Hyperbaric Oxygen Therapy (HBOT) is one of several advanced wound care modalities provided at the Methodist Wound Treatment Center. HBOT is used adjunctively with other procedures such as revascularization, or as a primary treatment when other options fail.
The Benefits of Hyperbaric Oxygen Therapy
HBOT allows a patient to breathe 100 percent oxygen two to three times greater than atmospheric pressure and is administered on a daily basis. The result is an increase of 10-15 times in plasma oxygen concentration. This increase translates to arterial oxygen values between 1500 and 2000 mmHg, which produces a four-fold increase in the diffusing distance of oxygen from functioning capillaries. Additionally, by forcing more oxygen into the tissue, HBOT encourages the formation of new blood vessels. As these new blood vessels develop, the red blood cells start to flow, delivering even more oxygen to the affected area. This creates the optimal environment for the body’s natural healing processes to repair damaged tissue.
Approved Hyperbaric Oxygen Therapy Indications
CMS (Medicare) lists the following indications as approved coverage for HBOT, in order of decreasing utilization:
- Diabetic Wounds of the Lower Extremities (DWLE)
- Soft Tissue Radionecrosis
- Compromised Flaps & Grafts
- Chronic Refractory Osteomyelitis
- Acute Peripheral Arterial Insufficiency
- Progressive Necrotizing Infections
- Crush Injuries
- Acute Traumatic Peripheral Ischemia
- Gas Gangrene
- Acute Carbon Monoxide Intoxication
- Decompression Illness/sickness
- Gas Embolism
- Cyanide Poisoning
Additional UHMS-approved indications:
- Thermal Burns
- Exceptional Blood Loss Anemia
- Intracranial Abscess
The increase in oxygen through HBOT produces a number of physiological benefits:
- Correction of tissue hypoxia
- Reduction of local edema
- Improvement of toxic effects of aerobic organisms
- Improved leukocyte killing ability
- Stimulation of fibroblast replication
- Support of collagen synthesis and angiogenesis
- Enhanced epithelial migration
Breathing 100 percent oxygen under pressure causes the oxygen to diffuse into the blood plasma. This oxygen-rich plasma is able to travel past the restriction, diffusing up to three times further into the tissue. The pressurized environment helps to reduce swelling and discomfort, while providing the body with at least 10 times its normal supply of oxygen to help repair tissue damaged by to original occlusion or subsequent hypoxic condition.
Blood Vessel Regeneration
Hyperbaric Oxygen Therapy forces more oxygen into the tissue, encouraging the formation of new blood vessels. As these new blood vessels develop, the red blood cells start to flow, delivering even more oxygen to the affected area. This creates the optimal environment for the body’s natural healing processes to repair damaged tissue.
For more information about advanced wound care and Hyperbaric Oxygen Therapy, contact us today.
160-A West Tennessee Ave.
Oak Ridge, TN 37830