Congresso Anual da Undersea

No mês de junho de 2001, entre os dias 13 e 16, foi realizado na cidade de San Antonio, Texas, USA, o congresso anual da Undersea And Hyperbaric Medical Society.

Representando os serviços de Medicina Hiperbárica do Hospital e Maternidade São Camilo - Santana (São Paulo), e Hospital Casa de Portugal (Rio de Janeior), lá esteve o médico Tomaz de Aquino P. Brito.

Mantendo laços de amizade e cooperação científica entre os dois serviços, foram apresentados 2 trabalhos na área de medicina hiperbárica, sendo que um deles, foi considerado o segundo melhor trabalho apresentado.

Os dois Trabalhos versaram sobre o tema, "Queimaduras", sendo o primeiro uma análise retrospectiva de todos os pacientes tratados no Hospital São Camilo em aproximadamente 5 anos de funcionamento, e o segundo, o relato de um caso de queimadura por gás hélio, tratado no Hospital Casa de Portugal, sendo este o primeiro relato mundial.

HYPERBARIC OXYGEN THERAPY 8 HOURS AFTER LIQUID HELIUM HAND BURN

T A Brito, C H Esteves, OHB-RIO Medicina Hiperbárica - Hospital Casa de Portugal, Rio de Janeiro -RJ

BACKGROUND/INTRODUCTION: Second degree burns from direct contact with very cold gas is a rare clinical condition, which more often than not represent a serius lesion with remaining sequelae. Hyperbaric Oxygen Therapy (HBO 2) is considered an efficient therapeutic method in the case of burns, especially during the acute phase. We present the effect of this therapeutic approach during the acute phase of the lesion.

METHODS: One patient was admitted at the emergency roo with a second degree hand burn, 8 hours after an accident over 5 days, at 2.6 ATA, associated with surgical excision of the bullae but no antibiotics.

RESULTS: The patient presented an excellent response to the treatment with fast recovery of normal sensation, disappearance of the paresthesiae of the fingers, recovery of normal temperature and aspect of the skin.

CONCLUSION: Second degree skin burns are potentially serious lesions and must be treated with the best approach possible. lesions from the direct contact with low temperature gases are and the medical literature concerning to this is scarce. We believe that Hyperbaric Oxygen Therapy must strongly be considered during the acute phase.

HYPERBARIC OXYGEN AS AN ADUVANT TREATMENT FOR BURNED VICTIMS

CH Esteves, SM Teixeira, Branco Jr, TA Brito OHB - RIO Medicina Hiperbárica - Hospital Casa de Portugal, Rio de Janeiro - RJ

ABSTRACT: Hyperbaric Oxygen Therapy (HBOT) a therapeutic modality pertaining to the Hyperbaric Medicine rield, is indicated as an adjunetive treatment for several ischemic, inflammatory, infectious or traumatic origin diseases, with excellent results. The indication of the method for the treatment of burned patients is still controversial in spite of the expressive number of scientific publications presenting encouraging results concerning to the reduction of morbidity and extensions, admitted at the HBOT services of the São Camilo Hospital, in Santana, São Paulo, Brasil, and the Casa de Portugal Hospital, in Rio Comprido, Rio de Janeiro, Brasil, from January 1995 to December 2000. The patientswe submitted to a daily regimen of 120 minutes at 2,5 ATA (2,5 times over the absolute atmospheric pressure). in an American Sechrist 2500 or a Russian Khrunichev BKLS monoplace hyperbaric chambers, in association with the necessry and regular therapeutic measures for each case.

Of the 28 patients, 20 (71,43%) presented a fast haemodinamic and hydroelectrolitic stabilization, a better control of the infections and accelerated granulation of the lesions with earlier hospital discharge. Six patients (21,43%) gave up from the treatment and two (7,14%) died. By our experience on the treatment of 28 patients with 2º and 3º degree burns from several etiological origins, combining HBOT with the conventional measures showed the necessity of a greater spread of the information about the importance of this therapeutic approach as an efficient way to control and reduce the extent of the thermal lesion and its complications.

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