Northern Nevada Hyperbarics - Oxygen Therapy - Powerpoint

Northern Nevada Hyperbarics, Inc. Serving the Community for 8 Years ,[object Object],[object Object],[object Object]

What is HBO ,[object Object],[object Object]

Some Basics ,[object Object],[object Object],[object Object],[object Object]

Clinical Hyperbaric Oxygen Therapy Clinical Hyperbaric Oxygen Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Primary Mechanisms ,[object Object],[object Object],[object Object],[object Object]

Secondary Mechanisms ,[object Object],[object Object],[object Object],[object Object]

Vascular Density in Response to Hyperbaric O2 Response to 20 x 1ATA 100% O2 Response to 20 x 2.4ATA 100% O2 8 x increase in vascular density

Vascular Density Increase No HBO Start HBO 18 Tx 24 Tx

Diabetic Wound with Recalcitrant Osteomyelitis 78 Y.O Male/ 2 Wks Resection Bone / Continued Drainage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Problem Wound w/Skin Graft Failure 58 Y.O. Female/ Diabetic/ 6mo. Non-healing /one failed graft ,[object Object],After 25 Tx---5 Weeks---beefy, red, healthy granulation tissue Split thickness graft placed--- 100% take

Tissue Necrosis in Diabetic Foot 69 Y.O. Diabetic Female/ w Exposed Tendon ,[object Object],[object Object],Required incision, drainage, and debridement After 20 Tx---3 Week After 30 Tx---4 Week

Non-Healing Post Amputation 46 Y.O. Diabetic Male Initial Visit After 10 Tx After 16 Tx After 34 Tx

Achilles Tendon repair Site After 10 tx’s After 25 tx’s

Problem Wound Non healing Transmetatarsal Amputation Non-healing suture line 3 months post Healing after 25 HBO TX Medial View

Left Mandibular Osteoradionecrosis 45 Y.O. Male/ Radical neck dissection/ radiation/ Exposed Bone Initial Visit—Bone Exposed Tx 12—2 Weeks Tx 25---5 Weeks Tx 39---8 Weeks New skin over bone

Radiation Soft Tissue Necrosis 52 Y.O. Male/ Post Radical Neck Reconstruction/ Wound Dehiscence and Flap Compromise After 8 Tx—2 Weeks After 36 Tx---7 Weeks After 18 Tx---4 Weeks

Radiation necrosis with incision dehiscence 51 yo female/ neck dissection 12 TX 21 TX 36 TX Three weeks post tx

Soft Tissue Radiation Necrosis 40 Y.O. Male post T-cell Lymphoma—Rt. hand Initial Visit Tx 7---1 Week Tx 24---5 Weeks Tx 50---10 Weeks No need for graft

Graft Placement post Radiation Necrosis 2 months post-surgery After 20 HBO TX 10 days after spilt thickness graft

Crush Injury Avulsion of the Palmar Skin ,[object Object],[object Object],11 Weeks after Surgery---Full Range of Motion 3 Tx in first 24hrs. Then total of 20 over a period of 4 weeks.

Traumatic Ischemia—of a Replanted Leg 4 Y.O. Mid-Calf Amputation from Lawnmower ,[object Object],3 days after surgery—and 6 Tx, Then 4 more Tx over 3 days After 12 weeks, sensate leg--- can walk and run with the aid of brace.

Healing Compromised Flap of Tibia Fracture 54 Y.O. Male with Tibia Fracture and Internal Fixation ,[object Object],[object Object],[object Object],[object Object],After 10 Tx--- 1 Week---compromised portion of flap is now viable After 20 Tx---3 Week— 100% flap survival

Failed Flap — Left Dorsal Foot 50 Y.O. Female/ Degloving Accident Tx 1 Tx 30---5 Weeks Tx 18---3 Weeks Tx 12---2 Weeks Follow-Up 3 Weeks Final Follow-Up

Healing Burns 23 YO Female w/facial burns from flaming gasoline A C B D A-12 hrs after injury B-24 hrs and 2 HBO tx’s C-72 hrs later and 6 tx’s D-Shortly before discharge

Failed Flap – Right Knee 62 Y.O. Female/ Failed flap post total knee replacement Tx 9—Two Weeks Tx 16---3 Weeks Initial Visit

Lip Reimplantation 10 Y.O. Female/ Full thickness lesion from dog bite Re-attached. Wound looked ischemic and swollen. Patient started hyperbarics and antibiotics. After 10Tx Follow-up: Happy Smile

Side Effects of HBO ,[object Object],[object Object],[object Object]

Contraindications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Insurance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How To Consult or Refer ,[object Object],[object Object]

Northern Nevada Hyperbarics - Oxygen Therapy - Powerpoint

Recomendados

Recomendados

Mais conteúdo relacionado

Semelhante a Northern Nevada Hyperbarics - Oxygen Therapy - Powerpoint

Semelhante a Northern Nevada Hyperbarics - Oxygen Therapy - Powerpoint (20)

Último

Último (20)

Northern Nevada Hyperbarics - Oxygen Therapy - Powerpoint