Dr. Bennett discusses hyperbaric oxygen therapy for the adjunctive treatment of traumatic brain injury. The author published in the Cochraine summaries looking at information from the Cochrane Database of Systematic Reviews.
Hyperbaric oxygen therapy (HBOT) shows significant and exciting potential in a range of acute ischaemic conditions and the meta-analysis strongly suggests that when administered acutely after injury HBOT treatment may save lives.
However, there is very little evidence that functional outcomes are improved. Coupled to this there is clear potential for toxicity. Further research work needs to be done to establish the most appropriate dose of oxygen and the optimal time widow after injury for HBOT use. It is likely that the future use of HBOT will be accompanied by a monitoring of brain partial pressure of oxygen directly, with oxygen dose individualized to each patient.
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