The following are the most commonly treated indications for HBOT. For the complete appropriate treatment protocol for each application, please sign up for one of the Primary Hyperbaric Medicine courses hosted by LST, or refer to the extensive literature available.
Enhancement of Healing in Selected Problem Wounds
Diabetic foot wounds account for over 50% of lower extremity amputations in the US. A multi- disciplinary approach to wound care for these patients is imperative for optimal outcome. Clinicians must identify and manage these patients, using standardized protocols and an ever growing array of wound care technologies to improve healing. Hyperbaric oxygen therapy (HBOT) has long been utilized as adjunctive treatment with standard wound care. In patients with Wagner Grade 3 or 4 diabetic ulcers, adjunctive HBOT should be regarded as an AHA Class I intervention.
HBOT ameliorates hypoxia usually present with impaired vascularization of tissue that surrounds the wound, which is crucial to the wound repair process. Cells are dependent on enhanced oxygenation – like improved leukocyte function for bacterial killing and antibiotic potentiation, and that may persist even after completion of the prescribed round of HBOT.