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Medical Advisors

John Zhang, MD
Guiseppina Feingold, MD
Chitra Bhakta, MD
Joseph Rich, MD
Ignacio Fojgel, MD
Hyperbaric oxygen therapy is practical

Summary of the International Indications

Hyperbaric Oxygen Therapy

(from Jain, K.K. (1989) Oxygen in Physiology and Medicine. Thomas, Springfield--taken from U.S., Chinese, Japanese, and Russian HBO Committees)

1. Decompression Sickness

2. Air embolism

3. Poisoning: carbon monoxide, cyanide, hydrogen sulfide, carbon tetrachloride.

4. Treatment of certain infections: gas gangrene, acute necrotizing fascitis, refractory mycoses, leprosy, osteomyelitis.

5. Plastic and reconstructive surgery:

  • for nonhealing wounds
  • as an aid to the survival of skin flaps with marginal circulation
  • as an aid to reimplantation surgery
  • as an adjunct to the treatment of burns

6. Traumatology: crush injuries, compartment syndrome, soft tissue sports injuries

7. Orthopedics: nonunion of fractures, bone grafts, osteoradionecrosis

8. Peripheral vascular disease: shock, myocardial ischemia, aid to cardiac surgery, ischemic gangrene, ischemic leg pain

9. Neurological: stroke, multiple sclerosis, migraine, cerebral edema, multi-infarct dementia, spinal cord injury and vascular diseases of the spinal cord, brain abscess, peripheral neuropathy, radiation myelitis, vegetative coma

10. Hematology: sickle cell crises, severe blood loss anemia

11. Ophthalmology: occlusion of central artery of retina

12. Gastro-intestinal: gastric ulcer, necrotizing enteroscolitis, paralytic ileus, pneumotoides cystoides intestinalis, hepatitis

13. For enhancement of radiosensitivity of malignant tumors

14. Otorhinolaryngology: sudden deafness, acute acoustic trauma, labyrinthitis, Meniere's disease, malignant otitis externa (chronic infection)

15. Lung diseases: lung abscess, pulmonary embolism (adjunct to surgery)

16. Endocrine: diabetes

17. Obstetrics: complicated pregnancy--diabetes, eclampsia, heart disease, placental hypoxia, fetal hypoxia, congenital heart disease of the neonate

18. Asphyxiation: drowning, smoke inhalation

19. Aid to rehabilitation: spastic hemiplegia of stroke, paraplegia, chronic myocardial insufficiency, peripheral vascular disease.