Oxigenoterapia Hiperbarica para ayudar con Infecciones Necrotizantes de Tejidos Blandos

¿CON QUE PUEDE AYUDAR LA CÁMARA HIPERBÁRICA EN INFECCIONES NECROTIZANTES DE TEJIDOS BLANDOS ?

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Las cámaras hiperbáricas puede ayudar como coadyuvante, usando presiones por arriba de las 2.0 ATA. Aquí hay varias formas en las que la oxigenoterapia hiperbárica (OHB) puede ayudar en el tratamiento de INTB:

  1. Mejora el suministro de oxígeno: La OHB proporciona oxígeno puro a altas presiones, lo que aumenta significativamente la cantidad de oxígeno que la sangre puede transportar. Esto es crucial para los tejidos afectados por la infección, ya que el oxígeno es esencial para la función celular y la curación de heridas. Al mejorar el suministro de oxígeno a las áreas afectadas, se promueve la supervivencia de los tejidos y se fomenta la cicatrización.

  2. Frena la cascada inflamatoria del cuerpo: La OHB puede ayudar a reducir la inflamación asociada con INTB. Esto es importante porque la inflamación excesiva puede contribuir al daño tisular. Al reducir la inflamación, la OHB puede ayudar a limitar la propagación de la infección y prevenir un mayor daño a los tejidos.

  3. Mayor eficacia de los antibióticos: La oxigenoterapia hiperbárica puede potenciar la acción de los antibióticos utilizados en el tratamiento de INTB. Los antibióticos funcionan mejor en un entorno bien oxigenado, y la OHB puede mejorar la penetración de los antibióticos en los tejidos afectados, lo que ayuda a combatir la infección de manera más efectiva.

  4. Apoyo a la función del sistema inmunológico: La OHB puede estimular la respuesta del sistema inmunológico del cuerpo, lo que puede ser beneficioso en la lucha contra la infección. 

  5. Función Bactericida y Bacteriostático: La OHB ayuda a activar el sistema inmunológico y ayuda a combatir bacterias y controlar su crecimiento.

  6. Prevención de la progresión de la infección: En algunos casos, la OHB puede ayudar a detener la propagación de la infección y reducir la necesidad de extirpar grandes áreas de tejido infectado. Esto puede limitar la necesidad de cirugías extensas y reconstrucción posterior.

  7. Estimula la formación de tejido de granulación: La formación de tejido de granulación es un paso crucial en la cicatrización de heridas. La TOHB puede estimular la proliferación de células que forman este tejido, acelerando así el proceso de cicatrización.

LA TERAPIA HIPERBÁRICA COMO COADYUVANTE EN EL TRATAMIENTO DE LA FASCITIS NECROTIZANTE

La cámara hiperbárica es útil en la fascitis necrotizante, una infección grave de tejidos blandos, porque suministra oxígeno puro bajo presiónes arriba de 2.0 ATA. Esta oxigenación mejorada favorece la supervivencia celular y limita la propagación de la infección. La alta presión de oxígeno reduce la inflamación y mejora la efectividad de los antibióticos al facilitar su penetración en los tejidos afectados. Además, estimula la respuesta inmunológica del cuerpo y evita la progresión de la infección, lo que puede reducir la necesidad de cirugías extensas. 

En conjunto, la oxigenoterapia hiperbárica complementa tratamientos tradicionales y aumenta las posibilidades de recuperación en casos de fascitis necrotizante.

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CÓMO SIRVE LA TERAPIA EN CÁMARA HIPERBÁRICA PARA INFECCIONES NECROTIZANTES DE TEJIDOS BLANDOS Y FASCITIS NECROTIZANTE

Mas detallado con estudios de soporte

Liceaga, D. E. (2014). GUÍAS CLÍNICAS DE DIAGNÓSTICO Y TRATAMIENTO DEL SERVICIO DE CÁMARA HIPERBÁRICA. Ciudad de Mexico: Hospital General de Mexico.

Undersea and Hyperbaric Medical Society. (2021). Indications for Hyperbaric Oxygen Therapy. Retrieved from https://www.uhms.org/resources/hbo-indications.html

127. Levett D, Bennett MH, Millar I. Adjunctive hyperbaric oxygen for necrotizing fasciitis (Protocol). Cochrane
Database of Systematic Reviews 2009, Issue 3. Art. No.: CD007937

Chapter 11: Necrotizing Soft Tissue Infections
Caesar A. Anderson MD, MPH, Irving Jacoby MD, FACP, FACEP, FAAEM, FUHM
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