HBO Indications..

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Approved Indications for HBO Therapy
Indications (UHMS)

UHMS HBO, Therapy Committee Report - 1996

Indication Recommended
Protocol [pressure, ATA] Lower
threshold
levels Upper
threshold
levels

Air or gas embolism 2.8 - 6.0 10 - 14

Carbon monoxide poisoning
and smoke inhalation 2.5 - 3.0 QD or BID 5

Clostridial myonecrosis (gas
gangrene) 3.0 TID x 1d,
then BID x 4-5 d. 5 10

Crush Injury, Compartment Syndrome, Other acute traumatic Ischemia TID x 2 d, BID x 2 d, QD x 2 d 3 12

Decompression Sickness 2.8 - 6.0 Until improvement plateaus or 14 days

Enhancement of Healing in Selected Problem Wounds 2.0-2.5 QD or BID 10 60

Exceptional Blood loss
(anemia) Until Hct 22.9%

Necrotizing Soft
Tissue Infections 2.0-2.5 BID initially, then QD 5 30

Osteomyelitis (refractory) 2.0-2.5 QD 20 60

Radiation Tissue Damage
(Osteoradionecrosis) 2.0-2.4 QD 20 60

Skin Grafts and Flaps (Compromised) 2.0-2.5 BID initially, then QD 6 40

Thermal Burns 2.0-2.5 TID x 1d, then BID 5 45

Adjunctive Hyperbaric Oxygen
in Intracranial Abscess QD or BID

QD=1 time in 24 h; BID= 2 times in 24 h; TID= three times in 24h

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Indication	Recommended Protocol [pressure, ATA]	Lower threshold levels	Upper threshold levels
Air or gas embolism	2.8 - 6.0		10 - 14
Carbon monoxide poisoning and smoke inhalation	2.5 - 3.0 QD or BID		5
Clostridial myonecrosis (gas gangrene)	3.0 TID x 1d, then BID x 4-5 d.	5	10
Crush Injury, Compartment Syndrome, Other acute traumatic Ischemia	TID x 2 d, BID x 2 d, QD x 2 d	3	12
Decompression Sickness	2.8 - 6.0		Until improvement plateaus or 14 days
Enhancement of Healing in Selected Problem Wounds	2.0-2.5 QD or BID	10	60
Exceptional Blood loss (anemia)			Until Hct 22.9%
Necrotizing Soft Tissue Infections	2.0-2.5 BID initially, then QD	5	30
Osteomyelitis (refractory)	2.0-2.5 QD	20	60
Radiation Tissue Damage (Osteoradionecrosis)	2.0-2.4 QD	20	60
Skin Grafts and Flaps (Compromised)	2.0-2.5 BID initially, then QD	6	40
Thermal Burns	2.0-2.5 TID x 1d, then BID	5	45
Adjunctive Hyperbaric Oxygen in Intracranial Abscess	QD or BID