DOI: http://dx.doi.org/10.18203/2349-2902.isj20204665

Hyperbaric oxygen therapy as an adjunctive treatment for descending necrotizing mediastinitis: about 6 cases

Zribi Hazem, Ammar Abdulrehamen, Abdelkabir Amina, Ben Ayed Ahmed, Touil Ameny, Marghli Adel

Abstract


Background: The objective study was to evaluate the use and the effectiveness of hyperbaric oxygen therapy as an adjuvant therapy in 6 cases of descending necrotizing mediastinitis.

Methods: This is a retrospective descriptive study, performed between 2010 and 2019. Hyperbaric oxygen therapy was indicated in difficult clinical management cases despite surgery and antibiotic therapy.

Results: Six patients had oxygen therapy sessions in addition to antibiotic treatment and surgery. There was marked clinical and radiological improvement in 5 cases. Only one patient died in a septic shock.

Conclusions: Hyperbaric oxygen therapy, as adjuvant therapy to surgery and antibiotic treatment, can increase survival and provide good clinical results.


Keywords


Hyperbaric oxygen, Antibiotic therapy, Necrotizing mediastinitis

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References


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