A case study experience of natrox wound oxygen therapy: Should this be part of regular conservative wound management in diabetic foot ulcer?
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Authors
Nijith, L.
Chan, S.
Currell, V.
Cronin, B.
Banerjee, R.
Issue Date
2023
Type
Scientific Paper
Language
Keywords
Research Subject Categories::MEDICINE::Dermatology and venerology,clinical genetics, internal medicine::Internal medicine::Diabetology
Alternative Title
Abstract
A 46 year old gentleman, with history of type 2 diabetes,
diagnosed 11 years ago, presented with new onset right
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| CLINICAL CARE AND OTHER CATEGORIES POSTERS: CASE REPORTS 101 of 185
foot ulcer with black discoloration of dorsum of foot, in volving the fourth toe and 4/5th web space. He was diag nosed with ascending cellulitis and superficial gangrene
with non-viable right fourth toe.
After he was seen by diabetes foot multidisciplinary team
(MDT), the patient underwent surgical debridement of
ulcer and fourth right toe amputation. CT angiogram right
lower limb showed tight stenosis distally of the right pop liteal with multilevel disease and angioplasty was done.
MDT suggested for trans-metatarsal amputation which
he declined. He opted for conservative management. He
had maggot therapy followed by Natrox wound oxygen
therapy. He was discharged on vacuum assisted closure
dressing. Follow up appointments showed significant im provement with wound healing.
This case study showed a favourable outcome of diabetic
foot ulcer where Natrox was used. This device delivers up
to 98% of humidified oxygen directly to wound bed;stimu lating wound healing. Recent NICE guidance summarises
Natrox therapy is beneficial as adjunct therapy in grade
II/III diabetic foot ulcers. Our local centre has limited
use of this. We propose increased usage of Natrox oxygen
therapy as an adjunct to other conservative measures to
augment wound healing. This will need further educa tion, funding and reports of its usage in multiple centres.