Possibilities of using hyperbaric oxygen therapy at different stages of cardiac surgery

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Abstract

Nowadays, the evolution of cardiac surgery is impossible without a continuous improvement of all the treatment stages. One of the promising ways to achieve this goal is the active use of hyperbaric oxygen therapy in the preoperative preparation and postoperative rehabilitation. In this review, we present a short history of the hyperbaric oxygen therapy development in cardiac surgery, the pathophysiological and pathobiochemical mechanisms of its therapeutic effect and the scenarios for its use in the preoperative preparation and postoperative rehabilitation of cardiac surgery patients. The introduction of hyperbaric oxygen therapy into cardiac surgery can improve the results of the surgical treatment, as well as reduce the times of the preoperative preparation and postoperative rehabilitation of cardiac surgery patients, that will significantly increase the quality and efficiency of cardiac surgery.

About the authors

Vladislav V. Krylov

Moscow Regional Research and Clinical Institute

Author for correspondence.
Email: malus5@yandex.ru
ORCID iD: 0000-0002-2706-3496
SPIN-code: 6115-4291
Russian Federation, Moscow

Elena Ya. Kolchina

Russian Medical Academy of Continuous Professional Education

Email: kafedragbo@yandex.ru
ORCID iD: 0000-0002-0671-9783

MD, PhD, Associate Professor

Russian Federation, Moscow

References

  1. Акалаев Р.Н., Борисова Е.М., Евдокимов Е.А., и др. Гипербарическая медицина: история становления и путь развития // Вестник экстренной медицины. 2014. № 1. С. 85–94. [Akalaev RN, Borisova EM, Evdokimov EA, et al. Hyperbaric medicine: the history of formation and path of development. Bulletin of Emergency Medicine. 2014;(1):85–94. (In Russ).]
  2. Edwards ML. Hyperbaric oxygen therapy. Part 1: history and principles. J Veterinary Emergency Critical Care (San Antonio). 2010;20(3):284–288. doi: 10.1111/j.1476-4431.2010.00535.x
  3. Бураковский В.И., Бокерия Л.А. Гипербарическая оксигенация в сердечно-сосудистой хирургии. Москва: Медицина, 1974. 236 с. [Burakovskii VI, Bokeriia LA. Hyperbaric oxygen therapy in cardiovascular surgery. Moscow: Meditsina; 1974. 236 p. (In Russ).]
  4. Бокерия Л.А., Глянцев С.П., Сафина И.Р. Предшествующий опыт и результаты экспериментальной научно-исследовательской работы в НМИЦ ССХ им. А.Н. Бакулева (1956–1976 гг.) // Бюллетень НЦССХ им. А.Н. Бакулева РАМН «Сердечно-сосудистые заболевания». 2018. Т. 19, № 4. С. 570–579. [Bokeriia LA, Gliantsev SP, Safina IR. Previous experience and results of experimental research work at the A.N. Bakulev National Medical Research Center for Cardiovascular Surgery (1956–1976). Biulleten NCSSH im. A.N. Bakuleva RAMN «Cardiovascular diseases». 2018;19(4):570–579. (In Russ).] doi: 10.24022/1810-0694-2018-19-4-570-579
  5. Петровский Б.В., Ефуни С.Н. Основы гипербарической оксигенации. Москва: Медицина, 1976. 344 с. [Petrovskii BV, Efuni SN. Fundamentals of hyperbaric oxygenation. Moscow: Meditsina; 1976. 344 p. (In Russ).]
  6. Ефуни С.Н. Руководство по гипербарической оксигенации. Москва: Медицина, 1986. 267 с. [Efuni SN. Guide to hyperbaric oxygen therapy. Moscow: Meditsina; 1986. 267 p. (In Russ)].
  7. Ortega MA, Fraile-Martinez O, García-Montero C, et al. A general overview on the hyperbaric oxygen therapy: applications, mechanisms and translational opportunities. Med (Kaunas). 2021;57(9):864–889. doi: 10.3390/medicina57090864
  8. Jain KK. Textbook of Hyperbaric Medicine, 6th ed. Cham: Springer International Publishing AG; 2017. 640 p. doi: 10.1007/978-3-319-47140-2
  9. Петровский Б.В., Ефуни С.Н., Демуров Е.А., Родионов В.В. Гипербарическая оксигенация и сердечно-сосудистая система. Москва: Наука, 1987. 328 с. [Petrovskii BV, Efuni SN, Demurov EA, Rodionov VV. Hyperbaric oxygen therapy and the cardiovascular system. Moscow: Nauka; 1987. 328 p. (In Russ).]
