Hyperbaric Oxygen Therapy - Hyperbaric Chamber Information ...
Hyperbaric Oxygen Therapy - Hyperbaric Chamber Information ...
Hyperbaric Oxygen Therapy - Hyperbaric Chamber Information ...
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Contents<br />
Executive summary..................................................................................................x<br />
Introduction ............................................................................................................ 1<br />
Background ............................................................................................................2<br />
<strong>Hyperbaric</strong> oxygen therapy.............................................................................................2<br />
The procedure ..................................................................................................................2<br />
Intended purpose.............................................................................................................3<br />
Clinical need......................................................................................................................4<br />
Existing procedures and comparators ..........................................................................4<br />
Marketing status of the device .......................................................................................5<br />
Current reimbursement arrangement............................................................................5<br />
Approach to assessment...........................................................................................8<br />
Review of literature..........................................................................................................8<br />
Expert advice..................................................................................................................13<br />
Results of assessment............................................................................................. 14<br />
Is it safe?..........................................................................................................................14<br />
Is it effective?..................................................................................................................19<br />
Thermal burns ................................................................................................................19<br />
Diabetic wounds ............................................................................................................23<br />
Non-diabetic wounds ....................................................................................................32<br />
Necrotising soft tissue infections.................................................................................32<br />
Necrotising fasciitis........................................................................................................35<br />
Fournier’s gangrene .......................................................................................................38<br />
Osteomyelitis ..................................................................................................................39<br />
Osteoradionecrosis ........................................................................................................39<br />
Skin graft survival...........................................................................................................41<br />
Multiple sclerosis............................................................................................................43<br />
Cardiovascular disease conditions ...............................................................................43<br />
Acute myocardial infarction .........................................................................................43<br />
Cerebrovascular disease ................................................................................................46<br />
Peripheral obstructive arterial disease.........................................................................49<br />
Soft tissue injuries ..........................................................................................................49<br />
Cluster and migraine headaches...................................................................................51<br />
Facial paralysis ................................................................................................................56<br />
Sudden deafness and acoustic trauma.........................................................................57<br />
Cancer..............................................................................................................................61<br />
Carbon monoxide poisoning........................................................................................77<br />
Necrotising arachnidism ...............................................................................................78<br />
Actinomycosis ................................................................................................................78<br />
<strong>Hyperbaric</strong> oxygen therapy iii