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Air or Gas Embolism As the primary
treatment for embolism, HBOT decreases bubble size, reduces mortality/morbidity and the
development of permanent neurological damage. At the present time there is no alternative
therapy.
Decompression Sickness (The Bends)
As the primary treatment, HBOT rapidly clears inert gas bubbles and provides oxygenation
to ischemic and hypoxic tissues. No alternative therapy is currently available.
Carbon Monoxide Poisoning and Smoke Inhalation
Considered mandatory for severe CO poisoning, HBOT mitigates tissue poisoning and
significantly reduces permanent neurologic damage. HBOT also has a direct effect in
reducing the toxicity of cyanide.
Gas Gangrene When used in
conjunction with surgery and antibiotics, HBOT significantly reduces morbidity and
mortality. HBOT inhibits the production of lethal alpha-toxin produced by Clostridium
perfringens.
Crush Injury and Traumatic Wounds
HBOT increases tissue oxygen levels by increasing oxygen delivery, and significantly
reduces tissue edema through its vasoconstrictive effect.
Problem Wounds HBOT causes a 10-15
fold increase in plasma oxygen and a 2-3 fold increase in oxygen diffusion distance. This
restores a favorable cellular environment, stimulates fibroblasts to form adequate
collagen, increases neovascularization by 20% and enhances leukocyte activity. HBOT has
been proven effective in promoting faster, more thorough healing of problem wounds.
Compromised Skin Grafts, Flaps and Replants
Following ischemia or vascular repair where there has been |
a
decrease in microcirculation or tissue hypoxia, HBOT improves outcome by decreasing edema
and increasing tissue oxygenation. Necrotizing
Soft Tissue Infections Used as adjunct therapy to debridement and systemic
antibiotics, HBOT reduces anaerobic bacterial growth and increases leukocyte activity.
Studies indicate it can decrease mortality by two-thirds.
Refractory Osteomyelitis Effective
in bone infections and in the presence of localized or systemic host compromise, HBOT is
used in cases of chronic osteomyelitis as adjunct therapy to antibiotics, debridement,
nutritional support and reconstructive surgery.
Radiation Tissue Damage In
conjunction with surgical treatment, HBOT stimulates function capillary growth,
fibroblastic proliferation and collagen synthesis in radiated bone and soft tissue. HBOT
allows grafting of soft tissue or bone in previously irradiated tissue.
Thermal Burns As adjunct to
standard burn treatment, HBOT helps maintain microvascular integrity, minimizes edema and
provides the substrate necessary to maintain viability. With HBOT, mortality, hospital
stay and grafting need are markedly reduced.
Exceptional Blood Loss Anemia When
transfusion is refused by the patient, HBOT dissolves enough oxygen in the plasma of
severely anemic patients to support basic metabolic needs until RBCs can be restored.
Adjunctive Hyperbaric Oxygen in Intracranial Abcess
Current literature has shown that the mortality rate in Pediatric and ICA patients
can be reduced from 17% to 0% using HBOT. |