Wounds need oxygen to heal naturally and hyperbaric oxygen therapy has been successfully used as complementary therapy for wound healing.
Wounds need oxygen to heal naturally and hyperbaric oxygen therapy has been successfully used as complementary therapy for wound healing. Considering the increasing research into the benefits of HBOT for various types of wounds, oxygen therapy can be considered an important part in the medical strategy to speed up the healing and recovery process.
Healing and closing a burn wound is the principal concern for a therapist dealing with patients with burn injuries. The primary effect of thermal burns is the destruction of skin and impairment of musculo skeletal capacities, depending on the severity of the burn. The positive effects of Hyperbaric Oxygen Therapy are documented to:
Wounds and burns are injured sites that require continuous management to achieve healing with a minimum of scarring. Used as complementary treatment, Hyperbaric Oxygen Therapy can help decrease mortality and reduce the need for surgery for mild to severely burned patients.
Hyperbaric Oxygen Therapy is very effective in the treatment of embolism, carbon monoxide poisoning, crush injuries with acute traumatic ischemia, bacterial infiltration of necrotic wounds and complementary issues that affect skin, tissues and bone.
Hyperbaric oxygen therapy stimulates the oxygenation of tissues and enhances the reach of oxygen peripheral to ischemic wounds in order to activate angiogenesis and wound healing.
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A wound is a disturbance in the continuity of intact tissue structures, mostly associated with loss of substance. The damage may be the result of mechanical, thermal, physical, surgical, or chemical influences. An ulcer is a local defect, or excavation of the surface of an organ or tissue, which is produced by sloughing of inflammatory necrotic tissue. The cutaneous wound is described as an ulcer if there is focal loss of dermis and epidermis.
Hyperbaric oxygen (HBO) promotes wound healing by counteracting tissue hypoxia and is a valuable adjunct in the management of ischemic, infected, and non-healing wounds. Important applications include ulcers in diabetic foot. In plastic surgery, hyperbaric treatment for wounds improves the survival of skin grafts and flaps.
The use of supplemental oxygen in wound care therapy is recommended for all patients considered to be at high risk of infection who are either undergoing or recovering from surgery.Step inside our hyperbaric chambers
A shortage of blood oxygenation can lead to slow healing of wounds. Hyperbaric oxygen therapy requires exposing the body to pure oxygen inside a specialized chamber at a pressure greater than normal facilitate the absorption of oxygen into our blood stream.
The procedure helps people experience a breath of fresh air in treating wounds that take a long time to heal, including non-healing wounds.
There are certain wounds that fail to heal within a reasonable time-frame, such as diabetic foot ulcers or other vascular insufficiency ulcers. Hyperbaric oxygen therapy can address many of the factors that lead to wound recovery using effective mechanisms of action, such as improving angiogenesis, the physiological process that helps form new blood vessels from pre-existing vessels.
Considering that the enhancement of fibroblast proliferation and collagen biosynthesis are dependent on oxygen, treatment inside the hyperbaric chamber for wounds has proved to be very successful in stimulating neovascularization (or angiogenesis), including other growth factors involved in the wound healing process, such as the vascular endothelial growth factor.
Wound healing is a complex process with a multifactorial aetiology, yet it’s often typical that wounds are hypoxic, the region of the body is deprived of adequate oxygen supply at tissue level. Lower extremity ulcers such as the diabetic foot can be considered non-healing wounds for the recovery of which hyperbaric medicine plays a vital role.
In the case of traumatic wounds, studies indicate that hyperbaric oxygen therapy is recommended following immediate surgical intervention with debridement and soft tissues repair and bone stabilization where applicable. A number of sessions inside the hyperbaric chamber for wound care can prevent the expanse of ischaemic necrosis, reduce edema, control infection and facilitate healing.
Skin grafts are thin layers of skin transplanted by surgeons to cover extensive wounding or trauma to improve the function and appearance of a certain area of the body. In most cases, skin grafts and flaps are well accepted by the body and heal naturally. There are certain factors that compromise graft and flaps, mainly hypoxia and damaged circulation.
In conjunction with traditional wound healing techniques such as the medical removal of damaged tissue or antibiotic management, oxygen therapy for wound healing can prove very effective.
One of the principal benefits of hyperbaric oxygen therapy for wounds is improving oxygenation to affected areas in order to improve fibroblast and collagen synthesis to sustain angiogenesis and enhance the function of white blood cells. An improvement in microcirculation is the direct effect of a higher oxygen intake which also leads to reduced edema or reperfusion injury.
Regardless of etiology, a common denominator of non-healing wounds is tissue hypoxia. Traditional surgical procedures have not solved the problem of non-healing wounds and wound doctors need to develop medical strategies that address all factors and wound care procedures.
High pressures are needed to oxygenate the hypoxic center of chronic non-healing wounds. Intermittent correction of hypoxia using oxygen treatment for wounds increases fibroblast replication and collagen production.
An wound specialist will tell can confirm that raising the wound oxygen tension increases the capability of the leukocytes to kill pathogenic bacteria. The increased oxygen supply meets the increased oxygen needs of the healing wound. Oxygen administered at 1–2 ATA promotes the rate of epithelialization in ischemic wounds. The essential effect of oxygen supplementation is angiogenesis which contributes to increased cellular proliferation, making hyperbaric wound care essential as auxiliary therapy to repair tissue damage.