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Indications

Hyperbaric Oxygen is a medication just like any other, it has its own dosage, concentration and time of action, also it needs a medical indication and prescription to use it. 

 

Part of the guidelines that govern our high quality and patient safety require following internationally approved indications. In our department we follow the guidelines and indications approved by the European Committee and by the UHMS, additionally for some specific cases we can also be guided by indications approved by other associations of hyperbaric and underwater medicine from other countries, when required for the benefit of the patient.

Red indications are considered emergencies and must be attended immediate.


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 

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