[PDF] Hyperbaric Oxygen Therapy For The Treatment Of Diabetic Foot Ulcers eBook

Author : Health Quality Ontario
Publisher :
Page : 0 pages
File Size : 14,98 MB
Release : 2017
Category : Diabetics
ISBN : 9781460690475

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"About 15% to 25% of people with diabetes will develop a foot ulcer. These wounds are often resistant to healing; therefore, people with diabetes experience lower limb amputation at about 20 times the rate of people without diabetes. If an ulcer does not heal with standard wound care, other therapeutic interventions are offered, one of which is hyperbaric oxygen therapy (HBOT). However, the effectiveness of this therapy is not clearly known. The objectives of this health technology assessment were to assess the safety, clinical effectiveness, and cost-effectiveness of standard wound care plus HBOT versus standard wound care alone for the treatment of diabetic foot ulcers. We also investigated the preferences and perspectives of people with diabetic foot ulcers through lived experience."--Background.

Author : Health Quality Ontario
Publisher :
Page : 142 pages
File Size : 26,3 MB
Release : 2017
Category : Diabetics
ISBN : 9781460690475

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"About 15% to 25% of people with diabetes will develop a foot ulcer. These wounds are often resistant to healing; therefore, people with diabetes experience lower limb amputation at about 20 times the rate of people without diabetes. If an ulcer does not heal with standard wound care, other therapeutic interventions are offered, one of which is hyperbaric oxygen therapy (HBOT). However, the effectiveness of this therapy is not clearly known. The objectives of this health technology assessment were to assess the safety, clinical effectiveness, and cost-effectiveness of standard wound care plus HBOT versus standard wound care alone for the treatment of diabetic foot ulcers. We also investigated the preferences and perspectives of people with diabetic foot ulcers through lived experience."--Background.

Author :
Publisher :
Page : 0 pages
File Size : 43,66 MB
Release : 2017
Category :
ISBN :

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The objectives of this health technology assessment were to assess the safety, clinical effectiveness, and cost-effectiveness of standard wound care plus HBOT versus standard wound care alone for the treatment of diabetic foot ulcers. [...] Methods We performed a review of the clinical and economic literature for the effectiveness and cost- effectiveness of hyperbaric oxygen therapy, as well as the budget impact of HBOT from the perspective of the Ministry of Health and Long-Term Care. [...] Clinical Need and Target Population Standard wound care for patients with diabetic foot ulcers consists of four phases: 1. Assessing the wound, including examining the size and looking for signs of infection and ischemia, most often using the Wagner Ulcer Classification System,9 which categorizes ulcers based on wound depth and the presence of infection (Table A1) 2. Planning the best course of tr [...] May 2017 Context Hyperbaric oxygen therapy is currently publicly funded by the Ministry of Health and Long-Term Care for 14 indications, including the "enhancement of healing in selected problem wounds."22 There are an estimated 47 HBOT units in Canada, of which 12 are located in Ontario.20 Given the uncertainty of the available evidence, the present review was undertaken in response to a request [...] May 2017 CLINICAL EVIDENCE REVIEW Objectives The objectives of this study were to assess the safety and effectiveness of standard wound care plus HBOT compared with standard wound care alone for the treatment of diabetic foot ulcers.

Author : Clifford P. Shearman
Publisher : Springer
Page : 227 pages
File Size : 45,14 MB
Release : 2015-02-04
Category : Medical
ISBN : 1447145259

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​Public and political concern about the increasing prevalence of diabetes has prompted major concern about treatment of patients with the condition. Foot complications are some of the commonest causes of hospitalisation of people with diabetes and if not treated well often lead to amputation. There is evidence that 85% of these amputations can be prevented by better understanding of the problem and by multi-disciplinary teams working more effectively together. This has been recognised and NICE have recently published guidelines on diabetic foot complications as have Diabetes UK and NHS Diabetes. These have been successful in raising awareness of the problem but the local multi-disciplinary teams need clear practical advice on how to manage the foot in diabetes and deliver high quality care. With the current interest in improving outcomes for patients with foot complications this is an ideal time to make a practical evidence-based handbook available. This book will provide clear practical guidelines on how to manage all aspects of the foot in diabetes as well as an in-depth analysis of the most recent evidence. The book will be based on care pathways with algorithms for each section so it would be of practical value in any clinic in primary or secondary care. It will appeal to a wide range of health care professionals treating people with diabetes: vascular surgeons and trainees, orthopaedic surgeons, diabetes specialist nurses, podiatrists and tissue viability nurses.​

