AAMHEI develops a new protocol for the treatment of radio induced lesions

Burns are a public health problem. The costs generated are high, so it is necessary to develop diagnostic and treatment guidelines to mitigate the effects on public health. In terms of its incidence worldwide, they can cause the death of up to 265,000 people a year.

Burns cause serious injuries to the skin and other tissues, which are devastating both physically and psychologically for the patient. A large number of cases suffer injuries that require admission to a specialized burn unit, being able to remain hospitalized for several days and up to a few months, depending on the severity.

The most common mechanisms of burn injuries are fire, which affects mostly adults and mainly in the upper extremities, the head and neck. However, in addition to heat and fire, they can be caused to a lesser extent by radiation, electricity, friction or contact with chemicals. Therapeutic measures aim to achieve the healing of wounds, the recovery of pigmentation and the restoration, as much as possible, of the quality of physical and psychological life prior to the burn.

When soft tissues, such as skin and muscles, are affected by burns, the blood flow in the damaged area is greatly reduced. As mentioned above, burns cause a localized lesion that is usually surrounded by normal tissue, including the skin and subcutaneous tissue. The reduction of the flow causes an area of edema and inflammation that radiates in all directions, even to distant tissues not affected by the burn. The swelling can extend deeply and affect muscles and peripheral skin, causing even greater damage than the initial injury.

HBOT can help by reducing swelling and edema. In addition, HBOT favors re-epithelialization, decreases hypoxia, prevents expansion and accelerates the healing of hypoxic and ischemic wounds. The availability of large amounts of oxygen that causes HBOT slows down the loss of fluids out of the blood vessels (extravasation) and reaches the initially damaged areas, allowing them to recovery from injuries. In this way it reduces the need for tissue removal (debridement, scarectomy) and even amputation. For these benefits to take place, the incorporation of HBOT must be as early as possible.

To gather more scientific evidence, AAMHEI, BioBarica, the Hyperbaric Center Concepción del Uruguay and the ALCEC are working on a protocol called “Hyperbaric Oxygenation Therapy (HBOT) in recovery of radio induced burns in the acute period (QuemRI)”. The study was approved by the ethics committee and seeks to evaluate the synergistic effect of HBOT in association with conventional therapy over the course of 20 sessions on the evolution of wounds, the recovery and the duration of the suspensions of the radiant treatments for this cause. This study counts on the participation of Dr. Mariana Canelloto, president of the Argentine Association of Hyperbaric Medicine and Research (AAMHEI) as a researcher.

It is also being developed the protocol “Radiosensitization with Hyperbaric Oxygenation Therapy (HBOT)” to evaluate the adjuvant effect of reactive oxygen species in the increase of the effectiveness of radiotherapy and “Adjuvance with Hyperbaric Oxygenation Therapy in treatment of pain in patients with oncological diagnosis” to evaluate the effect of the hyperbaric chamber in the reduction of pain in patients with oncological diagnosis and pain treatment.

All the studies are randomized controlled and have the supervision of Dr. María Mercedes Pascuccio as principal investigator.

First scientific meeting SADI- AAMHEI

The first SADI-AAMHEI scientific meeting will be held on July 17 at 6:30 p.m. The meeting will take place at the headquarters of the Argentine Infectious Society. There will be an update on “Hyperbaric oxygenation therapy (HBOT) in infectious disease”.

The talk will be with Dr. Ana Terusi, coordinator of the SADI Osteoarticular Infections Commission. Dr. Marcia Querci will discuss and present potential clinical cases candidates for hyperbaric oxygenation therapy and Dr. Mariana Cannellotto will speak on the “Fundamentals of Hyperbaric Oxygenation Therapy, Clinical Cases” and “Biochemical Bases and Future Perspectives of HBOT in Infectious Disease and the role of oxygen as an ally in the antimicrobial treatment “.

Dr. Mariana Cannellotto is a specialist in Hyperbaric Medicine, Medical Director of BioBarica and president of the Argentine Association of Hyperbaric Medicine and Research.

The activity has no tariffs. For more information write to [email protected]

The Hospital de Quemados Arturo U. Ilia has a hyperbaric chamber

The hospital of Quemados “Arturo U. Illia” will be the first hospital of the Government of the City of Buenos Aires that has a hyperbaric chamber. The chamber was donated by the company Oxavita SRL, which designs Revitalair technology chambers of national manufacture with an innovative design that allows access to effective hyperbaric treatment in a safer way for the patient and the operator.

