Hyperbaric Oxygen Therapy

Lindsay Andronaco's picture

By Lindsay D. Andronaco RN, BSN, CWCN, WOC, DAPWCA, FAACWS

Sudden hearing loss affects 5-20 individuals per 100,000, which equates to about 4,000 new cases each year in the U.S. Idiopathic Sudden Sensorineural Hearing Loss, or ISSHL, is spontaneous hearing loss in one or both ears with no apparent or known cause. This condition requires urgent medical attention.

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By Lindsay D. Andronaco RN, BSN, CWCN, WOC, DAPWCA, FAACWS

Many people do not realize that the two most common issues we see in hyperbaric oxygen (HBO) therapy patients are ear/barotraumas and a decrease in their blood glucose level. In general, HBO is very well tolerated and requires little other than a commitment to the treatment series.

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By Thomas Serena MD, Helen Gelly MD, Greg Bohn MD, Jeffrey Niezgoda MD

Introduction
The rise in specialized wound and hyperbaric centers across the United States has resulted in an increased need for physicians to oversee Hyperbaric Oxygen Therapy. However, there are no published national standards or recommendations for credentialing physicians for this service. The American College of Hyperbaric Medicine (ACHM) has drafted this document to guide hospital credentialing committees in this process. It represents the consensus opinion of leaders in the field of hyperbaric medicine in the United States. It is important to note that although this document applies to both hospital-based and non-hospital affiliated centers, they have separate requirements.

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By Lindsay D. Andronaco RN, BSN, CWCN, WOC, DAPWCA, FAACWS

The use of Hyperbaric Oxygen Therapy (HBOT), according to Medicare, is a modality in which the entire body is exposed to oxygen under increased atmospheric pressure. HBOT is a CMS covered adjunctive therapy and should be used in conjunction with standard care, which include modalities like surgery, debridement, medications, topical wound care and offloading the wound. It is also important to have plans of care that include monitoring nutritional status and glucose control to help ensure a positive outcome for the patient.

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By Bruce E. Ruben MD

In order to understand the use of Hyperbaric Oxygen Therapy (HBOT) to heal burns, it is first important to understand the four burn classifications.

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By Lydia A Meyers RN, MSN, CWCN

Hyperbaric Oxygen Therapy (HBOT) is a type of therapy that is oxygen done under greater than atmospheric pressure. Treatments are done according to approval by Medicare/Medicaid rules and regulations. At this time HBOT has been approved for the following:

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By Christine Shettel, RN, BSN, WCC, DAPWCA, PWRC

Hyperbaric medicine has been used in wound care for over 50 years. As wound care professionals, we are saving patient’s lives, and preserving limbs utilizing Hyperbaric Oxygen Therapy (HBO). As health care professionals we understand the indications and benefits of HBO therapy, however, it’s important to follow clinical pathways and your local coverage determinations to ensure that we are placing the clinically appropriate patients in the chambers. It’s also important to understand what clinical documentation is required in order to qualify your patients for treatments to achieve optimal outcomes.

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By Angela Kujath, Executive Director of the ACHM

Most of us can remember a time when we’ve felt extreme anxiety about taking an exam. This anxiety was accentuated if we felt inadequately prepared. In my role as Executive Director of the American College of Hyperbaric Medicine (ACHM), I have often been asked questions about exam preparation for hyperbaric certification. The ACHM has offered a hyperbaric certification exam since the late 90s, but participants simply studied their textbooks and relied on past experience to ready themselves for the exam. I can tell you that this led to many conversations with frustrated and anxious individuals who felt that studying a textbook that they had read as many as 10 years ago was simply not enough to help them feel prepared. This was even more worrisome for the physicians who hadn’t practiced hyperbaric medicine in several years, or for those actively practicing HBO but maybe only doing so part time.

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By Lydia A Meyers RN, MSN, CWCN

Diabetes is the number one cause of amputation for wound care patients. Individuals with diabetes need monitoring and education about the dangers they face on a daily basis due to their condition. Diabetic ulcers often begin with a simple bump, as a callous or by stepping on something.

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By Thomas E. Serena MD, FACS, FACHM, FAPWCA

Parents of most children growing up in the sixties read them Winnie the Pooh. My father, a Woodrow Wilson fellow in English literature, read us Homer’s Odyssey, four times. I remember listening with excitement and anticipation as Odysseus rowed between the fearsome sea monsters Scylla and Charybdis. More than 40 years later I find myself navigating two equally challenging concepts: Efficacy and Effectiveness.