Author :
Publisher :
Page : 0 pages
File Size : 41,9 MB
Release : 2007
Category : Diabetes
ISBN : 9781897257388

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In the US, the prevalence of DFUs in adults with DM is reported to range from 12% to 15%.2,3 Factors in their occurrence include mechanical changes in the conformation of the bony architecture of the foot, peripheral neuropathy, and atherosclerotic peripheral arterial disease, all of which occur with higher frequency and intensity among those with diabetes. [...] Major LEAs are amputations of the leg above or below the knee, whereas minor LEAs involve amputation of the toes or the forefoot.2A study of diabetes-related LEAs in Ontario from 1987 to 1988 found a crude rate of 40 LEAs per 10,000 patients with DM annually.4 There was a wide range among regions in the province (i.e., 30 to 60 per 100,000 annually).4 Major LEAs accounted for 45% of the total.4 LE [...] The standard of care for treating DFU includes the maintenance of optimal blood glucose control; use of débridement, antibacterials, and dressings; administration of antibiotics to control infection; and pressure relief in the areas of the foot that are most subject to weight bearing. [...] The increased pressure, which is associated with the inspiration of high levels of oxygen, increases the level of oxygen dissolved in the blood plasma. [...] In the case of DFU, HBOT treatments would have to result in a reduction in hospital stay of at least 29% in the full capacity scenario, or 62% in the status quo scenario, to yield a favourable hospital cost per benefit ratio.8 5.2 Cost Effectiveness Analysis 5.2.1 Methods A decision model was developed to determine the cost effectiveness of adjunctive HBOT for the treatment of DFU.

Author : Thomas Zgonis
Publisher : W B Saunders Company
Page : 252 pages
File Size : 47,13 MB
Release : 2007
Category : Medical
ISBN : 9781416050544

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This issue will cover the following topics in this very important area for podiatrists: Perioperative Management of Patients with Type 1 and Type 2 Diabetes Mellitus, Current Antibiotic Treatment & Guidelines for Diabetic Foot Infections, Surgical Management of Diabetic Foot Infections & Osteomyelitis, Medical Imaging of the Diabetic Foot, Conservative Treatment Therapies for the Diabetic Charcot Foot, Surgical Reconstruction of the Unstable Charcot Foot, Medical & Surgical Management of Diabetic Neuropathy, Advanced Plastic Surgery Techniques for Soft Tissue Coverage of the Diabetic Foot, Diabetic Foot Wounds: The Role of Orthobiologics and Hyperbaric Oxygen Therapy, Vascular Assessment and Reconstruction of the Diabetic Limb Ischemia, Diabetes Related Lower Extremity Amputations, Therapeutic Footwear and Orthoses for the Diabetic Foot.

Author : Cyril Mauffrey
Publisher : Springer Nature
Page : 187 pages
File Size : 50,85 MB
Release : 2019-09-02
Category : Medical
ISBN : 3030223310

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Compartment syndrome is a complex physiologic process with significant potential harm, and though an important clinical problem, the basic science and research surrounding this entity remains poorly understood. This unique open access book fills the gap in the knowledge of compartment syndrome, re-evaluating the current state of the art on this condition. The current clinical diagnostic criteria are presented, as well as the multiple dilemmas facing the surgeon. Pathophysiology, ischemic thresholds and pressure management techniques and limitations are discussed in detail. The main surgical management strategy, fasciotomy, is then described for both the upper and lower extremities, along with wound care. Compartment syndrome due to patient positioning, in children and polytrauma patients, and unusual presentations are likewise covered. Novel diagnosis and prevention strategies, as well as common misconceptions and legal ramifications stemming from compartment syndrome, round out the presentation. Unique and timely, Compartment Syndrome: A Guide to Diagnosis and Management will be indispensable for orthopedic and trauma surgeons confronted with this common yet challenging medical condition.

Author : Nikolaos Tentolouris
Publisher : John Wiley & Sons
Page : 232 pages
File Size : 35,1 MB
Release : 2003-07-11
Category : Medical
ISBN : 0470861371

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Many foot problems in diabetes can be prevented and often the patients are misdiagnosed, or inappropriately referred or treated. This title will be of immense use to the audience as work of reference. Diabetes mellitus is the lack of insulin leading to uncontrolled carbohydrate metabolism, the breakdown of starches and sugars into smaller units that can be used by the body for energy. Foot ulcers occur in about 15% of diabetic patients in their lifetime and hospital admissions due to foot ulcers are very common. Foot problems mostly occur when there is nerve damage in the feet or when there is poor blood flow. * Contains colour photos and pictures * Examples for identification of the patients at risk for foot ulceration * Prompt diagnosis and treatment.