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A new study just published on Feb 2011 in the journal of cancer makes a strong argument for applying hyperbaric oxygenation therapy (HBOT) for those patients who have had either surgery or radiation therapy for brain tumors. The study followed patients who had been treated with HBOT and there was a marked improvement in cognitive [...]

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New study–Hyperbaric oxygen therapy for Femoral Head Necrosis

Tuesday, August 3rd, 2010

The University of South Florida has just shown us that the application of HBOT caused significant pain relief in just 20 treatments. In addition, range of motion was also significantly improved; the difference being that 20 to 30 sessions were needed to obtain this positive response.  This study was a double-blind randomized, controlled, prospective study and the positive results were confirmed by MRI reports. More importantly, the 7 year follow up revealed that all patients remained substantially pain and none required hip arthroplasty.

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HBOT in Scotland

Sunday, May 9th, 2010

Oxygen treatment pioneered in Scotland

January 27th 2010 Private rehabilitation treatment news

A new treatment involving the use of pressurised oxygen is being pioneered at one of Europe’s leading rehabilitation clinics. Castle Craig, a rehab clinic in Scotland, is also to become a global resource on the use of hyperbaric oxygen treatment (HBOT). Researchers from Edinburgh University have already studied the innovative procedure, which can be used as an aid in cancer treatment and to boost healing from conditions such as MRSA and multiple sclerosis.  Peter McCann, chairman at Castle Craig Hospital, said: “HBOT is a new type of therapy offered at Castle Craig – our own research is still in the early stages and, as far as I am aware, no other clinics or hospitals treating addictions in the UK are offering this treatment.”  He added that promoting the treatment and “realising its potential” would become crucial if the maximum number or patients were to benefit.  HBOT involves patients spending around 60 minutes at a time in a chamber where they breathe pressurised pure oxygen.  The chamber allows ten times the normal amount of oxygen to be dissolved in the bloodstream, which can help white blood cells to kill bacteria, reduce swelling and speed up the recovery of damaged tissue.

College Student Gets Flesh-Eating Disease

Wednesday, February 3rd, 2010

Student battles to save her arms and legs

February 03, 2009 by Christi Myers

HOUSTON (KTRK) — A college student survived meningitis, a sudden sickness that often ends in death, only to find herself in a new battle with flesh eating bacteria. In November, Jamie Schanbaum contracted bacterial meningitis. The University of Texas at Austin student had a severe infection and her body almost shut down. Jamie’s mother Patsy Schanbaum said, “People were coming in and saying, ‘We’re amazed that she’s alive.’” Jamie survived, but she developed a rare complication. Loss of blood flow had allowed flesh eating bacteria to attack her arms and legs. “My hands were cold and really heavy,” Jamie recalled. Dr. Peter Lin, Baylor vascular surgery chief, explained, “Most people don’t survive from this dramatic complication.” Jamie was now in a new battle to save her arms and legs. Doctors recommended amputating her legs above the knee and both hands. “(She was) perfectly fine one day and the next day facing all these horrible decisions,” Patsy said. “It’s hard to be here,” Jamie said. “I wish I was there. I wish I was in school.”  Her mother brought her to St. Joseph’s Hospital in Houston where she has received at least 41 treatments in a hyperbaric chamber. The chamber helps Jamie by giving her concentrated oxygen. That can help her wounds to heal and stimulates new skin to grow. For two hours she lies in a glass tube, hoping the wound treatment works. Her blackened skin is already regenerating, and her skin shows red where it’s new skin that’s still changing color. “This was very severe necrosis and with daily therapy you can see this area has grown new skin,” Dr. Lin said. “The doctor in Austin has proposed amputating above the knee. … Now her skin has completely grown (there).” Jamie’s having daily wound care and antibiotics, and she had surgery to improve blood flow. “One of her pills I never would have thought of her taking is Viagra, because it helps with the blood flow in her hands,” Patsy explained. Jamie may still needs some amputations, but she’s preparing for that. Patsy said, “People with prostheses live incredible lives.” Jamie’s doctors say they’ll continue the treatments as long as they’re helping. In Austin, her professors and classmates received antibiotics as a precaution. A meningitis vaccine is recommended for college students, but is not required

New Wound Care Center Features HBOT

Friday, January 29th, 2010

Hospital’s wound care center to open Feb. 1

January 29, 2010 by TONY Di DOMIZIO

WEST ROCKHILL — Grand View Hospital wants you to sleep and heal well.