The treatments with these chambers contribute to reduce pain, inflammation, accelerate healing, reduce complications and favor a better evolution of implants needed in burned patients. It is the beginning of a long way to go in the application of Hyperbaric Medicine in the burned patient with a commitment from a large group of research professionals in the development of clinical trials aimed at validating the efficacy and safety of hyperbaric oxygenation treatment in patients with radio-induced burns, thermal burns, burns in diabetic patients, graft and skin flap requirements and patients with smoke poisoning among other applications in these patients.

The debut of the use of this innovative therapy is made by the group of researchers under the direction of Dr. Mercedes Portas, Head of the Department of Plastic Surgery and coordinator of the Committee of Radiopathology to start, in conjunction with the Nuclear Regulatory Authority, the clinical protocol “Evaluation of the efficacy and safety of Hyperbaric Oxygenation Therapy (HBOT) in adult patients affected by radio-induced burns (QuemRI)”.

Another clinical trial to be developed in the same Public Institution consists of the protocol “Evaluation of the efficacy and safety of Hyperbaric Oxygenation Therapy (HBOT) in patients affected by thermal burns (QuemT)”. It will be done under the coordination of the same researcher and in conjunction with other researchers of the hospital’s plant will be applied to adult and pediatric patients with thermal burns of different degrees. The healing process, inflammation markers, pain registers and quality of life and the infection rates of a group in adjuvant treatment with Revitalair hyperbaric chambers (conventional treatment and HBOT) versus a control group (conventional treatment only) will be evaluated randomized assignment and stratified in different thermal body surface.

Hyperbaric oxygenation therapy will be incorporated in the treatment of various pathologies for which it is indicated and in new tests that include electrical burns or conditioning of grafts and flaps.

This donation allows Hyperbaric Medicine through Clinical Research to be incorporated in the adjuvant treatment of burned patients, favoring their access to health professionals, for the benefit of society. It is an important advance for Public Health, in general, to have this tool to achieve a quality medicine and optimize human and economic resources optimizing the recovery times of the burned patient.

All the clinical trials have the endorsement and scientific advice of the Argentine Association of Hyperbaric Medicine and Research and its president, Dr. Mariana Cannellotto, who offered the corresponding training to the hospital staff.

AAMHEI PARTICIPATES IN THE INTERNATIONAL CONGRESS OF PHLEBOLOGY AND LYMPHOLOGY

From June 6th to 8th it was the XVIII International Congress of Phlebology and Lymphology of the Argentine College of Venous and Lymphatic Surgery and the VII International Interuniversity Congress of Advances in Phlebology, Lymphology and Aesthetics, an event that takes place at the Intercontinental Hotel in Buenos Aires.

On June 8th Dr. Mariana Cannelloto, president of the AAMHEI, and biochemist Liliana Jordá, scientific director of the AAMHEI, offered a class about the fundamentals and physiological and biochemical effects of hyperbaric oxygenation treatment, the application of this therapy in wounds and phlebology and its bases in infectious pathology.

Dr. José Antonio Díaz, distinguished Honorary Member of the Argentine College of Venous and Lymphatic Surgery, Assistant Professor of Research of the Department of Surgery of the University of Michigan and Member of the Board of Directors of the American Venous Forum, presented the subject “RESEARCH IN DEEP VENOUS THROMBOSIS. REALITY OR FICTION?”.

It was an excellent opportunity and the ideal framework to strengthen relations with the most important references in these specialties, since it had the presence of doctors and universities from different countries.

In addition, it was offered various symposium options, university courses and diploma courses, workshops, breakfasts and work lunches, among many other activities.

AUTHORITIES OF THE EVENT:

President of the XVIII International Congress of Phlebology and Lymphology of the Argentine College of Venous and Lymphatic Surgery: Dr. Mabel Bussati

President of the VII International Interuniversity Congress of Advances in Phlebology, Lymphology and Aesthetics: Prof. Dr. Antonio Pietravallo

President of the III Congress of Phlebology and Lymphology of the Phlebology and Lymphology Association of the Province of Buenos Aires: Dr. Juan Carlos Patt

Ministry of Human Development of Formosa and AAMHEI join forces to develop new training days

Dr. José Luis Decima, Minister of Human Development of the Province of Formosa, and Dr. Esteban Estrada, Director of the High-Pressure Committee of the Argentine Association of Hyperbaric Medicine and Research (AAMHEI) evaluated the latest technologies available in the Argentine market 100% national origin with authorization from ANMAT.

