are not always promising and amputations may be required for some patients. Post-natal hyperbaric oxygen treatment (HBOT) may be a useful treatment o...

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Bibliographic Details
Published in:Diving and hyperbaric medicine 2021-06, Vol.51 (2), p.220-223
Main Authors: Mirasoglu, Bengusu, Cetin, Hande, Ozdemir Akgun, Sevgi, Aktas, Samil
Format: Article
Language:English
Subjects:
Case Report
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Summary:Intrauterine limb ischaemia is a rare condition that may have devastating results. Various treatments are reported in the literature; however, results are not always promising and amputations may be required for some patients. Post-natal hyperbaric oxygen treatment (HBOT) may be a useful treatment option for the salvage of affected limbs. A patient who was born with total brachial artery occlusion and severe limb ischaemia was referred for HBOT. The patient underwent the first HBOT session at her 48th hour of life. A total of 47 HBOT sessions were completed (243.1 kPa [2.4 atmospheres absolute], duration 115 minutes being: 15 minutes of compression; three 25-minute oxygen periods separated by five-minute air breaks; and 15 minutes of decompression), four in the first 24 hours. Full recovery was achieved with this intense HBOT schedule combined with anticoagulation, fasciotomy and supportive care. The new-born tolerated HBOT well and no complications or side effects occurred. To the best of our knowledge, our patient is one of the youngest patients reported to undergo HBOT.
ISSN:1833-3516
2209-1491
DOI:10.28920/dhm51.2.220-223