Hyperbaric oxygen therapy in acute stroke: is it time for Justitia to open her eyes?

被引：13
作者：
Mijajlovic, Milija D. [1 ]
Aleksic, Vuk [2 ]
Milosevic, Nenad [3 ]
Bornstein, Natan M. [4 ,5 ]
机构：
[1] Univ Belgrade, Neurol Clin, Clin Ctr Serbia, Fac Med, Dr Subotica 6, Belgrade 11000, Serbia
[2] Clin Hosp Ctr Zemun, Dept Neurosurg, Belgrade, Serbia
[3] Univ Pristina Kosovska Mitrovica, Fac Med, Kosovska Mitrovica, Serbia
[4] Tel Aviv Univ, Dept Neurol, Tel Aviv Sourasky Med Ctr, Tel Aviv, Israel
[5] ShaareZedek Med Ctr, Jerusalem, Israel
来源：
NEUROLOGICAL SCIENCES | 2020年 / 41卷 / 06期
关键词：
Stroke; Hyperoxia; Normobaric hyperoxia therapy; Hyperbaric oxygen therapy; ACUTE ISCHEMIC-STROKE; CEREBRAL-ARTERY OCCLUSION; NORMOBARIC HYPEROXIA; SUPPLEMENTAL OXYGEN; LIPID-PEROXIDATION; ATMOSPHERES; BLOOD-FLOW; INFARCTION; HISTORY; ARREST;
D O I：
10.1007/s10072-020-04241-8
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Hypoxia is a critical component of neuronal death in patients with stroke. Therefore increasing oxygenation of brain tissue seems to be a logical therapy against cerebral ischemia. Oxygen therapy exists in two modalities: normobaric hyperoxia therapy and hyperbaric oxygen therapy (HBO). HBO is a therapeutic procedure in which pure (100%) oxygen is administered at greater than atmospheric pressure in HBO therapy chambers. In this review article, we aimed to summarize the current knowledge regarding the therapeutic use of HBO in acute stroke patients. Literature review and electronic search were performed using PubMed, Medscape, and UpToDate with the keywords stroke, acute stroke, hyperbaric oxygen therapy, and hyperoxia. According to the reviewed literature, the use of HBO as routine stroke therapy cannot be justified in acute stage of stroke. More randomized, controlled studies are needed regarding safety and especially effectives of HBO in stroke patients. Also, standardized definition of HBO should be proposed and used in all future studies.
引用
收藏
页码：1381 / 1390
页数：10
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