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Northern Nevada Hyperbarics, Inc. Serving the Community for over 10 Years ,[object Object],[object Object]
What is HBOT? ,[object Object],[object Object]
Some Basics ,[object Object],[object Object],[object Object],[object Object]
Our State-of-the-Art Facility
5 Sechrist Monoplace Chambers Safe & Secure Oxygen Farm
Courteous & Professional Staff Janet Albright, MD, FACS  Medical Director  Richard Flyer, MS Clinic Director And Staff of Certified Hyperbaric Technologists
Clinical Hyperbaric Oxygen Therapy Clinical HyperbaricOxygen 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]
Cumulative Effects
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 w/ Recalcitrant Osteomyelitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],78 Y.O Male/ 2 Wks Resection Bone / Continued Drainage
Problem Wound w/ Skin Graft Failure ,[object Object],After 25 Tx---5  Weeks---beefy, red,  healthy granulation  tissue Split thickness  graft placed--- 100% take 58 Y.O. Female / Diabetic / 6mo. Non-healing / 1 Failed Graft
Tissue Necrosis in Diabetic Foot ,[object Object],[object Object],Required incision,  drainage, and debridement  After 20 Tx---3 Week After 30 Tx---4 Week 69 Y.O. Diabetic Female / with Exposed Tendon
Non-Healing Post Amputation Initial Visit After 10 Tx After 16 Tx After 34 Tx 46 Year-Old Diabetic Male
Achilles Tendon Repair Site After 10 tx’s After 25 tx’s
Problem Wound Non-healing suture line  3 months post Healing after 25 HBO TX Medial View Non Healing Transmetatarsal Amputation
Left Mandibular Osteoradionecrosis Initial Visit - Bone Exposed Tx 12 - 2 Weeks Tx 25 - 5 Weeks Tx 39 - 8 Weeks New skin over bone 45 Y.O. Male / Radical Neck Dissection / Radiation / Exposed Bone
Radiation Soft Tissue Necrosis After 8 Tx—2 Weeks After 36 Tx---7 Weeks After 18 Tx---4 Weeks 52 Year-Old Male w/ Post-Radical Neck Reconstruction Wound Dehiscence & Flap Compromise
Radiation Necrosis w/ Incision Dehiscence 12 TX 21 TX 36 TX Three weeks post tx 51 Year-Old Female w/ Neck Dissection
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 20x HBOTs 10 Days After Spilt Thickness Graft
Crush Injury ,[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. Avulsion of the Palmar Skin
Traumatic Ischemia of a Replanted Leg ,[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. 4 Year-Old Mid-Calf Amputation from Lawnmower
Healing Compromised Flap of Tibia Fracture ,[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 54 Year-Old Male w/ Tibia Fracture and Internal Fixation
Failed Flap - Left Dorsal Foot Tx 1 Tx 30---5 Weeks Tx 18---3 Weeks Tx 12---2 Weeks Follow-Up 3 Weeks Final Follow-Up 50 Year-Old Female w/ Degloving Accident
Healing Burns A C B D A) 12 hrs after injury B) 24 hrs & 2x HBOTs C) 24 hrs & 2x HBOTs D) Shortly before discharge 23 YO Female w/ Facial Burns From Flaming Gasoline
Failed Flap – Right Knee Tx 9—Two Weeks Tx 16---3 Weeks Initial Visit 62 Y.O. Female w/ Failed Flap Post Total Knee eplacement
Lip Reimplantation Re-attached wound looked ischemic and swollen. Patient started hyperbarics and antibiotics. After 10Tx Follow-up: Happy Smile 10 Year-Old Female w/ Full Thickness Lesion From a Dog Bite
Side Effects of HBOT ,[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],[object Object],[object Object]

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Northern Nevada Hyperbarics Presentation

  • 1.
  • 2.
  • 3.
  • 5. 5 Sechrist Monoplace Chambers Safe & Secure Oxygen Farm
  • 6. Courteous & Professional Staff Janet Albright, MD, FACS Medical Director Richard Flyer, MS Clinic Director And Staff of Certified Hyperbaric Technologists
  • 7.
  • 8.
  • 9.
  • 11. 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
  • 12. Vascular Density Increase No HBO Start HBO 18 Tx 24 Tx
  • 13.
  • 14.
  • 15.
  • 16. Non-Healing Post Amputation Initial Visit After 10 Tx After 16 Tx After 34 Tx 46 Year-Old Diabetic Male
  • 17. Achilles Tendon Repair Site After 10 tx’s After 25 tx’s
  • 18. Problem Wound Non-healing suture line 3 months post Healing after 25 HBO TX Medial View Non Healing Transmetatarsal Amputation
  • 19. Left Mandibular Osteoradionecrosis Initial Visit - Bone Exposed Tx 12 - 2 Weeks Tx 25 - 5 Weeks Tx 39 - 8 Weeks New skin over bone 45 Y.O. Male / Radical Neck Dissection / Radiation / Exposed Bone
  • 20. Radiation Soft Tissue Necrosis After 8 Tx—2 Weeks After 36 Tx---7 Weeks After 18 Tx---4 Weeks 52 Year-Old Male w/ Post-Radical Neck Reconstruction Wound Dehiscence & Flap Compromise
  • 21. Radiation Necrosis w/ Incision Dehiscence 12 TX 21 TX 36 TX Three weeks post tx 51 Year-Old Female w/ Neck Dissection
  • 22. 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
  • 23. Graft Placement Post-Radiation Necrosis 2 Months Post-Surgery After 20x HBOTs 10 Days After Spilt Thickness Graft
  • 24.
  • 25.
  • 26.
  • 27. Failed Flap - Left Dorsal Foot Tx 1 Tx 30---5 Weeks Tx 18---3 Weeks Tx 12---2 Weeks Follow-Up 3 Weeks Final Follow-Up 50 Year-Old Female w/ Degloving Accident
  • 28. Healing Burns A C B D A) 12 hrs after injury B) 24 hrs & 2x HBOTs C) 24 hrs & 2x HBOTs D) Shortly before discharge 23 YO Female w/ Facial Burns From Flaming Gasoline
  • 29. Failed Flap – Right Knee Tx 9—Two Weeks Tx 16---3 Weeks Initial Visit 62 Y.O. Female w/ Failed Flap Post Total Knee eplacement
  • 30. Lip Reimplantation Re-attached wound looked ischemic and swollen. Patient started hyperbarics and antibiotics. After 10Tx Follow-up: Happy Smile 10 Year-Old Female w/ Full Thickness Lesion From a Dog Bite
  • 31.
  • 32.
  • 33.
  • 34.