Clinical Trials

Clinical Trial – The Effects of Hyperbaric Oxygen Therapy (HBOT) on Acute Thermal Burns

The blinded RCTstudy aims to:

– Determine the effects of HBOT on burns conversion for patients who have fresh thermal
burns injury using the LDI.

– Objectively determine the proportion of burns conversion in areas of partial thickness
burns for early thermal burns injury in both arms of the RCT.

– Study the effects of HBOT on immunological markers IL-1, IL-2, IL-4, IL-6, IL-8, IL-10,
TNF-α and TGF-β ( comparison between both arms and 2 assessment points).

– Study the effect of HBOT on haematological markers including procalcitonin ,albumin,
lymphocyte counts, neutrophil count, and macrophage count.

– Study the effects of HBOT on histology specimens in quantifying P53 protein, leukocyte
and macrophage infiltration, burns depth assessment and vascular endothelial growth
factor (VEGF) and inducible nitric oxide synthase (iNOS) .

– Study the effects of HBOT on bacteriology of tissue culture in areas of deep dermal
burns.

Clinical Trial – Influence of Anesthetic Temperature on Cephalad Sensory Blockade With Spinal Anesthesia

Several factors influence the extension of anesthetic mixture during spinal anesthesia
including anesthetic gravity, body position, drug volume, and drug-delivering velocity.
However, the effect of temperature of anesthetic mixture on the cephalad sensory blockade is
hitherto unknown. The investigators hypothesized that different temperatures of the
anesthetic mixture had different velocity of extension after spinal anesthesia. In addition,
previous studies suggest that parturients have relative higher sensitivity to temperature.
Herein the investigators proposed that the temperature of anesthetic mixture had more
extensive effect on the cephalad sensory blockade with spinal anesthesia for cesarean
delivery.

Clinical Trial – Treatment of Traumatic Brain Injury With Hyperbaric Oxygen Therapy

The purpose of this study is to determine if hyperbaric oxygen therapy (HBOT) improves the
cognitive function of OIF/OEF individuals who have chronic mild to moderate traumatic brain
injury (TBI). Cognitive function includes such things as thinking, remembering, recognition,
concentration ability and perception. Traumatic brain injury is common with head injuries
caused by blows to the head, nearby explosions, or concussion. Subjects will be assigned to
an intervention or sham arm. Computer based cognitive tests will be used as outcome measures.
Subjects are enrolled by invitation only.

Clinical Trial – Bone Marrow Mononuclear Cell and Hyperbaric Oxygen Therapy in Diabetes Mellitus

There were evidences that the non-immune mediated inflammatory pathways of cell damage
occurred in vitro in human islets upon hyperglycemia in type 2 diabetes mellitus. Autologous
stem cell therapies were an emerging set of therapies that showed promise with a low side
effect profile. we hypothesized that infusion of mononuclear cells from buffy coat obtained
from bone marrow might provide multiple signals for regeneration and inflammation-induced
lesion recovery of local tissues, of which the effect might be maximized by intra-arterial
pancreatic infusion through angiography and combination with hyperbaric oxygen therapy.

This trail includes a foregoing sub-trial that investigate the feasibility and safety of a
novel method for massive bone marrow collection. The traditional BM collecting procedure is
unfavorable because it yields minor bone marrow. Studies have shown that physiological
exercise can increase bone marrow blood flow, which might facilitate BM collection.

We plan to include a total of 60 patients with type 2 diabetes and randomly assign them to
either a control group or an exercise group (n =30 each). The patients in the exercise group
exercised 30 minutes before the operation. All patients underwent routine surgical care. The
collected BM volume, operation time, collecting speed , puncture times and pain scores during
the operation were recorded. Bone marrow samples were tested for CD34+ flow cytometry and
whole blood cell count.

Clinical Trial – Hyperbaric Oxygen Treatment of Mandibular Osteoradionecrosis. A Randomized Clinical Study

There is currently not sufficient evidence that hyperbaric oxygen (HBO) benefits the surgical
removal of necrotic bone in osteoradionecrosis patients. This study aims at testing the
hypothesis that HBO does improve healing after surgical removal of necrotic bone in
irradiated previous head and neck cancer patients compared to not receiving HBO.

Archives

Categories