Indications for Hyperbaric Oxygen
Hyperbaric Oxygen is considered a medication, just like any other.
It has its own dosage, concentration, and duration of action, and requires a medical indication and prescription for its use.
Our Medical Guidelines and Patient Safety Standards
As part of our commitment to high-quality care and patient safety, we strictly follow internationally recognized guidelines for hyperbaric oxygen therapy.
In our department, we adhere to the approved indications set by the European Committee for Hyperbaric Medicine (ECHM) and the Undersea and Hyperbaric Medical Society (UHMS).
For certain specific cases, we may also refer to guidelines from other national or international hyperbaric and diving medicine associations, when doing so is in the best interest of the patient.
"Red indications" are classified as medical emergencies and must be treated immediately.
EUROPEAN CONSENSUS INDICATIONS
1. CO poisoning
2. Open fractures with crush injury
3. Prevention of osteoradionecrosis after dental extraction
4. Osteoradionecrosis (mandible)
5. Soft tissue radionecrosis (cystitis, proctitis)
6. Decompression illness
7. Gas embolism
8. Anaerobic or mixed bacterial infections
9. Sudden deafness
10. Interstitial cystitis
11. Diabetic foot lesions
12. Femoral head necrosis
13. Compromised skin grafts and musculo- cutaneous
14. Central retinal artery occlusion (CRAO)
15. Crush Injury without fracture
16. Osteoradionecrosis (bones other than mandible)
17. Radio-induced lesions of soft tissues (other than cystitis and proctitis)
18. Surgery and implant in irradiated tissue (preventive treatment)
19. Ischemic ulcers
20. Refractory chronic osteomyelitis
21. Burns, 2nd degree more than 20% BSA
22. Pneumatosis cystoides intestinalis
23. Neuroblastoma, stage IV
24. Brain injury (acute and chronic TBI, chronic stroke.
25. post anoxic encephalopathy, in highly selected patients
26. Radio-induced lesions of larynx
27. Radio-induced lesions of the CNS
28. Post-vascular procedure reperfusion syndrome.
29. Limb replantation
30. Selected non-healing wounds secondary to systemic processes
31. Sickle cell disease
AMERICAN BOARD INDICATIONS
UHMS - Undersea Hyperbaric Medicine Society
1. Air Or Gas Embolism
2. Carbon Monoxide Poisoning
3. Clostridial Myositis And Myonecrosis (Gas Gangrene)
4. Crush Injury, Compartment Syndrome And Other Acute Traumatic Ischemia
5. Decompression Sickness
6. Arterial Insufficiencies
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
OFF-LABEL
1. Long Covid