On Feb. 1, a new wound care center at the outpatient center of Grand View and the Stoneridge Sleep Center will officially open to patients. The $635,000 wound care center will specialize in treatment of chronic and non-healing wounds. The 3,500-square-foot center occupies former warehouse space at the outpatient center at Lawn Avenue and Route 309, and is affiliated with Diversified Clinical Services, a major wound care management company. “A lot of the time our patients will be diabetic,” said Keith Hammerschmidt, manager of physical medicine at Grand View Hospital. “When diabetics have an open wound, it is harder to heal.” Jody Hanks, program director of the wound care center, said a majority of patients are 50 years and older and diabetic. “Grand View sees an unmet need for care and treatment of problem and chronic wounds,” he said. “In a 15-mile radius, there are 54,000 people. Statistically, 8 percent are diabetic and the wound care center will see 3 percent of that patient base.” The center features five treatment rooms with podiatric chairs. Doctors will spend most of the time treating the feet of diabetics since they face possible amputation of limbs due to wounds and their condition. The biggest feature of the center is the hyperbaric oxygen therapy room. It is there where patients can be referred for treatment in one of two hyperbaric chambers. The chambers give patients 100 percent oxygen in a pressurized environment up to two atmospheres, which is equivalent to diving 30 feet underwater. Hammerschmidt said 10 to 15 percent of patients qualify for hyperbaric treatment. “It allows more oxygen into the blood so wounds can heal faster,” he said. “Diabetics often do not get enough nutrients to the wound bed.” Patients spend about two to three hours in the chamber. Each one is equipped with flat-screen TVs to help pass the time. “Each one delivers 10 to 20 times more oxygen to tissues than normal air and strengthens growth to new blood vessels,” Hanks said. While patients may visit the wound care area once a week, hyperbaric patients visit five days a week as a protocol, Hammerschmidt said. Prior to the wound care center, physicians sent patients needing such treatment to other facilities. Now, Hammerschmidt said, patients can go from Grand View Hospital to Grand View Home Care to the wound center if need be and stay with the product. “Here, there is the involvement of a doctor dedicated to patients’ wounds,” Hammerschmidt said. “Another difference than other centers is the inclusion of hyperbaric chambers.” Aside from diabetic wounds, the center will treat those suffering from pressure ulcers, bed sores and soft tissue damage from radiation injuries. Over at Stoneridge Sleep Center, clinical manager Scott McMaster wants to make sure patients have all the comforts of home. Each of the four bedrooms at the new $500,000 sleep center, which is a collaboration between Grand View and Abington Health Lansdale Hospital, feature Tempur-Pedic mattresses on queen beds, flat-screen TVs, a bathroom — and an infrared camera where technicians watch patients while they sleep. “The last thing we want is a setting that is very clinical or cold and not real friendly,” McMaster said. Patients suffering from obstructive sleep apnea, sleepwalking, sleep-eating, narcolepsy, insomnia, restless leg syndrome and other sleep disorders can receive diagnosis and treatment at the center. “It’s typically a two-night procedure. The first night is the diagnosis and the second night is the treatment,” McMaster said. A control room is where two technicians can monitor up to four patients at one time. Computers provide information on body activity, like brain function, muscle tone, heart rate, oxygen level and EKG. McMaster said the biggest issues now are the number of sleep disorders being identified and the number of people suffering in the community that are underserved. The sleep center is located at the Stoneridge Professional Center, 670 Lawn Avenue

New High-Tech Comprehensive Wound Care Center Adding HBOT

Thursday, January 28th, 2010

Hyperbaric Oxygen Therapy Facility to Treat Patients with Difficult to Heal Wounds

