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Objective Burn Assessment Using Laser Doppler Imaging and Indocyanine Green Videoangiography to Evaluate the Effect of Hyperbaric Oxygen Treatment: A Case Report

Caleb English, James F. Williams, Booker T. King, Leopoldo C. Cancio and Rodney K Chan

Introduction: Several relatively new technologies have served as valuable adjuncts to clinical judgment in burn wound depth assessment. Among these technologies, laser Doppler imaging and indocyanine green videoangiography have improved accuracy of burn depth assessment. However, an objective way to monitor improvement and changes in blood flow after hyperbaric oxygen treatment is not well documented.

Methods: We present a case of a 43 year-old African American female patient whose burns we evaluated with laser Doppler imaging and indocyanine green videoangiography prior to and after hyperbaric oxygen therapy (HBOT).

Results: These imaging modalities documented an improvement in perfusion of the burned tissues in our patient.

Conclusions: Though we need more comparative data in the form of prospective studies with large cohorts to make concrete recommendations, we suggest with our case report that laser Doppler imaging and indocyanine green videoangiography can be used to monitor improvement and document blood flow after HBOT.