Hyperbaric oxygen in neurosurgery
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The therapeutic use of pure oxygen, even under hyperbaric conditions, has been well established for about 50 years, whereas the discovery of oxygen occurred 250 years earlier. Many neurosurgical patients suffer from brain tissue damage, due to reduced blood flow, obstructive vessel disease, or as a result of traumatic brain injury.
Methods and results
The application of pure oxygen in these patients is the only method of increasing the O2 concentration in tissue with impaired blood supply and can minimize secondary impairment of brain tissue.
In this brief historical overview we focus on the development and evidence of hyperbaric oxygenation in this specific field of insufficient oxygen supply to the central neural tissue.
With the use of modern biological methods and new study designs, HBO has a place in evidence-based treatment of patients with neural tissue damage.
KeywordsHyperbaric oxygenation Stroke Traumatic brain injury History
- 1.Acott C (1999) A brief history of diving and decompression illness. SPUMS J 29:98–109Google Scholar
- 3.Behnke AR, Shaw LA, Messer AC, Thomson RN, Motley EP (1936) Circulatory and respiratory disturbances of acute compressed-air illness and administration of oxygen as therapeutic measure. Am J Physiol 114:526Google Scholar
- 7.Fasano VA, Nunno T, Uricuoli R, Lombard G (1963) First observations on the use of oxygen under high atmospheric pressure for treatment of traumatic coma. In: Boerema I, Brummelkamp WH, Meijne NG (eds) Clinical applications of hyperbaric oxygen. Proceedings of the 1st International Congress on Hyperbaric Medicine. Elsevier, Amsterdam, pp 168–173Google Scholar
- 8.Fischer BR, Palkovic S, Holling M, Wölfer J, Wassmann H (2009) Rationale of hyperbaric oxygenation in cerebral vascular insult. Curr Vasc Pharmacol (in press)Google Scholar
- 10.Harch PG, Neubauer RA (2004) HBO therapy in global cerebral ischemia/anoxia and coma. In: Textbook of hyperbaric medicine, 4th edn. Hogrefe & Huber, Göttingen, pp 223–261Google Scholar
- 11.Haux GFK (2000) History of hyperbaric chambers. Best, Flagstaff, pp 1–7, 27Google Scholar
- 14.Hollbach KH, Wassmann H, Hohelüchter KL, Jain KK (1977) Differentiation between reversible and irreversible post-stroke changes in brain tissue: its relevance for cerebrovascular surgery. Surg Neurol 7:325–331Google Scholar
- 17.Jain KK (2004) Role of hyperbaric oxygenation in the management of stroke. In: Jain KK (ed) Textbook of hyperbaric medicine, 4th edn. Hogrefe & Huber, Göttingen, pp 196–222Google Scholar
- 24.Morrison DS, Kirkby RD (2001) Hyperbaric medicine: a brief history. Available via http://www.quackwatch.org/01QuackeryRelatedTopics/HBOT/hm01.html, Revised on July 5, 2001.
- 28.Neubauer RA, James P (1998) Cerebral oxygenation and the recoverable brain. Neurol Res 20 [Suppl 1]:33–36Google Scholar
- 31.Saltzman HA, Anderson B Jr, Whalen RE, Heyman A, Ho S (1965) Hyperbaric oxygen therapy of acute cerebral vascular insufficiency. In: Third International Conference on Hyperbaric Medicine, 1965, Durham, NC. National Academy of Science National Research Council, WashingtonGoogle Scholar
- 32.Scheele CW (1777) Chemische Abhandlung von der Luft und dem Feuer. Crusius, UppsalaGoogle Scholar
- 34.Spallanzani L, Senebier J (1805) Memoirs on respiration. Bensley, LondonGoogle Scholar
- 35.Strätling M, Schmucker P (2003) [The centennial of oxygen-therapy (1902–2002)—reassessing its history. I. “The long way of oxygen”—from its discovery to its implementation as a rational therapy in anaesthesia and emergency-medicine]. Anasthesiol Intensivmed Notfallmed Schmerzther 37:712–720, in German. doi: 10.1055/s-2002–35914 CrossRefGoogle Scholar
- 36.Wassmann H, Fischer B, Speckmann EJ, Greiner C, Wölfer J (2004) HBO in cerebral hypoxic lesions caused by cerebrovascular obstructions: experimental and clinical investigations. Bulg Neurosurg 9:6–9Google Scholar