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HBO Indications

Indications for Hyperbaric Oxygen Therapy

Indications for Hyperbaric Oxygen Therapy

Hyperbaric oxygen (HBO2) is a therapy, in which a patient breathes 100% oxygen intermittently while inside a therapy chamber at a pressure higher than sea level pressure (i.e., >1 atmosphere absolute; atm abs). It can be viewed as the new application of an old, established technology to help resolve certain recalcitrant, expensive, or otherwise hopeless medical problems. In certain circumstances, it represents the primary therapy modality while in others it is an adjunct to surgical or pharmacologic interventions. Therapy can be carried out in either a mono or multiplace chamber. The former accommodates a single patient; the entire chamber is pressurized with 100%oxygen, and the patient breathes the ambient chamber oxygen directly. The latter holds two or more people (patients, observers, and/or support personnel); the chamber is pressurized with compressed air while the patients breathe 100% oxygen via masks, head hoods, or endotracheal tubes. According to the UHMS definition and the determination of The Centers for Medicare and Medicaid Services (CMS) and other third party carriers, breathing 100% oxygen at 1 atmosphere of pressure or exposing isolated parts of the body to 100% oxygen does not constitute HBO2 therapy. The patient must receive the oxygen by inhalation within apressurized chamber. Current information indicates that pressurization should be to 1.4 atm abs or higher.

INDICATIONS

The following indications are approved uses of hyperbaric oxygen therapy as defined by the Hyperbaric Oxygen Therapy Committee. The Committee Report can be purchased directly through the UHMS.

1. Air or Gas Embolism

2. Carbon Monoxide Poisoning Carbon Monoxide Poisoning Complicated By Cyanide Poisoning

3. Clostridial Myositis and Myonecrosis (Gas Gangrene)

4. Crush Injury, Compartment Syndrome and Other Acute Traumatic Ischemias

5. Decompression Sickness

6. Arterial Insufficiencies:
Central Retinal Artery Occlusion
Enhancement of Healing In Selected Problem Wounds

7. Severe Anemia

8. Intracranial Abscess

9. Necrotizing Soft Tissue Infections

10. Osteomyelitis (Refractory)

11. Delayed Radiation Injury (Soft Tissue and Bony Necrosis)

12. Compromised Grafts and Flaps

13. Acute Thermal Burn Injury

14. Idiopathic Sudden Sensorineural Hearing Loss (New! approved on October 8, 2011 by the UHMS Board of Directors)

ADDITIONAL CONSIDERATIONS

15. Randomized Controlled Trials

16. Side Effects