Hyperbaric Oxygen Therapy (HBOT)
Please note: Hyperbaric Oxygen Therapy is not operated by NIIM Gold Coast, but is owned and operated by Gold Coast Hyperbaric Pain Management Clinic Pty Ltd, and housed within the NIIM Gold Coast centre
What is hyperbaric oxyen therapy
Hyperbaric oxygen therapy is treatment involving the breathing pure oxygen in a pressurised room or tube. In a hyperbaric oxygen therapy chamber, the air pressure is increased to three times higher than normal air pressure. Under these conditions, your lungs can gather more oxygen than would be possible breathing pure oxygen at normal air pressure.
WHEN IS HYPERBARIC OXYGEN THERAPY USED?
In Australia Medicare rebate is available for following medical conditions, delivered at medicare approved facilities such as hospitals:
- Air or gas embolism
- Carbon monoxide poisoning
- Carbon monoxide poisoning complicated by cyanide poisoning
- Clostridial myositis and myonecrosis (gas gangrene)
- Crush injury, compartment syndrome and other acute traumatic ischemias
- Decompression sickness
- Arterial insufficiencies ( Stroke,Embolism, Heart Attack, Blood Clot )
- Central retinal artery occlusion
- Delayed wound healing
- Severe anemia
- Intracranial abscess
- Necrotizing soft tissue infections
- Osteomyelitis (refractory)
- Delayed radiation injury (Soft tissue and bony necrosis)
- Compromised grafts and flaps
- Acute thermal burn injury
NON-Medicare covered conditions are classified as “off label” and is considered investigational for the following listed conditions
Other categories are constantly being added for experimental off label Hyperbaric Oxygen Therapy.
It is understood internationally that HBOT does not directly treat these conditions rather then targets the inflammatory processes that may lead to these conditions.
"Off Label" Internationally Accepted Conditions Are:
- Wound Care
- Post Stroke/ Heart attack recovery
- Cerebral Palsy / C.P.
- Closed Head Injury
- Reflex Sympathetic Dystrophy / R.S.D. / C.R.P.S
- Tic born diseases Disease
- Multiple Sclerosis / M.S.
- Traumatic Brain Injury / T.B.I.
- Post-Surgical Healing
- Diabetic Conditions
- Spinal injury and sports injury / Conditioning Therapy
- Migraine / Headaches
- Amputation Recovery
- Macular Degeneration
- Auto Immune Diseases
How does hyperbaric oxygen therapy work?
Under normal atmospheric conditions ( 1ATA), the air we breathe is composed of 21% oxygen and 79% nitrogen. During hyperbaric oxygen therapy, those conditions are altered. The barometric pressure can be increased up to three times normal atmospheric pressure( 2-3), while the air is changed to 100% oxygen for the patient to breathe.
The increased chamber pressure and the pure oxygen breathed by the patient combine , greatly increase the oxygen-carrying capacity of the patient’s blood. Essentially, the blood becomes supersaturated with oxygen and the supply of life-giving oxygen to the tissues increases significantly. This boost of oxygen stimulates and accelerates the body’s natural healing process.
At 2.0 ATA, the blood oxygen content is increased 2.5% and sufficient oxygen becomes dissolved in plasma to meet tissue needs in the absence of hemoglobin-bound oxygen, which occurs during injury, increasing tissue oxygen tensions 10-fold (1000%).
HBO is administered by placing the patient in a mono-place (one man) chamber and typically the vessels are pressurized to 1.3–2.0 ATA for periods between 60 and 120 minutes once or twice a day depending on type of injury. Most hospitals have multi-place hyperbaric units that can deliver ATA above 2ATA.
Different illnesses require different treatment pressures. The "one size fits all" just is not so in a hyperbaric chamber because there is a distinct drug-dose response by the patient. In a hospital HBOT chamber, gas gangrene is treated at 29 psig (3 ATA) of 100% oxygen. This provides the patient almost 16 times the partial pressure of oxygen of breathing room air at sea level. Diabetic ulcers respond to 19 psig (2.3 ATA) and heal quickly. Lyme disease and chronic fatigue syndrome patients need 2-2.3 ATA pressures to achieve a positive result. The inflatable chambers fail to deliver both the required treatment pressure and oxygen percentages for these health problems.The inflatable is pressurised to a mere 4 pounds per square inch (“psig.”) or 1.3 ATA ,by adding 4 psig air pressure, the oxygen density (partial pressure) jump from 20% to 26%. Most neurological conditions respond best to pressures between 1.3 to 1.7 ATA.
How do I get referred for treatment?
Patients are accepted either by physician referral or by self referral. A consultation is scheduled for patient evaluation using criteria established by the American College of Hyperbaric Medicine and the Undersea and Hyperbaric Medical Society. Our team works in concert with other clinicians caring for the patient so that the hyperbaric oxygen treatments are coordinated with other therapies. Throughout the course of treatment, regular progress reports are sent to the patient’s other physicians, documenting the patient’s progress.
Our chambers are only the safest on the market and equipped to not only meet, but exceed all safety standards in the field. Our chambers also allow us to treat each client individually, providing the most privacy and personalised therapy available. The chambers are also spacious and provide enough room for the patient and any caretakers to comfortably relax during the therapy session.
We provide each patient with several in-chamber options including:
- Daily fresh 100% Hyperbaric approved scrubs
- Library of movies for entertainment
- Chambers equipped for music play