caa a22 4500 445832355 CHVBK 20180317145319.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00586-011-1797-3 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1797-3 Hyperbaric oxygen in the treatment of postoperative infections in paediatric patients with neuromuscular spine deformity [Elektronische Daten] [A. Larsson, J. Uusijärvi, F. Lind, B. Gustavsson, H. Saraste] The aim of this study is to evaluate possible benefits of hyperbaric oxygen (HBO) therapy in the treatment of deep postoperative infections in six high risk paediatric patients with neuromuscular spine deformity. The study involved review of medical records including radiology, office visits, and telephone contacts for six patients, referred for postoperative HBO therapy in 2003-2005. Infection control and healing without removal of implants or major revision surgery with a minimum of 2-year follow-up after index surgery were considered to represent success. All infections were resolved. Median time for wound healing, normalisation of blood tests and antibiotic weaning were 3months. Radiological bony fusion, intact implants without any signs of radiolucent zones were seen in all cases at a mean follow-up of 54months (37-72). Side effects of HBO treatment were minor. HBO is a safe and potentially useful adjuvance in the treatment of early deep postoperative infections in complex situations with spinal implants in high risk paediatric patients. Springer-Verlag, 2011 Hyperbaric oxygenation nationallicence Spine deformity nationallicence Postoperative infection nationallicence Tethered cord nationallicence Spinal implants nationallicence Larsson A. Department of Physiology and Pharmacology, Section for Anaesthesia and Intensive Care Medicine, Karolinska Institutet, Stockholm, Sweden aut Uusijärvi J. Department of Physiology and Pharmacology, Section for Anaesthesia and Intensive Care Medicine, Karolinska Institutet, Stockholm, Sweden aut Lind F. Department of Anaesthesiology and Intensive Care, Hyperbaric Medicine, Karolinska University Hospital, 171 76, Stockholm, Sweden aut Gustavsson B. Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden aut Saraste H. Department of Orthopaedics, Karolinska University Hospital, Stockholm, Sweden aut European Spine Journal Springer-Verlag 20/12(2011-12-01), 2217-2222 0940-6719 20:12<2217 2011 20 586 https://doi.org/10.1007/s00586-011-1797-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1797-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Larsson A. Department of Physiology and Pharmacology, Section for Anaesthesia and Intensive Care Medicine, Karolinska Institutet, Stockholm, Sweden aut NATIONALLICENCE 700 1- Uusijärvi J. Department of Physiology and Pharmacology, Section for Anaesthesia and Intensive Care Medicine, Karolinska Institutet, Stockholm, Sweden aut NATIONALLICENCE 700 1- Lind F. Department of Anaesthesiology and Intensive Care, Hyperbaric Medicine, Karolinska University Hospital, 171 76, Stockholm, Sweden aut NATIONALLICENCE 700 1- Gustavsson B. Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden aut NATIONALLICENCE 700 1- Saraste H. Department of Orthopaedics, Karolinska University Hospital, Stockholm, Sweden aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/12(2011-12-01), 2217-2222 0940-6719 20:12<2217 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer