Hyperbaric
medicine,also known as hyperbaric oxygen therapy (HBOT),
is the medical use of oxygen at a level higher than atmospheric pressure.
Several therapeutic principles are made use of in HBOT:
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The increased overall pressure is of therapeutic value when HBOT is used in the
treatment of decompression sickness and air embolism;
-
For many other conditions, the therapeutic principle of HBOT lies in a
drastically increased partial pressure of oxygen in the tissues of the body.
The oxygen partial pressures achievable under HBOT are much higher than those
under breathing pure oxygen at normobaric conditions (i.e. at normal
atmospheric pressure);
-
A related effect is the increased oxygen transport capacity of the blood. Under
atmospheric pressure, oxygen transport is limited by the oxygen binding
capacity of hemoglobin in red blood cells and very little oxygen is transported
by blood plasma. Because the hemoglobin of the red blood cells is almost
saturated with oxygen under atmospheric pressure, this route of transport
cannot be exploited any further. Oxygen transport by plasma, however is
significantly increased under HBOT.
Use :
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Air or gas embolism;
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Carbon monoxide poisoning;
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Carbon monoxide poisoning complicated by cyanide poisoning;
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Clostridal myositis and myonecrosis (gas gangrene);
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Crush injury, compartment syndrome, and other acute traumatic ischemias;
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Decompression sickness;
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Enhancement of healing in selected problem wounds;
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Exceptional blood loss (anemia);
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Intracranial abscess;
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Necrotizing soft tissue infections (necrotizing fasciitis);
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Osteomyelitis (refractory);
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Delayed radiation injury (soft tissue and bony necrosis);
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Skin grafts and flaps (compromised);
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Thermal burns.
U.S. physicians may lawfully prescribe HBOT for "off-label" conditions such as
Lyme Disease, Stroke, Migraines, Autism, Diabetically derived illness, such as
diabetic foot, diabetic retinopathy, diabetic nephropathy, Epidural abscesses,
Sudden hearing loss, Radiation-induced hemorrhagic cystitis and Inflammatory
bowel disease
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