Overview of Hyperbaric Oxygen Therapy for non-healing wounds. NOTE: Some of the included medical images are graphic in nature due to visual appearance of non-healing wounds.
1. Northern Nevada Hyperbarics, Inc. Serving the Community for 8 Years (775) 826-2084 1698 Meadowood Ln., #100 www.nevadahyperbarics.com
2. What is HBO 100% oxygen in an enclosed chamber at higher-than-atmospheric pressure where oxygen dissolves in arterial plasma in increased amounts---up to 10 to 15 fold increase. Typical course consists of 30 or more treatments done daily for six weeks.
3. Some Basics HBOT has been used in chronic wounds for about 40 years. 100% oxygen is delivered to a chamber under high pressure (2 to 2.4 ATA) for 90 minutes Typical HBOT treatment course consists of 30 or more treatments dailyM-F Administering oxygen to hypoxic tissue shown to activate fibroblast proliferation, down-regulate inflammatory responses, cytokines, up-regulate growth factors all proxies for wound healing.
17. Problem Wound Non healing Transmetatarsal Amputation Non-healing suture line 3 months post Healing after 25 HBO TX Medial View
18. Left Mandibular Osteoradionecrosis 45 Y.O. Male/ Radical neck dissection/ radiation/ Exposed Bone Initial VisitBone Exposed Tx 122 Weeks Tx 25---5 Weeks Tx 39---8 Weeks New skin over bone
19. Radiation Soft Tissue Necrosis 52 Y.O. Male/ Post Radical Neck Reconstruction/ Wound Dehiscence and Flap Compromise After 8 Tx2 Weeks After 36 Tx---7 Weeks After 18 Tx---4 Weeks
20. Radiation necrosis with incision dehiscence 51 yo female/ neck dissection 12 TX 21 TX 36 TX Three weeks post tx
21. Soft Tissue Radiation Necrosis 40 Y.O. Male post T-cell LymphomaRt. hand Initial Visit Tx 7---1 Week Tx 24---5 Weeks Tx 50---10 Weeks No need for graft
22. Graft Placement post Radiation Necrosis 2 months post-surgery After 20 HBO TX 10 days after spilt thickness graft
23. Crush Injury Avulsion of the Palmar Skin decreased perfusion or hypoxia 損 HBO at 11 Weeks after Surgery---Full Range of Motion 3 Tx in first 24hrs. Then total of 20 over a period of 4 weeks.
24. Traumatic Ischemiaof a Replanted Leg 4 Y.O. Mid-Calf Amputation from Lawnmower Microvascular reattachment of nerves and arteries 3 days after surgeryand 6 Tx, Then 4 more Tx over 3 days After 12 weeks, sensate leg--- can walk and run with the aid of brace.
25. Healing Compromised Flap of Tibia Fracture 54 Y.O. Male with Tibia Fracture and Internal Fixation Necrosis and breakdown of tissue over plate and bone After 10 Tx--- 1 Week---compromised portion of flap is now viable After 20 Tx---3 Week 100% flap survival
27. Healing Burns 23 YO Female w/facial burns from flaming gasoline A C B D A-12 hrs after injury B-24 hrs and 2 HBO txs C-72 hrs later and 6 txs D-Shortly before discharge
28. Failed Flap Right Knee 62 Y.O. Female/ Failed flap post total knee replacement Tx 9Two Weeks Tx 16---3 Weeks Initial Visit
29. Lip Reimplantation 10 Y.O. Female/ Full thickness lesion from dog bite Re-attached. Wound looked ischemic and swollen. Patient started hyperbarics and antibiotics. After 10Tx Follow-up: Happy Smile
30. Side Effects of HBO Claustrophobia/ Confinement anxiety Barotrauma Reversible myopia
31. Contraindications Absolute: Untreated pneumothorax Cis-Platin; Doxorubicin; Disulfiram Emphysema w/air trapping Relative: Emphysema with CO 2 retension Pulmonary lesion in CXR Uncontrolled high fever Claustrophobia Seizure disorder Malignant disease
32. Insurance Contracts/ agreements with: HHP Senior Care Plus Blue Cross Aetna CIGNA Senior Dimensions Universal Health Network Principal Financial Nevada Preferred Professionals Humana Regence Blue Cross Blue Shield Wellcare Tri-Care Can treat secondary plans to Medicare
33. How To Consult or Refer Call us 24/7 at (775) 826-2084 We do most pre-authorizations for you!