The objective was to establish a cooperation program to develop training sessions and scientific exchange with the AAMHEI in Formosa, as was previously done in the First Hyperbaric Medicine Conference in Bahía Blanca.

Both Dr. Decima and Dr. Estrada have worked to strengthen the presence of the AAMHEI in Formosa and to include the Province in the association’s agenda to bring the knowledge and benefits of the treatment of hyperbaric oxygenation to its professionals. doctors

As a demonstration of this commitment, on October 19, Dr. Marianela Di Tomaso, a specialist in medical clinic and diabetes of Formosa, will participate in the II Conference on Hyperbaric Medicine to be held in Paraná, Entre Ríos. The intervention of the doctor will focus on Hyperbaric Medicine as an experience in the High Complexity Hospital.

In this way, AAMHEI continues to strengthen ties with professionals and public health institutions to dedicate itself to the development, growth and medical research in the field of hyperbaric medicine with the incorporation of new technology.

The AAMHEI is a professional, scientific, non-profit organization that includes professionals from different medical specialties, national and international, with knowledge in hyperbaric medicine and/or with the intention of seriously working in it with ethics and professionalism.

The first AAMHEI-AEMHEI meeting was held in Madrid

In the context of a dissertation by Dr. Mariana Cannellotto, president of the AAMHEI, on April 20th in Madrid was exposed, among other talks, the scientific evidence of Hyperbaric Oxygenation Therapy (HBOT) in the field of Neurology.

Experts in the use of HBOT were invited to present their clinical cases in the treatment of different neurological pathologies using pressures below 2 atm that are recommended by the literature for neurological conditions. It was proposed the project for the elaboration of the first Hyperbaric Oxygenation Treatment Consensus in Neurology.

The invited experts were under the coordination of Dr. Delfina Romero-Feris, president of the AEMHEI and the topics presented for the application of HBOT were: acute ischemic encephalopathy, neonatal ischemia, brain trauma, post-contusional syndrome, stroke, autism, Fibromyalgia , migraine, Parkinson’s, cerebral palsy and Alzheimer’s.

It is planned to continue with this project in a meeting calling experts in the field in Argentina to close the “Consensus Document of Hyperbaric Oxygenation Treatment Recommendations in Neurology” and conduct the relevant scientific dissemination. It is the beginning of a long journey of scientific contributions intersocieties in function of the diffusion of the application of Hyperbaric Medicine in different fields of medicine.

AAMHEI brought together health professionals in Bahía Blanca

On april 6th it was held the first Workshop on Normobaric and Hyperbaric Oxygen Therapy in the Assembly Hall of the Hospital Italiano Regional del Sur in Bahía Blanca, Argentina. The workshop was aimed to health professionals, students, nurses, doctors, kinesiologists, biochemists, pharmacists, technicians and bioengineers.

It also counted with the organization and the presence of several specialists with experience in Hyperbaric Medicine.

The workshop counted on the organization and presence of different specialists with experience in Hyperbaric Medicine, such as Dr. Julio Silio, Dr. Pablo Tentoni, Dr. Mariana Cannellotto, Dr. Juan Manuel Vía Alvarado, Dr. Tulio Papucci and Dr. Luciano Melatini. It was also sponsored by the Bahía Blanca Health Science Program (PROCISA), the Medical Association of the Province of Buenos Aires, the Argentine Association of Respiratory Medicine (AAMR), the Society of Phthisiology and Pneumonology of the Province of Buenos Aires (STNBA) and BioBarica Medical Hyperbaric Systems.

We thank those who made this meeting possible and we hope to continue holding conferences to promote the advancement of research and technology of hyperbaric medicine in order to improve the quality of life of people.

CHILDREN: HOW DOES HYPERBARIC OXYGENATION HELP IN DOMESTIC ACCIDENTS?

It can be done at any age. It achieves, among other things, regenerate brain tissue and muscle fiber, considerably reducing the rate of amputations.

In children of all ages the most common injuries are those caused by traffic, drowning, burns by fire, falls and poisoning. Involuntary trauma is the greatest threat to children of 5 years old. It is for this reason that 830,000 minors1 per year die.

Meanwhile, boys are more exposed to injuries than girls. Although the pattern is less uniform in low and middle income countries, the differential factor by sex is evident. The rates of death due to trauma in boys under 20 years of age are one third higher than those of girls in the same age range.

