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Since its first appearance in 1977, the UHMS Hyperbaric Oxygen Therapy Indications has served as a guide for practitioners and scientists interested in hyperbaric and undersea medicine. Past UHMS president Richard E. Moon, chair of the Hyperbaric Oxygen Therapy Committee and editor for the 14th edition, along with additional Committee members and leading experts in the field, authored chapters in their respective fields. This publication continues to provide the most current and up-to-date guidance and support in hyperbaric medicine. Updates in the 14th Edition - Revised and updated references - A new chapter summarizing recently published data on trails of HBO2 for chronic traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) - Addition of flowcharts to specific chapters to aid in treatment of decision-making Table of Contents Preface Members of the Hyperbaric Oxygen Therapy Committee I. Background II. Hyperbaric Oxygen: Definition III. Utilization Review For Hyperbaric Oxygen Therapy IV. Acceptance (Addition) of New Indications for Hyperbaric Oxygen Therapy V. List of Abbreviations VI. Author Biographies PART I. Indications 1. Hyperbaric Treatment of Air or Gas Embolism: Current Recommendations 2. Arterial Insufficiencies A. Central Retinal Artery Occlusion B. Hyperbaric Oxygen Therapy for Selected Problem Wounds 3. Carbon Monoxide Poisoning 4. Clostridial Myonecrosis (Gas Gangrene) 5. The Effect of Hyperbaric Oxygen on Compromised Grafts and Flaps 6. The Role of Hyperbaric Oxygen for Acute Traumatic Ischemias 7. Decompression Sickness 8. Delayed Radiation Injuries (Soft Tissue and Bony Necrosis) and Potential for Future Research 9. Sudden Sensorineural Hearing Loss 10. Intracranial Abscess 11. Necrotizing Soft Tissue Infections 12. Refractory Osteomyelitis 13. Severe Anemia 14. Adjunctive Hyperbaric Oxygen Therapy in the Treatment of Thermal Burns PART II. Additional Considerations 15. Mechanisms of Action of Hyperbaric Oxygen Therapy 16. Side Effects of Hyperbaric Oxygen Therapy 17. Oxygen Pretreatment and Preconditioning 18. Randomized Controlled Trials in Diving and Hyperbaric Medicine 19. Hyperbaric Oxygen for Symptoms Following Mild Traumatic Brain Injury Appendix A. Approved Indications for HBO2 Therapy Index
Since its first appearance in 1977, the UHMS Hyperbaric Oxygen Therapy Indications has served as a guide for practitioners and scientists interested in hyperbaric and undersea medicine.
The Undersea and Hyperbaric Medical Society (UHMS) is an international, non-profit organization serving over 2,400 members from more than 50 countries. The UHMS is the primary source of scientific information for diving and hyperbaric medicine physiology worldwide, the breadth of which is illustrated in the triennial report, Hyperbaric Oxygen Therapy Indications. With leading experts authoring chapters in their respective fields, this publication continues to provide the most current and up to date guidance and support for scientists and practitioners of hyperbaric oxygen therapy. Hyperbaric Oxygen Therapy Indications, currently in its thirteenth edition, has grown in size and depth to reflect the evolution of the literature on the approved use of hyperbarics from both a clinical practice standpoint and insurance coverage perspective. To date, the committee recognizes fourteen indications, including the new indication, idiopathic sudden sensorineural hearing loss. Additionally, this book continues to be used by the Centers for Medicare and Medicaid Services and other third party insurance carriers in determining payment for HBO2 services.
This comprehensive volume captures the latest scientific evidence, technological advances, treatments and impact of biotechnology in hyperbaric oxygen therapy. Divided into three distinct sections, the book begins with basic aspects that include history, equipment, safety and diagnostic approaches; this is followed by clinical applications for hyperbaric oxygen therapy in various modalities; the last section provides an overview of hyperbaric medicine as a specialty with best practices from around the world. Integration of multidisciplinary approaches to complex disorders are also covered. Updated and significantly expanded from previous editions, Textbook of Hyperbaric Medicine, 6th Edition will continue to be the definitive guide to this burgeoning field for students, trainees, physicians and specialists.