28/01/2010

LAKE SUCCESS, NY – The North Shore-LIJ Health System today announced the opening of a new, high-tech Hyperbaric Oxygen Therapy facility as the latest modality to treat patients with chronic wounds at its Comprehensive Wound Care Center in Lake Success. The Wound Care Center, an outpatient program of the Department of Surgery at North Shore University Hospital and LIJ Medical Center, provides a comprehensive wound treatment program that offers a multidisciplinary approach to care, not only to heal wounds but also to preserve limbs and prevent wound recurrence.  The center, among one of the most advanced in the region, is staffed by specially trained healthcare professionals who work together to develop individualized treatment plans that best meet the needs of patients.  Specialists on the wound care team include:  vascular, general, plastic and podiatric surgeons; certified wound care nurse practitioners; registered nurses; and physical therapists. For most people, a cut, scrape or minor injury usually heals on its own and does not require medical attention.  However, some people develop wounds, infections or pressure ulcers that will not heal, even after many weeks and months, causing severe pain and disability. Often, these patients are suffering from complications of diabetes, vascular disease, tissue damage from radiation therapy and non-healing traumatic wounds, and need specialized wound treatment.  “Hyperbaric oxygen therapy offers a high-tech solution to the complex problem of healing chronic wounds,” said Gene Coppa, MD, senior vice president of surgical services of the North Shore-LIJ Health System.  “Working very closely with referring physicians, the wound care/hyperbaric medicine team develops a customized treatment plan for patients with the goal of getting them healed quickly and back to their highest level of functioning.” Hyperbaric oxygen therapy works by allowing patients to breathe 100 percent oxygen at two-to-three times greater-than-normal atmospheric pressure while safely enclosed and monitored in a pressurized chamber.  This increases the amount of oxygen that can be delivered to the body’s tissues by the blood.  This boosts blood flow to the wound site, improves the body’s response to infection and supports tissue growth and healing.  Many wound healing problems may require 30 to 40 hyperbaric oxygen treatments. The Hyperbaric Oxygen Therapy facility has two state-of-the-art hyperbaric chambers and flat-screen TV’s for patients to help relax during treatments.  The facility is easily reached via an entrance in the underground parking garage at 1999 Marcus Ave., minimizing walking for patients who may have mobility issues. For more information, call (516) 233-3780.

Another Wound Care Institute with a Chamber

Wednesday, January 27th, 2010

Hyperbaric chamber accelerates, improves wound healing process

January 27, 2010

BEECH GROVE, Ind. – An estimated 5 million Americans live with non-healing and chronic wounds and specialized care often is the only pathway for treatment. St. Francis Hospital & Health Centers is now using a hyperbaric oxygen chamber to promote healing in wound care. The chamber is currently used at the Wound Care Institute to treat outpatients with chronic or hard-to-heal wounds. The hyperbaric oxygen chamber is a clear, enclosed chamber that exerts atmospheric pressure to assist in the treatment of some wounds. Hyperbaric oxygen therapy, or the breathing of pressurized oxygen, has been shown to accelerate and improve the healing process and be a vital tool for those at risk for losing a limb. The tank compresses the molecules in the air and allows the compressed oxygen to enter into smaller blood vessels and tissue that it would not normally be able to penetrate, thereby promoting healing. Treatments typically last for 90 minutes at pressure, one time each day, five days a week, for six weeks. The treatments are ideal for patients with complicated wounds such as diabetic ulcers, post surgical foot wounds and bone infection. During treatments, patients are able to watch television, listen to music, and speak with the clinician – or even sleep. The institute also offers a second location at St. Francis Hospital-Mooresville. .Both centers meet a full spectrum of patient needs with a wide range of specialized service, including the only program of its kind to treat diabetes foot and ankle problems and limb preservation.

