* Systemic diseases such as diabetes must be adequately treated
* Nutritional needs must be met
* Nicotine intake must be curbed
* Contraindications and risks must be considered
* Treatment for infection should be instituted
* Major blood vessel flow must be present
* Aggravating factors to the wound such as local pressure or irritation should be minimized
* Wound debridement concurrent with HBO therapy is necessary
* Sufficient HBO treatments must be undertaken before efficacy of treatment is assessed
Features of Our HBO Service
1. Referring physician remains the patient’s physician. He/She also assesses efficiency of treatment by these observations:
* Inflammation should diminish and wounds assume a noninfected appearance. (The antibacterial effect of HBO is not covered in this brochure.)
* Treatments should increase areas of granulation tissue in the wound.
* Wound edges become better defined and wound size begins to decrease.
* During preparation for and salvage of a compromised graft, deterioration of the site should be arrested and appearances occur as above.
2. HBO is used in conjunction with other treatments.
3. Certified HBO physicians and respiratory therapists in attendance during treatment.
4. A series of photographs of lesions are always taken to monitor treatment.
5. The hyperbaric chamber is large enough to accommodate up to six patients comfortably in addition to a therapist, who accompanies patients on all treatments.
6. Our Hyperbaric Medicine Service has experience with more than 8,500 treatments. Results of wound healing have been consistently satisfactory.