How am I able to find the SDS on a product? I am new to this website and still learning how to use it. I am in Hyperbaric and we are not attached to a wound clinic, but inside the hospital tucked aw...
What are other people using for IV poles in multi-place chambers since there are no FDA approved IV poles anymore? Any model or brand recommendations? We also need to replace our vital sign monitors, ...
Have been treating pt in HBO for CRO. Recently hospitalized for cellulitis and was taken to OR by Podiatrist with Bone Bx of 1st, 3rd, and 5th Metatarsal Right Foot. Prolene Sutures 3-0 and 1-0 applie...
I am new at this. Can Aquacel Ag+, ribbon, sheets, etc go into a monoplace hyperbaric chamber.? The risk assessment tool gave it a #3, "high risk" and the ribbon was almost a #4. Not sure why. Plus th...
Nearly every search I perform asking this question results in "Yes", Medicare will cover HBOT for Central Retinal Arterial Occlusion. Wound Reference specifically says "NO". How does this differ from ...
Hi I have a payer denial, BCBS of SC stating the HBO is investigational on the following patient's condition. It was preapproved with the codes below. I'm thinking this may be a coding issue. Would...
We are a hospital based outpatient wound & hyperbaric center. We were told by our hospital coder that we can bill our patient visits based on either time or element complexity. In addition, one of the...
Hello I was wondering if Radiation Pneumonitis is an indication for hyperbaric medicine, STRN? The patient continues to have right pleural effusions that require drainage. What is the heal rate like?...
Located in Indiana. Over the past year we have received a couple denials for HBOT with Anthem Medicaid.
In the denial letter Anthem references the MCG 27th Edition Ambulatory Care Guideline for HB...
Hello, there was a post in May of 2022 regarding the Dexcom G6. The conclusion was that there are no significant safety concerns with subjecting Dexcom G6 CGM transmitters to hyperbaric environments b...
70 year old male with cryoglobulinemic vasculitis, multiple ulcers to the feet and fingers, in various stages of tissue necrosis. The ulcers are quite extensive and he is at risk for amputation. His p...
We are treating a patient for DFU. The patient has completed over 30 hyperbaric sessions in the Perry Sigma 40 monoplace chamber without issues. Over the past two sessions the patient has begun profus...
Hi,
I'm looking to provide further education to staff regarding CXR prior to HBOT. I could not find chest imaging recommendation directly addressed within Wound Reference. What data does Wound Refe...
As far as the Implantable Cardioverter Defibrillator (ICD) on the Use with Caution in a Monoplace Chamber Material List, the concern is the device withstanding pressure in the tank, per the list. Is ...
Hi! I have an incoming patient with an oncologist planning to start Liposomal-doxorubicin. The oncologist advised it is a distant little cousin to the usual Doxorubicin. It is much milder and the sid...
Hello,
I am looking for advice on treatment of a patient for STRN with history of CML (Chronic myelocytic leukemia) diagnosed about 4 year ago. He is currently being treated with Gleevac (imatinib m...
Can a patient go into the hyperbaric chamber safely with a Dexcom sensor pad left in place?
We have a new referral for hyperbaric treatments (necrosis of bone and soft radiation) with history of SCC of scalp with two large open wounds. One wound measures 15x13x0.3 cm with 5.3x5.5 cm of expo...
We have an HBOT candidate with a remote history of pneumothorax after central line placement (10 years ago) and subsequent pleurodesis. Would there be any issues or increased risk with treatment in a ...
11/10/21 by
Bill Khoury,
Have there been reports of hyperbaric oxygen therapy contributing to worsening pulmonary hypertension. I had a patient earlier this year that we were treating for Wagner grade 3 diabetic foot ulcer. ...
We have a patient on our list for hyperbaric treatments that has a Liva Nova annuloplasty (mitral) ring inserted in 2020 and a Atriclip LAA exclusion system also inserted in 2020. We plan on diving hi...
I was wondering how long you recommend a patient take a break from HBOT after an adverse reaction. For example, if they had an oxygen toxicity seizure, but no lasting effects, when would you resume tr...
I have a stubborn wound that I can't get to heal. Patient wih 30 year h/o lipodermatosclerosis now with penetrating osteoma cutis. Always probes to bone - I can't get it covered after trying 6 months....
Patient completed course of hyperbarics to heal ulcer in right foot. Patient was subsequently diagnosed with osteomyelitis in same foot and returned to be treated. Does the treatment number "1 of #" s...