  10. Сазонтова Т.Г. Адаптация организма к изменению уровня кислорода — к гипоксии и гипероксии: роль активных форм кислорода и редокс-сигнализации // Вопросы гипербарической медицины. 2006. № 1. С. 4–19. [Sazontova TG. Adaptation of the body to changes in the level of oxygen — to hypoxia and hyperoxia: the role of reactive oxygen species and redox-signalisation. Questions of hyperbaric medicine. 2006;(1):4–19. (In Russ).]
  11. Francis A, Baynosa R. Ischaemia-reperfusion injury and hyperbaric oxygen pathways: a review of cellular mechanisms. Diving Hyperbaric Med. 2017;47(2):110–117. doi: 10.28920/dhm47.2.110-117
  12. Hentia C, Rizzato A, Camporesi E, et al. An overview of protective strategies against ischemia/reperfusion injury: the role of hyperbaric oxygen preconditioning. Brain Behavior. 2018;8(5):e00959. doi: 10.1002/brb3.959
  13. Godman CA, Chheda KP, Hightower LE, et al. Hyperbaric oxygen induces a cytoprotective and angiogenic response in human microvascular endothelial cells. Cell Stress and Chaperones. 2010;15(4):431–442. doi: 10.1007/s12192-009-0159-0
  14. Леонов А.Н. Гипероксия. Адаптационно-метаболическая концепция саногенеза // Бюллетень гипербарической биологии и медицины. 1994. № 1. C. 51–75. [Leonov AN. Hyperoxia. Adaptive-metabolic concept of sanogenesis. Bulletin Hyperbaric Biol Med. 1994;(1):51–75. (In Russ).]
  15. Lindenmann J, Smolle C, Kamolz LP, et al. Survey of molecular mechanisms of hyperbaric oxygen in tissue repair. Int J Mol Sci. 2021;22(21):11754. doi: 10.3390/ijms222111754
  16. Baiula M, Greco R, Ferrazzano L, et al. Integrinmediated adhesive properties of neutrophils are reduced by hyperbaric oxygen therapy in patients with chronic non-healing wound. PLOS ONE. 2020;15(8):e0237746. doi: 10.1371/journal.pone.0237746
  17. Николаева А.А., Николаева Е.И., Попова Л.В., и др. Динамика адаптационных индексов, перекисное окисление липидов и антиоксидантная защита при нестабильной стенокардии // Кардиология. 1998. Т. 38, № 7. С. 16–21. [Nikolaeva AA, Nikolaeva EI, Popova LV, et al. Dynamics of adaptive indices, lipid peroxidation and antioxidant protection in unstable angina pectoris. Cardiology. 1998;38(7):16–21. (In Russ).]
  18. Жданов Г.Г., Соколов И.М. Новые пути использования ГБО при остром инфаркте миокарда // Гипербарическая физиология и медицина. 1998. № 1. С. 13–20. [Zhdanov GG, Sokolov IM. New ways of using HBO in acute myocardial infarction. Hyperbaric Physiol Med. 1998;(1):13–20. (In Russ).]
  19. Mehta SR, Cannon CP, Fox KA, et al. Routine vs selective invasive strategies in patients with acute coronary syndromes: a collaborative meta-analysis of randomized trial. J Am Med Association. 2005;293(23):2908–2917. doi: 10.1001/jama.293.23.2908
  20. Саливончик Д.П. Гипербарическая оксигенация при остром коронарном синдроме: современные предпосылки (обзор литературы) // Проблемы здоровья и экологии. 2009. Т. 1, № 19. С. 35–42. [Salivonchik DP. Hyperbaric oxygen therapy in acute coronary syndrome: current background (literature review). Health Environmental Issues. 2009;1(19):35–42. (In Russ).]
  21. Саливончик Д.П. Немедикаментозная терапия ИБС: роль и место гипербарической оксигенации (обзор литературы) // Проблемы здоровья и экологии. 2012. № 1. С. 27–36. [Salivonchik DP. Non-drug therapy of coronary artery disease: the role and place of hyperbaric oxygen therapy (literature review). Health Environmental Issues. 2012;1(31):27–36. (In Russ).]
  22. Bennett MH, Lehm JP, Jepson N. Hyperbaric oxygen therapy for acute coronary syndrome. Cochrane Database Systematic Review. 2015;2015(7):CD004818. doi: 10.1002/14651858.CD004818.pub4
  23. Vlahovic A, Nesković AN, Dekleva M, et al. Hyperbaric oxygen treatment does not affect left ventricular chamber stiffness after myocardial infarction treated with thrombolysis. Am Heart J. 2004;148(1):e1. doi: 10.1016/j.ahj.2004.02.009
