Monthly Archives: April, 2014

TheEmergencyUseof HyperbaricOxygenTherapy

By:  Peter Brofman, DVM, MS, ACVIM (Neurology & Internal Medicine)as seen in  Lowcountry Dog

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The nervous system can respond to an injury to the spinal cord and brain in only a limited number of ways; and, similarly, there are only a few medical treatments available to us that may aid in the body’s recovery. Due to this limited arsenal of treatments, as a veterinary neurologist and neurosurgeon I am always looking outside of the box for additional treatment options.

Sometimes this thinking takes me back to ancient treatments ( I am a big proponent of acupunc­ture); but sometimes it takes us forward to newer treatment options.

Recently I have become interested in hyperbaric oxygen therapy (HBOT). Briefly, hyperbaric oxygen is the medical use of oxygen at a level higher than atmospheric pressure. Hyperbaric oxygen therapy allows you to breathe 100% pure oxygen under increased pressure. This level is much higher than the 21% oxygen found in room air. The air inside the hyperbaric chamber can be compressed up to three times the pressure found at sea level. The combination of high pres­sure and pure oxygen drives oxygen into the bloodstream at a very high concentration so that it can spread deep into the body tissues to help fight many types of illness. It is also quite effec­tive at reducing pain, inflammation and swelling, due to several mechanisms.

I have been somewhat frustrated by the limited number of treatment options available for my patients with strokes, spinal or brain trauma, disk disease, etc…, so I initiated incorporating HBOT into our hospital. I soon found out how effective it could be for other conditions as well. Some of the other conditions include snake bites, trauma, skin burns and crush injuries, inflam­matory diseases, anemia, etc.

A recent case of an English bulldog with a large spinal tumor was a great example of the useful­ness of HBOT for conditions outside of the nervous system. English Bulldogs are known to have difficulty breathing after anesthesia because their head and facial conformation make it difficult for them to take good breaths; this is often exacerbated after the breathing tube used for anesthesia is removed because the tube causes swelling of the larynx (airway entrance). This often results in a need to heavily sedate the patient, place them in an oxygen cage, and some­times even replace the breathing tube. This may result in a vicious cycle causing worsening of the swelling.

Following surgery, he again had difficulty breathing when the tube was removed but the conser­vative care that was successful the previous day was not effective this time and he required having the tube placed again. To avoid the vicious cycle of replacing the tube and causing more swelling I removed the tube and placed him in our HBOT chamber. Upon placement in the chamber his oxygen levels in his blood were low and he had very loud noises as he tried to take each breath. Within a few minutes of treatment he was resting more comfortably as his oxygen levels rose.

The treatment lasted an hour and when he was removed from the pressurized tank he was wag­ging his tail, breathing with ease, had normal oxygen levels in his blood, and was actually bark­ing. It was such a relief to finally have this treatment modality available to us to avoid the life threatening swelling of the larynx that we so commonly see in this breed.

 Our hyperbaric oxygen chamber is the only one of its kind in Charleston, the state of South Car­olina, and all of the bordering states. It makes me proud to be a member of such a progressive and advanced veterinary team at Veterinary Specialty Care to be able to provide such a unique and successful treatment modality for your pets.

 Veterinary Specialty Care is a veterinary practice providing specialized surgical and medical  care as well as emergency Board Certified medical and surgical services. We have locations in Mount Pleasant and North Charleston. Both the Mount Pleasant and North Charleston locations provide emergency services 24 hours a day, 7 days a week, as well as internal medicine and sur­ gical referral services on weekdays. Board Certified Surgeons and Internal Medicine doctors provide after hours support as needed in cases that require a specialist.

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Bumper by Dr. Holly Mims

Bumper, a 10 year old Pit Bull, was presented for further evaluation of anemia and a distended abdomen.  She was found to have Babesia gibsoni, a protozoal infection that can be seen in Pit Bulls.  This infection was causing the anemia and protein loss in her urine which was resulting in abdominal fluid and abdominal distension.  Bumper was treated with multiple medications and blood transfusions.  She has responded to treatment and at the current time is doing very well!   Image