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Conditions Treated

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HBOT Indications: Indications(I) & Rationale(R)

Indications

Rationale

Acute carbon monoxide poisoning

Relieve hypoxia; hasten elimination of CO; antagonize brain lipid peroxidation.

Acute Exceptional blood loss anemia

Increase physically dissolved oxygen; treat hypoxia; support marginally perfused tissues.

Acute thermal burns

Relieve hypoxia; decrease fluid losses; limit burn wound extension and conversion; beat edema; promote wound closure.

Cerebral arterial gas embolism

Overcome free gas volume; relieve hypoxia; antagonize leukocyte mediated ischemia – reperfusion injury.

Chronic osteomyelitis

Agument host antimicrobial defenses; induce angiogenesis; potentiate leukocyte superoxide and peroxide production; relieve hypoxia; augment antibiotic therapy; extend postantibiotic effect; augment osteoclast activity.

Clostridial gas gangrene

Reduce size of gaseous bullae; inactivate clostridial alpha toxin; inhibit alpha toxin production; induce bacteriostasis; potentiate leukocyte superoxide and peroxide production.

Compromised skin flaps

Support marginally perfused/oxygenated tissues; antagonize ischemic-reperfusion injury; accelerate angio-genesis.

Crush injury; acute ischemic

Provide interim tissue oxygenation in relative states of ischemia; reduce edema; reduce compartment pressures; antagonize ischemic-reperfusion injury; augment limb salvage.

Decompression sickness

Overcome free gas volume-induced ischemia; relieve hypoxia; hasten elimination of offending inert gas; treat edema.

Late radiation tissue injury

Re-establish wound oxygen gradients; relieve hypoxia; induce angiogenesis; prepare for definitive coverage.

Late radiation tissue injury prophylaxis

Re-establish wound oxygen gradients; induce angiogenesis prior to surgical wounding.

Necrotizing soft tissue infections (fasciffis and cellulitis)

Induce bacteriostasis of anaerobes; potentiate leukocytic superoxide and peroxide production; relieve hypoxia; more closely demarcate potentially viable tissue.

Non-healing hypoxic wounds

Re-establish wound oxygen gradients; relieve hypoxia; reduce edema; induce angiogenesis; correct diabetic-induced leukocyte changes; prepare for definitive coverage.




Alternative Hyperbaric Therapy Indications:

NEUROSURGERY

Gas Gangrene * Non Healing Wounds, Ulcers, Diabetic Foot *Burns *Air and Gas Embolism *Blast Injuries *Deep Vein Thrombosis *Frostbite *Peripheral Vascular Ulcers-Arterial (Atherosclerosis), Decubitus (Bed Sores), Neuropathy Related (Diabetes), Various (DVT) *Burgers Disease

NEUROLOGY

Acute and chronic stroke *Vegetative Coma following closed head injury *Cerebral edema due brain tumours * Trauma and toxic encephalopathy * Multiple Scelorosis * Migraine * Cluster Headache *Cranial Nerve syndromes like Trigeminal Neuralgia, Optic Neuritis, Sudden Deafness *Brain stem syndrome *Retinal Artery occlusion

ORTHOPAEDICS

Crush Injuries *Compartment (Clostridial) *Myonecrosis (Clostridial) *Acute and Chronic Osteomyelitis, *Acute Necrotizing Fascitis * Bone Grafting *Tendon and ligament injuries *Amputation Stump infections etc *Fracture /Non Union *Oedema Under Cast

MEDICINE

Poisioning-Carbon Monoxide, Hydrogen Sulphide, Peyote & Cyanide *Near Drowning, hanging, Electrocution *Ileus * Exceptional blood loss-anaemia *Decompression Sickness *Pseudomembranous Colitis *Rheumatoid Arthritis (Acute) *Sickle Cell Crisis and Haematuria *Myocardial infarction *Post Cardiotomy Low Output Failure *Immune System Enhancement *Peptic Ulcers

OPTHALMOLOGY

Diabetic Retinopathy *Retinal Vein Thrombosis *Retinitis Pigmentosa *Retina Artery Occlusion *Toxic Amblyopia *Corneal Disorders *Glaucoma *Neovascularisation of Retina *Vascular Insufficiency

PLASTIC SURGERY

Compromised Skin Flaps and Grafts *Speed Healing With Less Scar

ENT

Sudden Deafness * Acoustic Trauma *Meneire’sDesease * Chronic Lyringitis

SKIN

Toxic Epidermal Necrolysis (Lyells Syndrome) * Lepromatous Leprosy * Refractory Mycose