Utilización de la oxigenoterapia hiperbárica en la curación de heridas. Revisión bibliográfica

Abstract

Objective: To know the use of hyperbaric oxygen therapy in the treatment of wounds. Methodology: A narrative literature review was carried out in the main databases (PubMed, SciELO, Dialnet, CUIDEN) and in two metasearch engines, Google Scholar and Mergullador, limiting the search in the last 5 years and filtering those articles that They will deal with treatment in humans. The selection of documents was made based on criteria for inclusion and critical reading. Results: 1,223 articles were located, 45 met inclusion criteria. After a detailed reading, 14 articles were reviewed (five clinical trials, one systematic review, three clinical cases, two non-systematic literature reviews and three observational studies). Hyperbaric oxygen therapy has anti-inflammatory action and reduces the edematous component present in many of the lesions. It is not conclusive if there is a decrease in the risk of amputation due to the use of this therapy. Conclusions: Hyperbaric oxygen therapy is a safe and reliable therapy for both acute and chronic lesions. Access to this type of treatment continues to be restricted to those most advanced and important diseases due to its high cost. Consider as qualitative lines of research the qualitative approach to this problem to try to know what the experiences of the users of this treatment are.