HBOT
Introduction to Hyperbaric Oxygen Treatment
Hyperbaric Oxygen Treatment (HBOT) is an adjunctive therapy in which the patient breathes 100% oxygen while enclosed in a pressurized chamber at greater-than-normal atmospheric pressure.
While breathing pure O2, the patient's blood plasma becomes saturated, carrying 15 to 20 times the normal amount of oxygen to the body's tissues. The ultimate result is that the body's natural wound-healing mechanisms, which are oxygen dependent, are able to function more efficiently. Around 16% of wound care patients treated may require HBOT.
Approved Indications For Hyperbaric Oxygen Treatment
The following is a list of approved indications for use of HBOT in wound care which are currently reimbursed by Medicare, HMOs and other insurance carriers:
- Soft tissue radionecrosis
- Actinomycosis
- Preservation of compromised skin grafts and flaps
- Chronic refractory osteomyelitis
- Diabetic ulcer of the lower extremities
- Crush injury/acute traumatic peripheral ischemia
- Progressive necrotizing infections (necrotizing fasciitis)
- Acute peripheral arterial insufficiency
- Osteoradionecrosis
Other approved indications are:
Emergent Indications
- Actinomycosis
- Acute carbon monoxide intoxication
- Cyanide poisoning
- Decompression illness
- Gas embolism
- Gas gangrene
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