Introduction to Hyperbaric Medicine
Hyperbaric Oxygen Therapy (HBOT) is a specialized medical treatment in which the patient breathes 100 percent oxygen inside a chamber at a pressure equivalent to 45-60 feet below the surface. This provides the patient with 10-20 times more oxygen then normal air at sea level.
Hyperbaric therapy is administered by pressurizing the chamber to an equivalent of 2.4 atmospheres. This concentrated method increases the level of oxygen being delivered to the tissues and expedites wound-healing repair.
The chambers treat patients with chronic non-healing wounds, appropriate diabetic foot wounds, bone infections, radiation soft tissue injuries, failing skin graphs and muscle flaps, and other injuries that can benefit from the oxygen-rich environment.
The Mulitplace Chamber
The hyperbaric unit located at, Presbyterian Hospital of Dallas is a multi-person hyperbaric chamber, capable of accommodating up to 7 patients at one time. Chamber operations are monitored by advanced computer systems. Equipment for managing medical emergencies inside the chamber includes cardiac monitoring, suctioning and mechanical ventilation. The chamber is operated and maintained by certified hyperbaric technicians.
The hyperbaric chamber at Texas Health Resourses Presbyterian Dallas, already among the elite accredited facilities in Texas, has upgraded its status by earning Accreditation with Distinction from the Undersea & Hyperbaric Medical Society. Only 18 accredited centers across the nation have earned “Accreditation with Distinction”, and PhD’s Hyperbaric Chamber is the first multiplace in North Texas to receive this honor.
Indication for Treatment
Hyperbaric oxygen therapy is most widely known for its use in treating scuba diving complications. However, modern hyperbaric therapy has important clinical indications for orthopedics, surgery, infections diseases and emergency medicine.
The Undersea and Hyperbaric Medical Society’s (UHMS) Committee on Hyperbaric Oxygen has approved the use of hyperbaric oxygen therapy as adjunctive or primary treatment for the following diseases and conditions:
- Air or Gas Embolism
- Decompression Sickness
- Carbon monoxide Poisoning
- Radiation Tissue Damage (soft tissue and osteoradionecrosis)
- Clostridial Myonecroisis (gas gangrene)
- Compromised Skin Grafts & Flaps
- Crush Injury
- Compartment Syndrome
- Acute Traumatic Ischemias
- Necrotizing Soft Tissue Infections (subcutaneous, muscle, fascia)
- Osteomyelitis (refractory)
- Diabetic Foot & other problem non-healing wounds