The Need for Hyperbaric Awareness

Sunday, January 10th, 2010

Doctor spotlights success of wound recovery center

Jan 12, 2010 by Colby Cremins

The new assistant director of the Kent Hospital Wound Recovery Center believes residents could receive immeasurable benefits from its hyperbaric medicine center if they used it.  “Hyperbaric oxygen therapy is not taught in most medical schools and my initial focus will be to increase awareness among physicians so that more patients will have access to this life-enhancing treatment,” Dr. Ricardo M. Duran said Thursday.  Duran, a graduate of Military University in Bogota, Columbia, completed a Hyperbaric and Undersea Medicine Fellowship at Duke University.  “This is an exciting development for the program with the arrival of Dr. Duran and his expertise as well as the newest accreditation recently achieved,” Sandra Coletta, Kent Hospital President and CEO said in a statement.  The center has achieved Accreditation with Distinction, the highest level of distinction offered by the Undersea and Hyperbaric Medical Society (UMHS).  The wound center is one of three in New England that offers hyperbaric medicine treatments. Hyperbaric oxygen therapy (HBOT) is used to treat a variety of conditions including wounds that fail to heal because of radiation treatments, non-healing surgical wounds, bone and other infections and diabetic foot wounds. Emergency hyperbaric treatments are used for people exposed to carbon monoxide.  “In the winter carbon monoxide poisoning is at its highest,” said Duran. There is a significant increase in CO poisoning in the colder months due to improper use of heating sources.  “People using gas grills in their garages and thinking it’s ventilated properly often suffer from CO poisoning,” said Sue Lessard, program director for the wound center. Duran hopes to expand the knowledge of the medical community about hyperbaric treatments and what type of positive outcomes they can have. “Treatment creates new and healthy blood vessels, allowing healing to occur,” said Duran. Initially, HBOT was developed as a treatment for diving disorders involving bubbles of gas in the tissues, such as decompression sickness and gas embolism known as the Bends. The chamber cures these disorders by increasing pressure, reducing the size of the gas bubbles and improving the transport of blood to downstream tissues. The high concentrations of oxygen in the tissues are beneficial in keeping oxygen-starved tissues alive and have the effect of removing the nitrogen from the bubble, making it smaller until it consists only of oxygen, which is reabsorbed into the body. After elimination of bubbles, the pressure is gradually reduced back to atmospheric levels, according to Duran. “One of our goals is to start making the diving community more aware of the importance of check-ups and proper fitness to dive because that is when accidents happen,” said Duran. Duran worked at the Divers Alert Network prior to coming to Kent. Recently, a family in Revere Beach, Mass., was having a picnic in an enclosed garage and suffered from severe carbon monoxide exposure, presumably from the cooking source. The mother and her 5-year-old son were transferred to Kent where they were treated with HBOT three times over a 24-hour period with positive results. “They only knew about the poisoning because the child had a seizure,” said Duran.  Often times when carbon monoxide is present animals or small children will feel the effects first. Coal miners used to bring canaries into the mines with them to test the safety of the air. Many people are unaware of the positive effects that HBOT can have and Duran hopes that he will be able to increase the dialogue between patients and doctors. “The treatment won’t solve everything, people need to be screened for specific indications and if those are met the results are usually good,” said Duran. HBOT has been around since the early 1800s, but due to a lack of research it has not been widely used for treatments. Kent opened its hyperbaric center eight years ago and is now a 24-hour-a-day emergency treatment center. The eight staff members saw approximately 130 patients last year. “We are just beginning to hit the tip of the iceberg with the applications for HBOT,” said Lessard. The flesh-eating disease, necrotizing faciitis, has an 80 percent mortality rate, but with HBOT the disease is stopped almost instantly. The average treatment lasts 90 minutes to two hours and the frequency depends on why the treatment is necessary. For carbon monoxide poisoning people are usually treated three times in a 24-hour period, but for diabetes it is usually once a day. The chamber fills with 100 percent oxygen, air only consists of 21 percent, and then the atmospheric pressure within the chamber is raised. There is a risk of fire hazards associated with concentrated oxygen so patients enter the chamber wearing only hospital scrubs to ensure nothing flammable is worn. A boy and his grandmother died last summer after a chamber exploded in Florida. The boy was undergoing HBOT for cerebral palsy. All staff members at Kent’s wound center are certified and the unit has its accreditation through the UHMS. Kent’s unit has three hyperbaric chambers and usually services nine patients a day

STUDY–Bacterial Spinal Osteomyelitis

Saturday, January 10th, 2009

Role of hyperbaric oxygen therapy in the treatment of bacterial spinal osteomyelitis.

