In our Group Florence Nightingale Hospitals Hyperbaric Oxygen Therapy Department, hyperbaric oxygen (HBO) treatment is performed in a completely closed pressure chamber at pressures higher than 1 atmosphere, by inhaling 100% pure oxygen from a mask or environment.
With this procedure, the amount of dissolved oxygen that goes to the tissues, the diffusion distance of the oxygen (the distance it can travel in the tissue) and its efficiency increase, even if the tissues are not supplied with blood, the viability of the tissues can be achieved with the dissolved oxygen. It also helps the healing of the wound with increased antibiotic activity, revitalization of bone tissue, development of granulation (healthy wound healing tissue) tissue, collagen production, new vessel formation and new cellular activities.
Where is HBO Used?
This scientifically proven treatment procedure includes diabetic foot wounds, chronic wounds, vascular occlusion wounds, bone inflammations, soft tissue infections, avascular / aseptic necrosis (bone death), sudden hearing loss, sudden vision loss, crush injuries, postoperative wounds, and is used successfully in radiation damage, burns, risky grafts and flaps, carbon monoxide (stove, tube gas, natural gas) poisoning, air embolism and decompression sickness. In short, all kinds of oxygen-free tissues are both healed and renewed by oxygen. Apart from the diseases listed, there are other diseases that have been tested and successfully solved.
What Should be Assessed before Treatment?
First of all, everyone who will undergo treatment should be examined by an Underwater Doctor and Hyperbaric Medicine Specialist. The current disease and the status of the patient's chronic diseases is important. If the patient is clinically suitable, they are checked by chest radiography and if there is no risk, it is treated. If there are situations that may pose a risk, the patient may be asked for consultation or referred for further examination. An average HBO treatment session lasts approximately 2 hours at 2.5 atmospheres pressure.
What Should the Patient do during Treatment?
The patient is taken to the treatment if they have taken their medication daily, not disrupted the diet, leaving all jewelery, flammable materials such as lighters and electronic devices behind, and if they are wearing the treatment gown and slippers. Oxygen is inhaled intermittently during HBO therapy. So, protection from the side effects of oxygen is provided. The patient is asked to be awake and active during HBO therapy. In this way, it will be possible to determine both a more effective respiratory capacity and treatment, and any needs they may have during the treatment. In the pressure room in our hospital, we follow the patients audibly and visually during the treatment.
What are the Side Effects?
Since we are dealing with pressure, every organ with air is affected by this treatment. Failure to do the ear opening maneuver well, especially in the case of flu, can cause congestion and pain in the ear. Likewise, compression may occur in the sinuses. İn this case, it is sufficient to inform the operator of the situation during pressurization. After the session is stopped and the maneuver is performed, either the session is continued with medical treatment or the treatment is interrupted. Gases in the lungs are balanced by respiration and gases in the intestines are compressed.
High pressure can trigger some epileptic foci. Therefore, in case of an epileptic history, consultation with neurology is required.
Glove-like numbness in the hands can be seen especially in patients who undergo treatment for more than 20 sessions and this returns to normal after discontinuation of the treatment, leaving no symptoms.
Temporary myopia is caused by the effect of oxygen on the lens. Elderly patients may also experience improvement in hypermetropia, but it returns to normal approximately 8 weeks after treatment is discontinued. For this reason, it is recommended that patients who regularly enter the treatment do not get new glasses during the treatment process.
· The most dangerous side effect and perhaps the least common is air embolisms. In our hospital, lung x-rays are requested before treatment to prevent this.
What are the Features of Our Device?
The pressure chamber we use in our hospital has been produced by Barox HBO with the latest technology, with a fully automatic and new generation piping system. All the components used in its production have been approved by certified organizations and patient safety, health and comfort are considered priority.
Our pressure chamber uses a system that is pressurized with air and oxygen can be breathed with a mask. During the entire treatment period, the oxygen level is monitored by automatic sensors. Daily, weekly, monthly, 6-monthly and annual maintenance of our pressure chamber is provided by our technical staff and Barox HBO.