  24. Mathieu D, Marroni A, Kot J. Tenth European Consensus Conference on Hyperbaric Medicine: recommendations for accepted and non-accepted clinical indications and practice of hyperbaric oxygen treatment. Diving Hyperbaric Med. 2017;47(1):24–32. doi: 10.28920/dhm47.1.24-32
  25. Гипербарическая медицина: практическое руководство / под ред. Д. Матье; пер. с англ. Москва: БИНОМ. Лаборатория знаний, 2009. 720 с. [Hyperbaric medicine: a practical guide. Ed. by D. Mate; transl. from English. Moscow: BINOM. Laboratory Knowledge; 2009. 720 p. (In Russ).]
  26. Tabrah FL, Tanner R, Vega R, Batkin S. Ваrоmedicine today — rational uses of hyperbaric oxygen therapy. Hawaii Med J. 1994;53(4):112–119.
  27. Пархоменко А.Н. Жизнеспособный миокард и кардиопротекция: возможности метаболической терапии при острой и хронической формах ишемической болезни сердца // Украинский медицинский журнал. 2001. Т. 3, № 23. С. 5–11. [Parkhomenko AN. Viable myocardium and cardioprotection: possibilities of metabolic therapy in acute and chronic forms of coronary heart disease. Ukr Med J. 2001;3(23):5–11. (In Russ).]
  28. Доценко Э.А., Саливончик Д.П. Современная роль гипербарической оксигенации в терапии кардиоваскулярных заболеваний // Проблемы здоровья и экологии. 2010;3(25): 58–64. [Dotsenko EA, Salivonchik DP. The modern role of hyperbaric oxygen therapy in the treatment of cardiovascular diseases. Health Environmental Issues. 2010;3(25):58–64. (In Russ).]
  29. Li Y, Dong H, Chen M, et al. Preconditioning with repeated hyperbaric oxygen induces myocardial and cerebral protection in patients undergoing coronary artery bypass graft surgery: a prospective, randomized, controlled clinical trial. J Cardiothoracic Vascular Anesthesia. 2011;25(6):908–916. doi: 10.1053/j.jvca.2011.06.017
  30. Allen MW, Golembe E, Gorenstein S, Butler GJ. Protective effects of hyperbaric oxygen therapy (HBO2) in cardiac care. A proposal to conduct a study into the effects of hyperbaric pre-conditioning in elective coronary artery bypass graft surgery (CABG). Undersea Hyperbaric Med. 2015;42(2):107–114.
  31. Yin X, Wang X, Fan Z, et al. Hyperbaric oxygen preconditioning attenuates myocardium ischemia-reperfusion injury through upregulation of heme oxygenase 1 expression: PI3K/Akt/Nrf2 pathway involved. J Cardiovascul Pharmacol Therapeutics. 2015;20(4):428–438. doi: 10.1177/1074248414568196
  32. Chen C, Chen W, Li Y, et al. Hyperbaric oxygen protects against myocardial reperfusion injury via the inhibition of inflammation and the modulation of autophagy. Oncotarget. 2017;8(67):111522–111534. doi: 10.18632/oncotarget.22869
  33. Kouchoukos NT, Blackstone EH, Hanley FL, Kirklin JK. Kirklin/barratt-boyes cardiac surgery: morphology, diagnostic criteria, natural history, techniques, results, and indications. 4th ed. Philadelphia: Elsevier Saunders, 2013. 2256 p.
  34. Ziemer G, Haverich A. Cardiac surgery: operations on the heart and great vessels in adults and children. Berlin: Springer-Verlag Berlin Heidelberg; 2017. 1158 p.
  35. Киселев С.О. Новая версия саногенеза оксигенобаротерапии (адаптационно-физиологическая концепция) // Гипербарическая физиология и медицина. 1998. № 2. С. 3–14. [Kiselev SO. New version of sanogenesis of oxygenobarotherapy (adaptive-physiological concept). Hyperbaric Physiol Med. 1998;(2):3–14. (In Russ).]
  36. Гордеев М.Л. Осложненные формы ИБС. Хирургия ремоделированного левого желудочка. Москва: ИД Академии им. Н.Е. Жуковского, 2019. 432 с. [Gordeev ML. Complicated forms of ischemic heart disease. Surgery of the remodeled left ventricle. Moscow: ID Akademii im. N.E. Zhukovskog; 2019. 432 p. (In Russ).]
  37. Бураковский В.И., Рапопорт Я.Л. Классификация ранних послеоперационных осложнений в хирургии сердца // Грудная хирургия. 1969. № 6. С. 3–10. [Burakowski VI, Rapoport YL. Classification of early postoperative complications in cardiac surgery. Thoracic Sur. 1969;(6):3–10. (In Russ).]
