The life-saving effect of hyperbaric oxygenation during early-phase severe blunt chest injuries

• Published in: Undersea & hyperbaric medicine Vol. 34; no. 2; pp. 75 - 81
• Main Authors: Rogatsky, G G, Mayevsky, A
• Format: Journal Article
• Language: English
• Published: United States Undersea & Hyperbaric Medical Society 01.03.2007
• Subjects: Cardiac Output - physiology; Humans; Hyperbaric Oxygenation; Injury Severity Score; Partial Pressure; Recovery of Function; Retrospective Studies; Space life sciences; Thoracic Injuries - mortality; Thoracic Injuries - physiopathology; Thoracic Injuries - therapy; Time Factors; Treatment Outcome; Wounds, Nonpenetrating - mortality; Wounds, Nonpenetrating - physiopathology; Wounds, Nonpenetrating - therapy
• ISSN: 1066-2936

The effect of hyperbaric oxygenation (HBO2) on survival during the early phase of severe blunt chest injury (BChI) has not been elucidated. Our aim was to investigate this effect on human victims of BChI. We monitored cardiac index (CI), stroke volume index (SVI), PaO2 and PaO2/FiO2 in 18 victims treated conventionally, and 8 victims treated under combined conventional and HBO2 treatment. Out of the 18 victims, 4 survived (Group A) and 14 died (Group B). Another 8 victims, in Group C, received HBO, and all survived. Human victims showed marked reductions in all cardiorespiratory values during the first 24 h. Group B persistently tended towards a decrease in SVI, PaO2/FiO2 and PaO2, eventually reaching fatal levels. The survivors developed a cardiorespiratory function characterized by a tendency towards recovery of all monitored parameters, more notable in Group C, which showed an earlier and more significant normalization vs. Group A (P<0.01). Our clinical data suggest that the earliest possible HBO2 treatment after severe blunt trauma can significantly enhance victims' survival.