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Non-Healing Wounds

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Handbook on Hyperbaric Medicine

Abstract

A large body of pathophysiological evidence supports the beneficial role of HBO in reversing a delayed healing process. Daily experience supports its use in the clinical management of patients with non-healing wounds. TCPO2 measurement is a valuable and helpful method for patient selection, follow-up and treatment monitoring.

The ECHM, in its 7th European Consensus, has confirmed its recommendation for the use of adjunct HBO in the management of selected patients with delayed healing (diabetic foot lesions; arterial ulcers; compromised skin grafts; and musculocutaneous flaps). However, there is still a need to perform good randomized controlled studies to improve the level of evidence supporting these recommendations

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  1. Service d’Urgence Respiratoire, de Réanimation Médicale et de Médecine Hyperbare, Hôpital Calmette, Centre Hospitalier Régional Universitaire, Lille, France

    Daniel Mathieu, Jean-Christophe Linke & Francis Wattel

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  1. Daniel Mathieu
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  2. Jean-Christophe Linke
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  1. Centre Hospitalier Régional et Université de Lille, France

    Daniel Mathieu

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Mathieu, D., Linke, JC., Wattel, F. (2006). Non-Healing Wounds. In: Mathieu, D. (eds) Handbook on Hyperbaric Medicine. Springer, Dordrecht. https://doi.org/10.1007/1-4020-4448-8_20

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