SUMMARY OF INTERNATIONAL INDICATIONS FOR
HYPERBARIC OXYGEN THERAPY


(from Jain, K.K. 3rd revised (1999) Textbook of Hyperbaric Medicine.
Thomas, Springfield --taken from U.S., Chinese, Japanese,
and Russian HBO2 Committees)

  1. Decompression Sickness
  2. Air Embolism (cerebral and peripheral).  
  3. Poisoning: carbon monoxide, cyanide, hydrogen sulfide, carbon tetrachloride.  
  4. Treatment of infections: soft tissue infection, gas gangrene, acute necrotizing fascitis, refractory mycoses, leprosy, osteomyelitis, fungal infection.  
  5. Plastic and Reconstructive Surgery, Dermatology: For non-healing wounds,  an aid to the survival of skin flaps with marginal circulation, and an adjunct to the treatment of burns.  

  6. Traumatology: crush injuries, compartment syndrome, soft tissue sports injuries.
     
  7. Orthopedics: non-union of fractures, bone grafts, osteoradionecrosis.  
  8. Peripheral Vascular Disease: shock, myocardial ischemia, aid to cardiac surgery, angina pectoris, ischemic gangrene, ischemic leg pain.
  9. Neurological Disorders/ Neurosurgery: Stroke, cerebral palsy, multiple sclerosis, migraine, cerebral edema, multi-infarct dementia, spinal cord injury and vascular diseases of the spinal cord, brain abscess, peripheral neuropathy, radiation myelitis, vegetative coma, anoxia, global ischemia.  
  10. Hematology/ Immunology: sickle cell crises, severe blood loss anemia
  11. Ophthalmology: occlusion of central artery of retina, glaucoma.
     
  12. Gastro-intestinal: gastric ulcer, necrotizing enteroscolitis, paralytic ileus, pneumotoides cystoides intestinalis, hepatitis, Crohn’s Disease.  
  13. For enhancement of Radiosensitivity of malignant tumors
  14. Otorhinolaryngology: sudden deafness, acute acoustic trauma, labyrinthitis, Meniere's disease, malignant otitis externa (chronic infection).
     
  15. Lung Diseases: lung abscess, pulmonary embolism (adjunct to surgery).
     
  16. Endocrine: complications of diabetes.
     
  17. Obstetrics/ Neonatology: complicated pregnancy--diabetes, eclampsia, heart disease, placental hypoxia, fetal hypoxia, congenital heart disease of the neonate.  
  18. Geriatrics: brain functions, general hypoxia.  
  19. Asphyxiation/ Pulmonary Disorders: drowning, smoke inhalation.
     
  20. Aid to Rehabilitation and Sports Medicine: spastic hemiplegia of stroke, paraplegia, chronic myocardial insufficiency, peripheral vascular disease.



Richmond Hyperbaric Health Center