How does treatment with hyperbaric oxygenation benefit children who suffered some type of domestic accident?

  • Trauma from traffic accidents: they are the leading cause of death between 10 and 19 years old. Hyperbaric Oxygenation Treatment (HBOT), in addition to contributing to the recovery of neurological brain injuries, is indicated in crush injuries. In this type of lesions it contributes to oxygenation, accelerates healing, it is an adjuvant therapy in infected wounds and, above all, contributes to the regeneration of the muscle fiber, considerably reducing the rate of amputations5.
  • Brain trauma, drowning and fire burns: in the case of drowning of children, cerebral hypoxia also produces long-term severe neurological injuries. HBOT aids in neurological recovery, since it contributes more efficiently to neuroplasticity in brain traumas.
  • About burns, it can promote scarring, reduce pain, prevent hypertrophic scar formation, reduce the incidence of infections and contribute to systemic oxygenation in pediatric patients with severe burns, considerably reducing sepsis and mortality in these patients6.

Who can perform HBOT?

The treatment is a non-invasive method and can be performed in patients of any age. “It must be applied quickly to obtain optimal results. Although, it is also effective in chronic insults in persistent post-concussion syndrome and mild brain injuries”, according to Liliana Jordá Vargas- biochemistry of BioBarica.

The patient enters a pressurized chamber where a mask allows him to breathe 100% oxygen, this gas is transported to the blood and manages to repair even the damaged tissues. The children can enter accompanied by an adult and with technological devices that allow him to listen to music or watch a video, also draw or perform some recreational activity.

ADDITIONAL INFORMATION: A well-known case of drowning was the one of a 2-year-old girl who, after having been underwater for 40 minutes and with severe neurological injuries, was able to recover completely and had a favorable impact on society: https://www.lagranepoca.com/momentos/225558-nina-de-dos-anos-logra-una-recuperacion-milagrosa-de-un-dano-cerebral-catastrofico.html

  1. http://www.who.int/mediacentre/news/releases/2008/pr46/es/
  2. Huang, L. and A. Obenaus, Hyperbaric oxygen therapy for traumatic brain injury. Medical gas research, 2011. 1(1): p. 1.
  3. Efrati, S. and E. Ben-Jacob, Reflections on the neurotherapeutic effects of hyperbaric oxygen. Expert review of Neurotherapeutics, 2014. 14(3): p. 233-236.
  4. Harch PG, Andrews SR, Fogarty EF, Lucarini J, Van Meter KW. Case control study: hyperbaric oxygen treatment of mild traumatic brain injury persistent post-concussion syndrome and post-traumatic stress disorder.Med Gas Res. 2017;7(3):156-74
  5. Bounachour G, Cronier P, Gouello J, Toulemonde L, Talha A, Alquier P. Hyperbaric Oxygen Therapy Injuries: A randomized Double Bind placebo-controlled Clinical Trial. The Journal of Trauma. 1996;4 (2):333-339.
  6. Cianci, P., et al., Adjunctive hyperbaric oxygen therapy in the treatment of thermal burns. Undersea & hyperbaric medicine: journal of the Undersea and Hyperbaric Medical Society, Inc, 2012. 40(1): p. 89-108

Source: https://www.infobae.com/salud/2018/03/14/oxigenacion-hiperbarica-un-tratamiento-innovador-que-ayuda-en-los-accidentes-con-menores/

TRAINING IN THE HOSPITAL ARTURO U ILIA

On February 20th and 28th it was held the first AAMHEI training so far this year. The meeting took place at the Arturo U Ilia Quemados Hospital, located in Buenos Aires.

The event was coordinated by Dr. Mercedes Portas, head of the Department of Plastic Surgery and Coordinator of the Hospital’s Committee of Radiopathology, and brought together 38 health professionals (nurses, doctors and biochemists).

The biochemist Liliana Jordá Vargas spoke about the Fundamentals of Hyperbaric Medicine and explained to the attendees the benefits of incorporating hyperbaric oxygenation treatment into their professional practice.

The meeting took place in the framework of the acquisition of a new unit of hyperbaric medicine with which the hospital will develop protocols and research on the effects of HBOT as a coadjutant for burns.

The 38 professionals received certification from the AAMHEI.

Capacitación AAMHEIquemados 1 Capacitación quemados