HYPERBARIC OXYGEN THERAPY: Applications in the Trauma Patient

Abstract

The use of hyperbaric oxygen (HBO) for acute and postacute traumatic syndromes has not been clearly codified as a separate therapeutic category by the Hyperbaric Oxygen Committee of the Undersea and Hyperbaric Medical Society (UHMS) in the listing of approved uses; however, a standardized approach in this area can greatly benefit HBO because it is important to stratify patients in various categories that must be treated with HBO, those who might benefit, or those in which HBO is not useful. Another effect of such an analysis is to evaluate timing of HBO therapy in the sequential approach to trauma, that is, when HBO is of maximum benefit to the victim. A final benefit for the organized hyperbaric medical unit is to elevate its effectiveness and to become integrated within the institution where it is located to achieve appropriate visibility and to provide services in full support to other surgical, emergency, and critical care groups.