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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Nijith, L.
Chan, S.
Currell, V.
Cronin, B.
Banerjee, R.
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A 46 year old gentleman, with history of type 2 diabetes, diagnosed 11 years ago, presented with new onset right 14645491, 2023, S1, Downloaded from https://onlinelibrary.wiley.com/doi/10.1111/dme.15048 by Test, Wiley Online Library on [11/10/2023]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License | 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.
Research Subject Categories::MEDICINE::Dermatology and venerology,clinical genetics, internal medicine::Internal medicine::Diabetology