The Best-Kept Secret in Medicine In the United States, the FDA currently recognizes hyperbaric oxygen therapy (HBOT) for 14 conditions, including decompression sickness, embolism, crush injury, bone infection, burns, wound healing, severe anemia, and several others. Now, in The Oxygen Cure, hyperbaric expert William S. Maxfield, M.D., will convince you that HBOT is a vastly underused modality that deserves to take its place among frontline medical treatments. As a holistic treatment, HBOT targets the underlying disease or condition, not just the symptoms. The Oxygen Cure reveals how hundreds of studies on HBOT conducted around the world prove it works at the cellular level to help or heal conditions such as: Stroke Chemo-Related Side Effects Epilepsy Fibromyalgia Emphysema & Asthma ADHD Rheumatoid Arthritis Cardiac Diseases Migraine & Vertigo Early Dementia Vision Loss Multiple Sclerosis & Parkinson's Disease Traumatic Brain Injury & PTSD And Dozens More Full of hope-inspiring case histories and expert findings, The Oxygen Cure shows how HBOT not only benefits the sick and injured (including our wounded veterans), but may also reduce our country’s staggeringly high medical costs. HBOT often provides a safe alternative to drug therapy and dangerous invasive procedures.
Written by internationally recognized leaders in hyperbaric oxygen therapy (HBOT) research and practice, this exciting new book provides evidence-based, practical, useful information for anyone involved in HBOT. It outlines the physiologic principles that constitute the basis for understanding the clinical implications for treatment and describes recent advances and current research, along with new approaches to therapy. This book is an essential tool for anyone who cares for patients with difficult-to-heal wounds, wounds from radiation therapy, carbon monoxide poisoning, and more. Provides comprehensive coverage of pathophysiology and clinically relevant information so you can master the specialty. Covers the relevance of HBOT in caring for diverse populations including critical care patients, infants and pediatric patients, and divers. Features a section on the technical aspects of HBOT to provide insight into the technology and physics regarding HBO chambers. Presents evidence to support the effectiveness of HBOT as well as the possible side effects. Describes situations where HBOT would be effective through indication-specific chapters on chronic wounds, radiation and crush injuries, decompression sickness, and more.
This book focuses on hyperbaric oxygenation (HBO) therapy from the molecular biology perspective and its clinical applications, including molecular mechanisms of HBO’s positive effect on cellular function in hypoxic tissues. HBO is a therapeutic tool that enhances oxygen supply to hypoxic tissues and improves wound healing/tissue remodeling. Currently HBO therapy is applied to a wide range of clinical cases, which include not only acute hypoxic diseases but also many chronic and refractory diseases involving tissue hypoxia or intractable infection. HBO therapy is a well-recognized regimen for many researchers and clinicians. The first half of the book outlines basic molecular mechanisms of HBO and their potential applications for clinical activities, while the second half describes the rationale behind introducing HBO therapy into suitable clinical cases and presents successful clinical reports. It is primarily written for HBO clinicians, physiologists and basic research scientists, but is also of interest to clinicians who have an interest in this field considering introducing HBO therapy.
Hyperbaric oxygen application has now become a useful technique for both diagnostic and therapeutic purposes in CNS, cardiovascular and respiratory diseases, as well as in soft-tissue and orthopaedic pathologies and haematologic disorders. With a specific didactic approach, supported by numerous illustrations and tables, this volume aims to present all aspects of oxygen application under pressure not only to resolve some clinical problems, but also to improve recovery or to modify a negative illness evolution. Both scientists and practitioners will find this work a useful and updated reference book.
Underwater Physiology is a collection of papers that deals with the physiologically limiting effects of undersea, high pressure exposure ranging from fundamental biological reactions, through integration of physiological stresses, and to limits actually experienced in deep diving. Papers discuss oxygen, the mechanisms of toxicity, and the effects of oxygen on cells and systems such as its pathological and physiological influences in the neurosensory ocular tissue. Other papers discuss the physical effects of pressure and gases on cellular function, protein structure, and the possibility of alleviating symptoms through the administration of drugs. Tests in mice show that various gases exhibit qualitative and semi-quantitative differences in the characteristics of sickness, reactions to hypoxia, and the time before the onset of symptoms. A computer, programmed for nonlinear gas transfer and other variables, running in real time can compute directly from the breathing mixture and provide a real time solution to decompression sickness under various conditions. A combined therapeutic approach, recompression and dextran (an effective lipemic clearing agent) should be capable of treating decompression sickness in humans. Other papers investigate the influence of inert gases and pressure on the central nervous system, as well as, situations in undersea and manned chamber operations. This collection can prove valuable for physiologists, biochemists, cellular biologists, and researchers involved in deep sea diving.