Ossigenoterapia iperbarica e terapia a pressione negativa nel trattamento delle lesioni difficili/Hyperbaric oxygen therapy and negative pressure wound therapy in the treatment of non-healing wounds

  • Chiara Bissoni | chiarabissoni@gmail.com Centro Iperbarico, Ravenna, Italia.
  • Klarida Hoxha Centro Iperbarico, Ravenna, Italia.
  • Alessandro Scalise Università Politecnica delle Marche, Ancona, Italia.
  • Pasquale Longobardi Centro Iperbarico, Ravenna, Italia.

Abstract

Lo scopo di questo articolo è valutare i risultati ottenibili trattando lesioni difficili attraverso la combinazione di ossigenoterapia iperbarica (OTI) e terapia a pressione negativa (TPN). Individuare le modalità con cui queste possano agire in sinergia coadiuvandosi, al fine di ottimizzare la rigenerazione dei tessuti e favorire la guarigione come qualità e tempi più brevi. Sono stati presi in analisi i dati di tre pazienti trattati presso il Centro Iperbarico di Ravenna che presentavano ferite agli arti inferiori aperte da più di sei settimane. È stato eseguito l’assessment iniziale della ferita e applicato un approccio multi terapeutico OTI e TPN per un periodo compreso tra 3-6 settimane. I pazienti presi in analisi sono giunti a guarigione completa entro 10 settimane di trattamento rispetto alla media di presa in carico per 28 settimane degli altri pazienti trattati presso la stessa struttura (dato reale) e alla media di 12 settimane previste nelle linee guida (benchmark). Le due terapie associate hanno prodotto un esito positivo che avrebbe richiesto tempi e costi maggiori se fossero state utilizzate singolarmente.

The purpose of this work is the evaluation of the results obtaineble by treating hard to heal wounds with the combination of Hyperbaric Oxygen Therapy (HBOT) and Negative Wound Pressure Therapy (NWPT). Identify how HBOT and NWPT can act in synergy, in order to optimize tissue regeneration and promote a good quality healing and in shorter time. The study analyzes data of three patients affected, for more than six week, by lower limb wounds and treated at the Hyperbaric Center of Ravenna. The initial wound assessment was performed and a multi-therapeutic approach, HBOT and NWPT, was applied over a period of 3-6 weeks. The patients underwent to a complete healing after a maximum of 10 weeks of treatment compared to the 28-weeks average of other patients treated at the same facility (real data) and the 12-weeks average expected in the guidelines (benchmark).The combination of the two therapies, has led to a positive result saving time and money; the individual use of them would have required more time and costs.

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Pubblicato
2018-09-27
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Sezione
Brief Reports
Parole chiave:
ossigenoterapia iperbarica, terapia a pressione negativa, lesione cutanea, vulnologia
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Come citare
Bissoni, C., Hoxha, K., Scalise, A., & Longobardi, P. (2018). Ossigenoterapia iperbarica e terapia a pressione negativa nel trattamento delle lesioni difficili/Hyperbaric oxygen therapy and negative pressure wound therapy in the treatment of non-healing wounds. Italian Journal of Wound Care, 2(3). https://doi.org/10.4081/ijwc.2018.34