Hyperbaric Medicine
Hyperbaric medicine is a medical treatment administered by delivering 100 percent oxygen at pressures greater than atmospheric (sea level) pressure to a patient in an enclosed chamber. Hyperbaric chambers can be constructed of a steel, aluminum, or clear plastic room in which air can be compressed to a pressure that is greater than sea level. Most patients are treated at a pressure equivalent to two or two and a half times normal atmospheric pressure. Chambers can have port holes (small windows) or be made of a special thick strong plastic shell. They can be equipped with comfortable reclining chairs or patients can stretch out to a completely flat position.
To enhance patient comfort, music or movies can be played during treatments which are usually provided through a headset or an interior speaker. Whenever the chamber is in use, medical personnel trained in hyperbarics are in constant contact via visual or audio communications.
Hyperbaric oxygen acts as a drug, eliciting varying levels of response at different treatment depths, durations, and dosages and has been proven effective as adjunctive therapy for specifically indicated conditions. The following is a partial list of conditions that have been determined to be acceptable indications for hyperbaric oxygen therapy by Medicare, the Undersea and Hyperbaric Medical Society (UHMS), and the American College of Hyperbaric Medicine (ACHM).
In most cases, medical insurance carriers (including Medicare and Medicaid) provide coverage for hyperbaric oxygen therapy:
Acute/Emergent
- Cyanide/Carbon monoxide poisoning
- Cerebral arterial gas embolism
- Exceptional blood loss-anemia
- Necrotizing soft tissue
- Gangrene
- Crush injury
- Thermal burns
- Brown Recluse spider bite
Chronic
- Actinomycosis
- Enhancement of healing in selected problem wounds
- Compromised skin graft flaps
- Radiation necrosis
- Refractory osteomyelitis
- Refractory mycoses
- Chronic fatigue (in HIV)