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New Advances in Diabetic Foot Management
New Advances in Diabetic Foot Management
Saeid Kalbasi MD.
Endocrinologist
Loghman Hospital
October 2012
Technologies
- Hyperbaric oxygen therapy
- Negative Pressure wound therapy
- Growth factors
- Bioengineered skin substitutes
Hyperbaric oxygen therapy
- Definition, History of Hyperbaric Oxygen therapy
- Terminology and Indications and protocols
- Process of Mediating the Healing of wounds
a.) Collagen synthesis
b.) Angiogenesis
- Rationale for the Use of Oxygen in wounds
- Antibacterial actions
- Reperfusion Injury
- Topical oxygenation
- Complications of HBO therapy
Definition of HBO Therapy
Involves the inhalation of oxygen at partial pressures meeting or exceeding 1.4 ATA.
---(Whelan,H.T. and Kindwall, E.P. 1999).
- At its inception, lacked a scientific basis.
- Precursors of modern hyperbaric oxygen simply seemed like good ideas.
Henshaw 1662
- Compressed air therapy resurfaced in the 19th century in the European continent:
a.) Some of the devices could be pressurized to 2 ATA (the pressure equivalent of a 33-foot column of sea water)
b.) Capacity up to 10 occupants.
