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Oxygen Reservoir Dressing Sustains Elevated Wound
                            pO2 After Hyperbaric Oxygen Treatment

                                                                   3
                          Harriet Hopf, MD , Gerit Mulder, DPM , Jay Duchnick, CHT , Scott Barnhill, AS, SRS, RLATG
                                      1
                                                    2

                           1 University of Utah Dept of Anesthesiology , 2 UCSD Wound Treatment and Research Center, 3 UCSD Hyperbaric Medicine Dept
              Introduction             Methods
             The benefits of hyperbaric oxygen   With IACUC approval, 8 standardized full thickness
             therapy (HBOT) for wound healing are   wounds were created on the back of 2 pigs (one
             well established and result from the   normobaric control, one HBOT).  The wounds
             oxidant effects of oxygen and biologic   were covered with either thin film (4 per pig) or
             processes for which oxygen is a rate-  OxyBand TM  (4 per pig)   dressings. Oxygen levels at
             limiting step.  Although the major   4+/-2mm depth within the wound exudate were
             benefits of HBOT clearly result from   measured 3, 8, 11.5, 14, and 16 hours after
             systemic oxygen delivery, the potential   dressing placement and 15 min, 2, 6, and 12
             benefits of topical oxygen are also of   hours after HBOT using polarographic
             interest.  We therefore evaluated an   microelectrodes.
             oxygen reservoir dressing (OxyBand TM )      Results
             for its ability to maintain elevated levels
             of dissolved oxygen (PO 2 ) in wounds   With the pigs intubated and anesthetized (FiO2
             after HBOT. The oxygen is stored in   1.0), the PO2 ranged from 81-106 mmHg under
             between an occlusive upper layer and a   the control dressing and 160-228 mm Hg under
             lower permeable film, which allows the   the test dressing.   PO2 was 256-260 mmHg
             dressing to supersaturate the wound   under both dressings 15 min after HBOT.  At 2-12
             fluid with regenerative oxygen for days at   hours after HBOT, PO2 was 89-125 mmHg under
             a time.            the control dressing and 245-263 mmHg under
                                the test dressing.
                                      Conclusions
                                The OxyBand TM  reservoir dressing maintained
                                elevated wound oxygen levels after HBOT,
                                demonstrating that the dressing was able to
                                replenish oxygen levels as it was consumed
                                locally. Potential synergies of providing the   Acknowledgments and Disclosures
                                                                 Stacy Davis and Ryan McMurray at UCSD tested pump accuracy

                                systemic benefits of HBOT and extending the local   OxyHeal Health Group, Inc. National City, CA donated HBO chamber use
                                benefits of hyperoxia using an on-demand oxygen   Oxyband Technologies, Inc, San Diego, CA donated dressings

                                reservoir dressing warrants further investigation.    Drs. Hopf has received research funding from Oxyband
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