Therapeutic indications

Taken from the document SIAARTISIMSI, ANCIP "Protocols for the use of hyperbaric oxygen therapy, 2006", edition 21.02.2007 (as modified by the update of November 2007).
In 2006, a joint committee, comprising representatives from scientific societies: Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI), The Italian Society of Underwater and Hyperbaric Medicine (SIMSI) and rated by: The National Association of Private Hyperbaric Centres (ANCIP), has revised its guidelines about the indications for hyperbaric oxygen therapy in the light of new research, and according to the rules of evidence-based medicine (EBM).

Therapeutic indications

The diseases that are officially recognized as treatable with therapy based on hyperbaric oxygen therapy are:

  • carbon monoxide poisoning
  • decompression accidents
  • arterial gas embolism (iatrogenic or baro-traumatic)
  • acute and chronic infections of the soft tissues due to various causes
  • clostridial gas gangrene
  • gangrene and skin ulcers in diabetic patients (diabetic foot)
  • crush injuries and compartmental syndrome
  • acute traumatic ischemia (compromised bone fractures)
  • chronic refractory osteomyelitis
  • compromised skin grafts and flaps
  • skin ulcers due to arterial insufficiency, venous and post-traumatic
  • post-actinic tissue lesions (radio lesions)
  • sudden hearing loss
  • aseptic bone necrosis
  • retinopathy pigmentosa
  • Ménière's disease
  • algodistrophic syndrome
  • gum diseases