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Can anyone help please? I have a patient who would seem to fit the bill for topical hyperbaric oxygen therapy. I have researched via journals etc and wondered if anyone had any experience of this treatment and how (UK only) it was sourced. Seems the only HOT in my area is of the MS unit variety. Would really appreciate first-hand knowledge of topical HOT for chronic wounds (ie the 'bag' variety).

Hannah

 

hi hannah

I had a patient who was threatened with below the knee amputation bilaterally due to gangrene. He was fortunately very wealthy and had treatment in gosport near portsmouth. He was originally quoted 35 thousand pounds but got them down to 7 thousand. it all worked out and although he lost a few toes which was due to him not being referred originally to nhs and was not seen for 8 weeks he managed to prevent the surgery

chris

 

Wow....in the fairy tale land of Aus it is easy....the patient pays about $130 I think and gets a string of treatments. We used to refer to the Alfred unit in Melb from the hospital where I used to work....quite cheap really

 

Hannah

Attached is an article of interest
When I tarined as a diving paramedic at the Royal Gordon Institute of Hyperbaric Medicine the Prof there use to lecture on Hyperbaric O^2 therapy for skin lesions from burns and ulcers and systemic disease. He preferred this treatment to topical agents like steroids, which were his pet hate. This was in the early 1980's and this was mainly using chambers and high PPO^2 (partial pressure oxygen) oraly since there were no speacial bag applicators then. I can't remember his name but his ideas were quite novel and contentious then, mainly due to oxgen toxicity ie the unknown cellular oxydative effect of long term administration of high PPO^2. The hyperbaric centre there would regulary treat people with neurological disease and they were reported to get great benifits. I would imagine that the bag system increases PPO^2 at the wound but does not have the unwanted effect of elevating systemic PPO^2.

see this link to e medicine - Hyperbaric Oxygen Therapy - http://www.emedicine.com/plastic/topic526.htm#section~OxygenToxicity
Dave

 

wow! Thank you for your replies. Chris, your post just confirms for me the belief in this treatment as a way forward for my lady. PGCarter, you are a show-off in your fairy-tale land and I am very very jealous. David, I have printed off your link and have shared it with the community nurses, who seem to have the most referral power in my area (!) and we are on the case, so to speak
You are all lovely lovely people (I expect)
Hannah