EMERGENCY INDICATIONS
Decompression
illness. ('the bends') More
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HBO rapidly resolves the inert gas bubbles and provides oxygenation
to ischemic and hypoxic tissues. There is no alternative therapy.
Air
or gas embolus. - More
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HBO decreases bubble size and increases the diffusion gradient of embolized
gas. There is no alternative therapy.
Severe
carbon monoxide poisoning - More
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HBO hastens carboxyhaemoglobin dissociation and markedly reduces permanent
neurological damage.
Necrotizing
Soft Tissue Infections - More
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Recommended treatment is HBO, surgery and antibiotics. HBO reduces the
need for amputations and brings rapid cessation of alpha-toxin production,
which is a lethal complication of gas gangrene. HBO adversely affects
bacterial growth by direct toxic mechanisms, while increasing white
cell bacterial killing. Routine use of HBO can decrease mortality by
two-thirds.
Clostridial myonecrosis. ('Gas
gangrene') Case Study>>>>
Necrotizing fasciitis:
Case Study>>>>
Crush
injury and compartment syndrome. - More
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HBO reduces edema and compartment pressures while increasing tissue
oxygen delivery, reducing the need for surgical relief of elevated compartment
pressures while preserving tissue.