Indications Catalogue for HBOT

Specialist field / main focus	Indication	Substantiation	Effectiveness
ENT	Acute hearing loss with and without tinnitus	400 – 500 % increase to supply of oxygen in the perilymph and endolymph (hair cells without independent blood supply), reduction of cytotoxic and synaptic oedema	acute, 70 – 80% recovery, sub-acute, 10 – 30% recovery
	Acoustic trauma	400 – 500 % increase to supply of oxygen in the perilymph and endolymph (hair cells without independent blood supply), reduction of cytotoxic and synaptic oedema	high
	Tinnitus	400 – 500 % increase to supply of oxygen in the perilymph and endolymph (hair cells without independent blood supply), reduction of cytotoxic and synaptic oedema	in acute stage approx. 65 %, sub-acute, lower
	Inflammation of the ear	Defences against infection (anaerobiotic, phagocytolytic progression), skeletal structure	high
Surgery / orthopaedics	Aseptic necrosis of the femoral head	Bone oedema is diminished and corrected through vasoconstriction	medium (50%)
	Ahlbäck’s disease	Bone oedema is diminished and corrected through vasoconstriction	high (80 %)
	Osteitis	Defences against infection increased
	Crush injury, contusion, sports injury	Anti-oedematous effect, removes hypoxia	Depending on time and occurrence
	Crush injury, contusion, sports injury	Anti-oedematous effect, removes hypoxia	Depending on time and occurrence
Radiotherapy / urology / gynaecology / surgery	Late consequences of radiation (bones, soft tissue, radioproctitis, radiocystitis)	Neoangiogenesis (increase in capillary thickness from 30% to approx. 80%); healing of fistulae, preparation of wound area for transplants	high (approx. 80 %)
Surgery / internal medicine	diabetic foot syndrome	HBOT promotes the growth of new capillaries, new tissue, defences against infection (phagocytolytic progression), bone formation	depending on the stage
	occlusive arterial disease	HBOT promotes the growth of new capillaries and new tissue, defences against infection (phagocytolytic progression), bone formation	only with microangiopathy
	Gas gangrene infection	Clostridium perfrigens is an obligate anaerobe, bacteria is killed off, some toxins destroyed, damage to organs reduced, removes hypoxia	Reduction in mortality from > 60% to < 20%.
	Cystoid pneumatotis	Removal of gas bubbles, defence against infections, prevention of serious operations (ileum colon resection)
Surgery / skin / oral surgery / radiotherapy / wounds which do not heal after radiation	Neoangiogenesis (increase in capillary thickness from 30 % to 80 %.)	Healing of fistulae, preparation of wound area for transplants	high (approx. 80%)
Surgery / skin / oral surgery / dentistry	Critical flapping and critical transplants	Anti-oedematous effect, neoangiogenesis, growth of new tissue, increased supply of oxygen with marginal circulation, removes hypoxia	Depending on the start of the treatment
Surgery / oral surgery / dentistry	Osteomyelitis (Op, antibiosis & HBO)	Defences against infection (anaerobiotic, phagocytolytic progression), skeletal structure	high with combinations
Oral surgery / dentistry / radiotherapy	Previously osteo-integrated implants after radiotherapy	Reduction in the loss rate of implants in both short and long term (> 10 years), promotes bone growth	very high
Neurosurgery	Cerebral abscesses	Reduction in intra-cerebral pressure, direct oxygenation through increased absorption of oxygen in the plasma, mostly aerobe/anaerobe anaculture, strengthening of the effect of antibiotics, reduction in lethality
All / neurology	Migraines / cluster headaches	Oxygen leads to vasoconstriction and rapid pain alleviation	Depending on duration of illness, partly high
	Multiple sclerosis	Anti-oedematous effect, immune-modulating effects	non-uniform
All / accidents	Flue gas poisoning / CO intoxication	Dissolution of the CO from its bonding to the haemoglobin, myoglobin and respiratory chain, immediate direct peripheral oxygenation through high oxygen solubility, prevention of lipid peroxidation.	More effective and quicker than normobaric oxygenation
	Diving accident / decompression sickness	Creation of high concentration gradients for nitrogen and the removal of air bubbles and diminution of air bubbles through increased pressure	Depending on the extent of the occlusion, high to very high
	Burn disease	Anti-oedematous effect, neoangiogenesis, growth of new tissue, increased supply of oxygen with marginal circulation, removes hypoxia	Depending on time and occurrence
	Gas embolism	Creation of high concentration gradients for nitrogen and the removal of air bubbles and diminution of air bubbles through increased pressure	Depending on time and occurrence
Experimental	Chronic Lyme disease	Facultative anaerobe	approx. 50% recovery
	Stroke	Direct oxygenation, anti-oedematous effect, prevention of lipid peroxidation

Zuletzt aktualisiert am Dienstag, 14. September 2010

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