Hyperbaric oxygen in crush syndromeBMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6968.1582c (Published 10 December 1994) Cite this as: BMJ 1994;309:1582
- Martin R Hamilton-Farrell, Director,
- Tarun Sahni
- Hyperbaric Unit, Whipps Cross Hospital, London E11 1NR
- Director of medical services (research and training) Naval Headquarters, New Delhi, 110011 India.
EDITOR,—Andrew D Shaw and colleagues emphasise the urgent need for orthopaedic referral for the underlying problem of the compartment syndrome —namely, impending muscle necrosis.1 They do not mention the role of adjuvant hyperbaric oxygen in this condition.
Pathophysiologically, in the compartment syndromes ischaemia and oedema create a vicious circle in which hypoxia plays a central part. Partially viable tissues may recover if hypoxia is relieved. Treatment with …