AI Article Synopsis

  • Acute limb ischemia (ALI) is a rare complication of acute carbon monoxide (CO) poisoning, and there has been no prior research on the use of hyperbaric oxygen therapy (HBO2) specifically for this condition.
  • A 69-year-old man developed ALI in both lower extremities after being hospitalized due to CO poisoning, and traditional treatments were initially ineffective for his right-side lesion while a new lesion appeared on the left side.
  • After receiving 47 sessions of HBO2 along with conventional therapies, the patient successfully salvaged his limbs, indicating that HBO2 may be a useful adjunctive treatment for ALI caused by CO poisoning.

Article Abstract

Acute limb ischemia (ALI) as a complication of acute carbon monoxide (CO) poisoning is rare. Several reports have utilized hyperbaric oxygen therapy (HBO2) as an adjunctive therapy for peripheral arterial diseases. However, no study has yet described the use of HBO2 for ALI precipitated by CO poisoning. Herein we report successful limb salvage achieved with adjunctive HBO2 and conventional therapies in a patient with CO-induced ALI. A 69-year-old man was admitted with acute CO poisoning; ALI of both lower extremities occurred on hospitalization day 3. Pre-existing risk factors for ALI other than CO were not definite. After conventional treatments including catheter-directed thrombolysis and endovascular thrombectomy, the right-side lesion remained and a left-side lesion was newly developed. In addition to prior therapies, 47 sessions of serial HBO2 were administered as adjunctive therapy, resulting in limb salvage. Acute CO poisoning can cause ALI as a rare complication. HBO2 may be utilized as an adjunctive treatment in ALI.

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Source
http://dx.doi.org/10.22462/04.06.2020.9DOI Listing

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