Hyperbaric Medicine & Podiatry

[sguiliana]

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Anyone have any experiance with hyperbaric oxygen therapy for diabetic wound care? Was wondering how lucrative this field would be for a D.P.M.

 

[G0dFather]

great idea but it would cost n arm and a leg to obtian a machine.... i heard the whole NFL has only one

 

[mildoc2016]

Umm most hospitals share a chamber if there is one in there ares, and the people that run it are techs and mds specifically trained for this therapy, in most cases a dpm will prescribe or refer to the hyperbaric unit,

 

[gustydoc]

At Detroit Medical Center we use hyperbaric for many of our patients who are having difficulty healing or who aren't good candidates for a revascularization procedure. The hospital owns the machine, but many private foot docs send pts to the hospital for treatments.

 

[sguiliana]

just wondering. I have my CHT and would want to pursue it in the future

 

[sguiliana]

great idea but it would cost n arm and a leg to obtian a machine.... i heard the whole NFL has only one

yeah. about 50-60K per monoplace chamber 😱

 

[j0ez0r]

At Detroit Medical Center we use hyperbaric for many of our patients who are having difficulty healing or who aren't good candidates for a revascularization procedure. The hospital owns the machine, but many private foot docs send pts to the hospital for treatments.

at what point do you do this compared to something like a woundvac?

 

[sguiliana]

at what point do you do this compared to something like a woundvac?

Hyperbarics, in general, is still in its infancy. Not many physicians, podiatrists in specific, utilize these treatments. Unlike woundvac, Hyperbarics supersaturates the blood with oxygen, promoting wounds to heal much faster than normal. Woundvac uses the principal of pressure, but the overall oxygen componant is missing.

 

[G0dFather]

very interesting

 

[feets22]

great idea but it would cost n arm and a leg to obtian a machine.... i heard the whole NFL has only one

Our cardiovascular phys professor informed us that the NFL players using these things are actually doing more harm than good. Too much oxygen in the blood is not a good thing in healthy tissue and is considered poisonous.

 

[sguiliana]

Our cardiovascular phys professor informed us that the NFL players using these things are actually doing more harm than good. Too much oxygen in the blood is not a good thing in healthy tissue and is considered poisonous.

This is true. Oxygen toxicity could possibly induce seizures. Perhaps the boneheads should'nt dive 20 times a day. That would solve their problem 😛

 

[gustydoc]

at what point do you do this compared to something like a woundvac?

The key difference is that in order for a patient to be a good candidate for a wound vac they should have adequate blood flow to the wound and no active infection. The same is not true for hyperbaric treatments. Also you never put a wound vac on a infected wound. One of the theories about hyperbaric treatments is that they may be useful in infected pedal wounds due to the high oxygen levels effect on bacteria.