Crush Injuries and Hyperbaric Oxygen Treatment

Crush  Injuries and Hyperbaric Oxygen Treatment

Crush injury is simply any injury to your body that is a result of trauma. These injuries could range from minor contusions to severe injuries that could damage a limb. It could be several tissues such as the skin, the muscles and tendons to bone and joints. These can result in osteomyelitis, failing union of fractures, failed flaps and amputations. The trauma can also result in skeleton muscle compartment syndrome (SMCS) which targets the muscles and the nerves. It is quite a challenge to manage the SMCS but it does not mean that it cannot be managed. This is where the crush injury hyperbaric becomes handy. It should be used as an adjunct to the management of the crush injuries or SMCS conditions.

We therefore need to consider the two ways by which the crush injury treatmentthat incorporates the hyperbaric oxygen works. First, it is important to note that during the initial stages of injury perfusion is likely to be inadequate. At such a time, immediate use of the hyperbaric oxygen makes more sense as it would supplement the supply of oxygen. The second way that really makes the use of hyperbaric oxygen useful is that it increases the tissue oxygen tension to the sufficient levels. Increased tissue oxygen in the plasma keeps the tissues alive without the oxygen that is borne from hemoglobin.

When the tension of tissue oxygen is increased, the effects of hypoxia that were initially felt when there was oxygen deficiency is countered. The other advantage that results from crush injury hyperbaric oxygen is the reduction of blood flow by up to 20 percent. The oxygen increases the induction of vasoconstriction and this is what causes the reduction. This in the end reduces edema. The filtration of the fluid that comes from the capillary to the extracellular space is also maintained.

The same treatment regime ensures that there is mitigation of reperfusion. This in turn interrupts the toxic oxygen radicals and the cell membrane. But you may ask how is that possible? Well, it actually perturbs lipid peroxiadation of the cell membrane and prevents the sequestration of neutrophils on the post capillary venules.

The other benefit of crush injury treatment hyperbaric is that it assists in provision of the oxygenated environment. Superoxide dismutase, catalase, peroxidase and glulathione which are useful for detoxification of reactive oxygen species actually depend in such environment to thrive.

When the crush injuries present in their severe forms, you should not think twice. You would be safe if you can quickly make use of the hyperbaric oxygen intervention that is quite effective. It is the only sensible and best way through which you would be able to counteract the pathophysiological events that occur when you have encountered a crush injury. The intervention is the sure way through which you will reduce loss of the muscle functions, the metabolites that come with muscle injury, edema and even muscle necrosis. Of course, this treatment is to be used together with the usual surgical and medical interventions that are in place.


"Love it! "This is the kind of educational tool needed for hyperbaric, covers the entire process in a systematic fashion that can only improve your skill set"! "

- Tim Mayhugh LPN, CHT, CHWS

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