Indications for Hyperbaric Oxygen Therapy
Definition of Hyperbaric Oxygen Therapy:
The patient breathes 100% oxygen intermittently while the pressure of the treatment chamber is increased to greater than one atmosphere absolute (atm abs). Current information indicates that pressurization should be at least 1.4 atm abs. This may occur in a single person chamber (monoplace) or multiplace chamber (may hold 2 or more people). Breathing 100% oxygen at 1 atm abs or exposing isolated parts of the body to 100% oxygen does not constitute HBO2 therapy.
Approved Indications:
The following indications are approved uses of hyperbaric oxygen therapy as defined by the Hyperbaric Oxygen Therapy Committee. The Committee Report can be purchased directly through the UHMS
| 1 | Air or Gas Embolism |
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| 2 | Carbon
Monoxide Poisoning Carbon Monoxide Poisoning Complicated by Cyanide Poisoning |
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| 3 | Clostridal Myositis and Myonecrosis (Gas Gangrene) | |
| 4 | Crush Injury, Compartment Syndrome, and other Acute Traumatic Ischemias | |
| 5 | Decompression Sickness | |
| 6 | Enhancement of Healing in Selected Problem Wounds | |
| 7 | Exceptional Blood Loss (Anemia) | |
| 8 | Intracranial Abscess | |
| 9 | Necrotizing Soft Tissue Infections | |
| 10 | Osteomyelitis (Refractory) | |
| 11 | Delayed Radiation Injury (Soft Tissue and Bony Necrosis) | |
| 12 | Skin Grafts & Flaps (Compromised) | |
| 13 | Thermal Burns |
Selected references can be found by clicking directly on the topics or by selecting the full list via the button on the left. RCTs here too, or see HBO Evidence website.
If you have more / better references please contact Guy Dear.
A list of Diplomates in Hyperbaric Medicine is now on the web to indicates those practitioners who have passed the Board Exam this is to allow the lay public to find a reputable doctor in any given area.
HYPERBARIC OXYGEN THERAPY COMMITTEE MEMBERS, 1996-1999 Chairman: Neil B. Hampson, M.D.
Name |
Address |
Specialties |
| Neil B. Hampson, M.D. | Clinical Associate Professor of Medicine University of Washington Medical Director, Hyperbaric Department Virginia Mason Medical Center 1100 Ninth Avenue Seattle, Washington 98111 |
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| Dirk J. Bakker, M.D., Ph.D. | Medical Director of the Academic Medical Center University of Amsterdam Meibergdreef 9 1105 AZ Amsterdam ZUIDOOST The Netherlands |
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| Enrico M. Camporesi, M.D. | Professor and Chairman Department of Anesthesiology Professor of Physiology State University of New York, Syracuse Health Science Center 750 East Adams Street Syracuse, New York 13210 |
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| Paul Cianci, M.D. | Clinical Professor of Medicine University of California, Davis Director of Hyperbaric Medicine John Muir Medical Center Walnut Creek, California Doctors Medical Center San Pablo, California 94806 |
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| James M. Clark, M.D., Ph.D. | Clinical Associate Professor of Environmental Medicine in
Pharmacology University of Pennsylvania Medical Center Institute for Environmental Medicine 1 John Morgan Building Philadelphia, Pennsylvania 19104 |
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| John J. Feldmeier, D.O. | Professor and Chairman Department of Radiation Oncology Medical College of Ohio 3000 Arlington Avenue Toledo, Ohio 43699 |
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| Irving Jacoby, M.D., FACEP | Clinical Professor of Medicine and Surgery UCSD School of Medicine Asst. Director, Dept. of Emergency Medicine Assoc. Director, Hyperbaric Medicine Center University of California, San Diego 200 West Arbor Drive San Diego, California 92103 |
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| Patrick N. Kimbrell, M.D. | Clinical Associate Professor, Hyperbaric Medicine Department of Anesthesiology University of Texas, San Antonio Medical Director, Total Wound Specialists 1100 NW Loop 410, Suite 700 San Antonio, Texas 78213 |
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| Eric P. Kindwall, M.D. | Associate Professor, Emeritus Hyperbaric Medicine Department of Plastic and Reconstructive Surgery Department of Pharmacology and Toxicology Medical College of Wisconsin 260 Bunker Hill Drive Brookfield, Wisconsin 53005 |
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| Jack L. LeFrock, M.D., Ph.D. | Scientific Director Therapeutic Research Institute Director, Hyperbaric Unit Doctor's Hospital 2650 Bahia Vista, Suite 310 Sarasota, Florida 34239 |
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| Michael Lepawsky, M.D., C.C.F.P. (C), F.C.F.P | Clinical Associate Professor University of British Columbia Faculty of Medicine Head, Division of Hyperbaric Medicine Vancouver General Hospital 855 West 12th Avenue Vancouver, B.C. V5Z 1M9 Canada |
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| Jon T. Mader, M.D., FACP | Professor of Medicine Division of Infectious Diseases Member, Marine Biomedical Institute Chief, Division of Marine Medicine 301 University Boulevard, Rt. 1115 University of Texas Medical Branch Galveston, Texas 77555-1115 |
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| Robert E. Marx, D.D.S. | Associate Professor of Surgery Director of Graduate Training and Research Division of Oral and Maxillofacial Surgery University of Miami School of Medicine 5000 University Drive Coral Gables, Florida 33146 |
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| Luis A. Matos, M.D. | Director, Division of Hyperbaric Medicine Associate Professor of Clinical Surgery Department of Surgery (R-310) University of Miami School of Medicine P.O. Box 016310 Miami, Florida 33101 |
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| Richard Moon, M.D., C.M. | Professor Department of Anesthesiology Duke University Medical Center Box 3094 Durham, North Carolina 27710 |
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| J. Benjamin Slade, Jr., M.D. | Associate Medical Director Department of Hyperbaric Medicine John Muir Medical Center Walnut Creek, California 94598 Doctors Medical Center San Pablo, California 94806 |
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| Jeffrey A. Stone, D.O., MPH | Medical Director, Hyperbaric Medicine Unit Medical Director, Aerospace Medicine Institute for Exercise and Environmental Medicine Presbyterian Hospital of Dallas 7232 Greenville Ave. Dallas, Texas 75231 |
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| Michael B. Strauss, M.D. | Associate Director, Baromedical Department Long Beach Memorial Medical Center 2801 Atlantic Avenue, P.O. Box 1428 Long Beach, California 90801 |
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| Stephen R. Thom, M.D., Ph.D., FACEP | Associate Professor of Emergency Medicine Chief, Hyperbaric Medicine University of Pennsylvania Medical Center 1 John Morgan Building 3620 Hamilton Walk Philadelphia, Pennsylvania 19104 |
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| Keith Van Meter, M.D., FACEP | Clinical Assistant Professor of Surgery Tulane University School of Medicine Clinical Assistant Professor of Medicine Section Head, Emergency Medicine Louisiana State University School of Medicine Medical Director, Department of Emergency Medicine and Hyperbaric Medicine Jo Ellen Smith Memorial Medical Center 4400 General Meyer Avenue, Room 114 New Orleans, Louisiana 70114 |
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| Lindell K. Weaver, M.D., FCCP | Medical Director, Hyperbaric Medicine Co-Director, Shock/Trauma ICU LDS Hospital Associate Professor University of Utah College of Medicine Salt Lake City, Utah 84143 |
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| William A. Zamboni, M.D. | Professor and Chief Division of Plastic Surgery University of Nevada School of Medicine 2040 West Charleston Boulevard, Suite 301 Las Vegas, Nevada 89102 |
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