  38. Бураковский В.И., Рапопорт Я.Л., Гельштейн Г.Г., и др. Осложнения при операциях на открытом сердце. Москва: Медицина, 1972. 304 с. [Burakovskiy VI, Rapoport YL, Gelshtein GG, et al. Complications ofopen-heart surgery. Moscow: Meditsina; 1972. 304 р. (In Russ).]
  39. Strasberg SM, Linehan DC, Hawkins WG. The accordion severity grading system of surgical complications // Annals Sur. 2009;250(2):177–186. doi: 10.1097/SLA.06013e3181afde41
  40. Казарян А.М., Акопов А.Л. Российская редакция классификации осложнений в хирургии // Вестник хирургии им. И.И. Грекова. 2014. № 2. С. 86–91. [Kazaryan AM, Akopov AL. Russian edition of complications in surgery. Bulletin Sur Named After I.I. Grekov. 2014;(2):86–91. (In Russ).]
  41. Yang ZJ, Bosco G, Montante A, et al. Hyperbaric O2 reduces intestinal ischemia-reperfusion-induced TNF-alpha production and lung neutrophil sequestration. Eur J Applied Physiology. 2001;85(1–2):96–103. doi: 10.1007/s004210100391
  42. Rausch MK, Tibayan FA, Miller DC, Kuhl E. Evidence of adaptive mitral leaflet growth. J Mechanical Behavior Biomed Materials. 2012;15:208–217. doi: 10.1016/j.jmbbm.2012.07.001
  43. Beaudoin J, Dal-Bianco JP, Aikawa E, et al. Mitral leaflet changes following myocardial infarction clinical evidence for maladaptive valvular remodeling. Circulation: Cardiovascular Imaging. 2017;10(11):e006512. doi: 10.1161/CIRCIMAGING.117.006512
  44. Calafiore AM, Totaro A, Testa N, et al. The secret life of the mitral valve. J Cardiac Sur. 2021;36(1):247–259. doi: 10.1111/jocs.15151
  45. Бокерия Л.А., Белобородова Н.В. Инфекция в кардиохирургии. Москва: НЦССХ им. А.Н. Бакулева РАМН, 2007. 580 с. [Bokeriia LA, Beloborodova NV. Infection in cardiac surgery. Moscow: NCSSH im. A.N. Bakuleva RAMN; 2007. 580 p. (In Russ).]
  46. Чернявский А.М., Таркова А.Р., Рузматов Т.М., и др. Инфекции в кардиохирургии // Хирургия. 2016. № 5. C. 64–68. [Chernyavsky AM, Tarkova AR, Ruzmatov TM, et al. Infections in cardiac surgery. Surgery. 2016;(5):64–68. (In Russ).] doi: 10.17116/hirurgia2016564-68
  47. Antunes PE, Bernardo JE, Eugenio L, et al. Mediastinitis after aorto-coronary bypass surgery. Eur J Cardio-Thoracic Sur. 1997;12(3):443–449. doi: 10.1016/s1010-7940(97)00179-6
  48. Zhang Q, Chang Q, Cox RA, et al. Hyperbaric oxygen attenuates apoptosis and decreases inflammation in an ischemic wound model. J Invest Dermatol. 2008;128(8):2102–2112. doi: 10.1038/jid.2008.53

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2. Fig. 1. Operation in the barooperative room of the A.N. Bakulev Institute of Cardiovascular Surgery Academy of Medical Sciences of the USSR (from the archive of A.N. Bakulev National Medical Research Center for Cardiovascular Surgery of the Ministry of Healthcare of the Russian Federation).

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3. Fig. 2. Barocenter of the All-Union Research Institute of Clinical and Experimental Surgery of the Ministry of Health of the USSR (from the archive of anesthesiology and intensive care department of the Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation).

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4. Fig. 3. Operation in the barooperative room of the Barocenter (from the archive of anesthesiology and intensive care department of the Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation).

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5. Fig. 4. Changing content of oxygen in blood (vol. %) under the hyperbaric oxygenation (adapted from [8]).

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6. Fig. 5. Scheme of changing ratio of the secondary messengers under the hyperbaric oxygenation: а — NO-synthase activation under oxidative stress; б — сhanging ratio of cAMP и cGMP in a cell. АФК — active oxygen form; ГБО — hyperbaric oxygenation; цАМФ — cyclic adenosine monophosphate; цГМФ — cyclic guanosine monophosphate.

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