Hyperbaric Oxygen chamber and Wound medical

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Hyperbaric oxygen therapy clearly stated as a treatment mode in which the inpatient is wholly enclosed in a pressure room breathing oxygen at a pressure greater than one atmosphere. Breathing 100% oxygen at one tmosphere or applying oxygen exterior a pressurized room are not considered hyperbaric oxygen.

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Hyperbaric oxygen room is a process in which only one inpatient is placed and pressurized oxygen is applied into the chamber. Passage to the inpatient is made from he exterior via ports and pass-through.

In a hypoxic environment, wound healing is halted by decreased fibroblast proliferation collagen production, and capillary angiogenesis. Hypoxia also allows increase of anaerobic organisms, added complicating wound healing.

Hyperbaric oxygen therapy helps to increase in tissue oxygenation in the hypoperfused, infected wound. It influences the rate of collagen deposition, angiogenesis, and bacterial clearance in wounds. The many benefits are achieved in tissues with compromised blood flow and oxygen supply.

Following wounds can be healed by H.B.O therapy-

1.Diabetic wounds--

The increased wound oxygen tension achieved with Hbo promotes wound healing, increases the host antimicrobial defenses and has a direct bacteriostatic corollary on anaerobic microorganism.

2.Venous stasis ulcers--

It is only indicated in highly prime patients in the making ready of a granulating bed over debrided venous ulcer for eventual skin grafting.

3. Pressure ulcers--

Hbo therapy may be of advantage in prime cases, especially when a wound fails to heal despite maximum revascularization.

4. Arterial deficiency ulcers--

Hbo therapy may be of advantage in prime cases, especially when a wound fails to heal despite maximum revascularization

Treatments----

Hbo treatments are performed at 2.0 to 25 Ata for 90 to 120 minutes of oxygen breathing. The introductory treatment agenda is dictated by the severity of the disease process. In the presence of limb-threatening infection after debridement or compromised surgical flaps following amputation the inpatient should be treated twice daily. When the infection is under operate and the soft tissue envelope improves, once daily treatments are adequate.

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