J Neurosurg Spine. 2009 Jan;10(1):16-20. Links

Ahmed R, Severson MA, Traynelis VC.

The University of Iowa, Department of Neurosurgery, Iowa City, Iowa, USA.

OBJECT: Hyperbaric oxygen therapy (HBO) is used as primary and/or adjunctive therapy in the treatment of various clinical conditions complicated by local hypoxia. It may have therapeutic potential in the treatment of neurosurgical infections such as spinal osteomyelitis that are associated with significant morbidity rates. The purpose of this study was to evaluate the efficacy of HBO therapy in the treatment of spinal osteomyelitis. METHODS: The clinical records of patients diagnosed with spinal osteomyelitis who received HBO therapy during their treatment at the authors’ institution over the past 10 years were retrospectively reviewed. Six adult patients were identified. Four patients had recently undergone spinal surgery and secondary spinal osteomyelitis had developed. These patients received adjunctive HBO therapy due to significant comorbidities and risk factors for poor healing. RESULTS: All patients remained symptom and infection free over the subsequent follow-up period. Two patients had primary spinal osteomyelitis that had recurred despite a full course of appropriate antimicrobial therapy. Infection control was achieved after HBO therapy in 1 patient. The mean follow-up period for the study group was 2.9 years (range 5 months to 5 years). CONCLUSIONS: Hyperbaric oxygen therapy enabled infection cure in 5 of 6 patients with spinal osteomyelitis complicated by medical comorbidities or the failure of primary therapy. These results show that HBO may be a useful adjunctive therapeutic modality in the treatment of spinal osteomyelitis, particularly when there are medical comorbidities that increase the risk of poor healing. Hyperbaric oxygen therapy may also be beneficial in patients with relapsing primary spinal osteomyelitis after standard therapy has failed.

