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

MİRASOĞLU B., ÇETİN H., Akgun S. O., AKTAŞ Ş.

DIVING AND HYPERBARIC MEDICINE, cilt.51, sa.2, ss.220-223, 2021 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 51 Sayı: 2
  • Basım Tarihi: 2021
  • Doi Numarası: 10.28920/dhm51.2.220-223
  • Dergi Adı: DIVING AND HYPERBARIC MEDICINE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.220-223
  • Anahtar Kelimeler: Case reports, Limb salvage, Neonatal thromboembolism, Neonatal gangrene, Safety, NEONATAL ARTERIAL THROMBOEMBOLISM, MANAGEMENT, INJURY
  • İstanbul Üniversitesi Adresli: Evet

Özet

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.