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HBO must read - Hyperbaric Oxygen therapy and oxygen compatibility of skin and wound care products

HBO must read - Hyperbaric Oxygen therapy and oxygen compatibility of skin and wound care products

HBO must read - Hyperbaric Oxygen therapy and oxygen compatibility of skin and wound care products

This is a recommended read for all hyperbaric clinicians picked by our editorial team.

Hyperbaric Oxygen Therapy and Oxygen Compatibility of Skin and Wound Care Products.

Bernatchez SF, Tucker J, Chiffoleau G.

Adv Wound Care (New Rochelle). 2017 Nov 1;6(11):371-381. doi: 10.1089/wound.2017.0742.

PMID: 29098113 Free PMC Article


Objective: Use test methods to assess the oxygen compatibility of various wound care products.

Approach: There are currently no standard test methods specifically for evaluating the oxygen compatibility and safety of materials under hyperbaric oxygen (HBO) conditions. However, tests such as the oxygen index (OI), oxygen exposure (OE), and autogenous ignition temperature (AIT) can provide useful information.

Results: The OI test measures the minimum oxygen concentration that will support candle-like burning, and it was used to test 44 materials. All but two exhibited an OI equal to or greater (safer) than a control material commonly used in HBO. The OE test exposes each material to an oxygen-enriched atmosphere (>99.5% oxygen) to monitor temperature and pressure for an extended duration. The results of the OE testing indicated that none of the 44 articles tested with this method self-ignited within the 60C, 3 atm pressurized oxygen atmosphere. The AIT test exposes materials to a rapid ramp up in temperature in HBO conditions at 3 atm until ignition occurs. Ten wound care materials and seven materials usually avoided in HBO chambers were tested. The AIT ranged from 138C to 384C for wound care products and from 146C to 420C for the other materials.

Innovation: This work provides useful data and recommendations to help develop a new standard approach for evaluating the HBO compatibility of wound care products to ensure safety for patients and clinicians.

Conclusion: The development of an additional test to measure the risk of electrostatic discharge of materials in HBO conditions is needed.

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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.
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