Hyperbaric Oxygen Treats A Variety of Conditions

Monday, August 18th, 2008

Hyperbaric treatments said to cure, help treat a myriad of ills

08-03-2007 06:07; by Rebecca L. Sandlin

Mark Merrell was at his wits’ end. His young daughter, Maddie, was diagnosed as profoundly autistic. “We tried a number of therapies and been to a number of different places, and my kid’s pretty sick, and you accept that, and there’s just nothing anybody can do for her,” Merrell explained. “So we basically had to become our own advocates.” After investigating alternative therapies for his child, Merrell wound up in Florida, where he learned that hyperbaric medicine is being used to treat autism. “Many people like myself who are all right here in this Fishers-Carmel-Zionsville area, many of our doctors are not in Indiana,” he said. “Our backs are against the wall. We need help, and we can’t wait another six months for this study or another year for that drug. We need help now.” After using the hyperbaric chamber about 4 to 5 days per week, Merrell said the results of the treatments on Maddie have been astounding. “We can go out in public with our daughter now and nobody notices us … nobody looks at us. The change has been amazing,” he said. Merrell believes in the treatments so much he not only installed a hyperbaric chamber in his home, but also left his job as a police officer to open Oxyspa, a salon located at 11559 Cumberland Road in Fishers that features hyperbaric oxygen treatments. Oxsyspa is one a few locations in the Midwest that offers the treatments, using an FDA-approved hyperbaric chamber. When hyperbaric chambers were first installed in some Indianapolis-area hospitals, they were mainly used for treating burn victims or those who had carbon monoxide poisoning. Hospital chambers use a much greater pressure than what can be found at Oxyspa, but Merrell said the lighter pressure, non-invasive and non-pharmaceutical treatments are beginning to come into their own as an alternative therapy. David Darbro, M.D., the medical director who provides medical oversight at Oxyspa, became a believer in hyperbaric treatments after he changed roles and became a patient when he suffered a stroke three years ago. The stroke affected his speech. “You would not have been able to have understood me, were we speaking three years ago,” he said. Darbro drew a picture of a hyperbaric chamber to get his wishes across. After undergoing the pressurized oxygen treatments, he no longer takes medications and has no difficulty communicating. It just made sense, that when you check people’s oxygen, especially with chronic degenerative disorders, they seem to be low on oxygen and didn’t have any energy,” he said. Darbro said mild hyperbaric therapy is indicated in treatments of several illnesses and conditions, including migraine, heart problems and diabetes. It is also used to treat wounds, sports injuries, osteomyelitis, skin grafts, traumatic brain injury, cerebral palsy and multiple sclerosis. Darbro, who specializes in holistic medicine, said the treatments benefit the patient by helping to increase the body’s ability to absorb oxygen. “Your breathing is the key to opening the door to energy,” he said. “The idea of pressurized oxygen – putting oxygen under pressure – is the key, because it’s putting more oxygen in the fluid – the plasma – in between the red blood cells.” There are only 13 FDA-approved uses of hyperbaric treatments, so insurance may not cover treatments for other medical conditions. Articles of studies and other findings about the treatments have appeared in the Journal of American Medical Association. One article, published in 1990, calls hyperbaric treatments a controversial therapy. Another article, published in 2004, suggests hyperbaric oxygen therapy improves survival and limb salvage of patients with necrotizing soft tissue infections. A session at Oxyspa costs $80 for a treatment lasting around an hour, with packages available. A doctor’s prescription or order is mandatory before a client can begin therapy. Merrell said physicians from several disciplines including neurologists have referred their patients to the spa for treatments. He added the spa also follows FDA regulations by charting each client’s progress and condition during treatment. Cindy Beuoy, of Indianapolis, has been using the chamber since February and has noticed some benefits from regular visits. “I try to stay as healthy as I can. I’m a real pro-active person on health,” she said. “I found that, using the chamber, it helps me to sleep better. I exercise – I do strength training exercise three times a week and it helps my muscles recover faster from the exercise. I just feel my overall vitality is greater.”

Hyperbaric Oxygen Revolutionizing Medicine

Sunday, April 6th, 2008

Hyperbaric Oxygen Therapy revolutionizing medical field

April 6th 2008 Gino Troiani

Hyperbaric oxygen treatment (HBOT) is the medical use of pure oxygen at higher than atmospheric pressure. Its concept is simple. Increased pressure enables higher amounts of oxygen to enter the blood stream, therefore, jumpstarting the healing process. Red blood cells are the most common type of blood cell in the human body. They are responsible for delivering oxygen from the lungs to the rest of the body via the blood stream. In many cases, increased oxygen can be key to many recovery processes. According to Michael Neumeister, M.D. in an article published in 2005, the first hyperbaric chambers date back to the late 1600s. These chambers were used in the treatment of ailments such as inflammations, scurvy, arthritis, and rickets, but due to a lack of technology, minimal effectiveness was recorded. Still, throughout the years, many scientists kept playing with the idea, hoping one day for a medical breakthrough. That breakthrough came in the early 1900s when Dr. Orville Cunningham discovered that patients with cardio vascular disorders improved significantly when moved to lower altitudes with denser air. With this finding, Cunningham took it upon himself to design a modern electric hyperbaric chamber, standing eight feet in diameter and thirty feet long. Cunningham used his chamber to treat multiple patients who suffered from the Spanish flu, and experienced tremendous results. However, because of the great depression in the 1930s, he was no longer able to continue his research. In the 1970s, similar chambers were designed and used by the armed forces to treat many diving and decompression illnesses such as the bends and caisson disease, suffered by Navy and Air force soldiers.  Today these illnesses only represent three percent of all of the total uses for HBOT. In the last 35 years, curiosity has led many doctors and scientists to conducted experiments on the effectiveness of hyperbaric therapy. Many studies have proven to show significant recovery increases in head injuries, myasthenia gravis, myocardial infarction, free skin grafts, sudden deafness, burns, glaucoma, leg ulcers, heart attacks, strokes, cerebral palsy, and carbon monoxide poisoning. HBOT is also commonly used to help treat autism