Annals of Indian Academy of Neurology
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Year : 2009  |  Volume : 12  |  Issue : 1  |  Page : 22-24

Quadruple H therapy for vasospasm


1 Medical Center of Central Georgia, Macon, USA
2 Kuban State Medical University, Krasnodar, Russian Federation

Correspondence Address:
M Sami Walid
Medical Center of Central Georgia, Macon, USA

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.48847

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Triple H therapy has been enthusiastically used to increase cerebral blood flow in cases of vasospasm. Nevertheless, the oxygen-carrying capacity of the blood is lowered with this treatment. This side effect can theoretically be partially corrected using hyperbaric oxygen therapy (HBO) which appears to be the missing ring in the above therapeutic regimen. We conducted a review of of the available evidence regarding the beneficial effects of HBO in preventing postoperative ischemic complications due to vasospasm after surgery on ruptured cerebral aneurysms and the rationale for including HBO into the standards of care of these difficult patients.


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