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Topics   Replies Score Author Latest Post
fire safety/breathable gas 1 K. Lazaridis We use a Draeger Paat C Smoke Hood.  A while back there was an article on MedEd Online that discussed this issue.  One of their recommendations at that time was the Draeger hood.  These hoods should fulfill the NFPA requirement.  A couple of years ago the hoods were about $200 per hood plus a wall mount bracket ($40).  We've got 2 in our unit - one on each end by our fire extinguishers.  After purchasing these hoods, another dept in our hospital came over & loooked at them as they also needed a hood to meet safety requirements. Whatever hood you go with, make sure you do fire drills that require your staff don the hoods.  Feel free to contact me with any questions. Brian Pruss RRT/CHT 605-322-8610 brian.pruss@avera.org
by B. Pruss
Friday, January 17, 2014
Omni Pressure Relief Mattress 1 D. McElrath Morning Don, We purchased a standard Omni Pressure mattress for our wide gurney a couple of years ago.  Pt report for those that we were able to compare pre/post new mattress found it a lot more comfortable.  We do have fewer complaints about the mattress now than we did years ago.  We still have some with back problems that have issues, but I'm not sure any mattress would for them.  As far as reducing risk for pressure ulcers, the mattress should help, but I don't have any data to give you on that question. Downside - they're expensive. Our plan when we update our chamber in a couple of years will be to upgrade to the bariatric mattress.  I can't afford a $1300 mattress individually, but rolling it into a big purchase won't hurt as bad. Personal experience side note:  I've spent a nite on that mattress & seemed pretty comfortable (snowed in during a blizzard). Good luck. Brian Pruss RRT/CHT Avera McKennan Hyperbaric Medicine 605-322-8610
by B. Pruss
Friday, January 17, 2014
Tarlov cyst 0 J. Welko A patient came to the unit requesting to try HBO2 treatment for a Tarlov cyst (CSF cyst of the subarachnoid space of the spine) which has become symptomatic.  Has anyone treated or know of any patients who have been treated for this?
by J. Welko
Monday, November 25, 2013
HBOT post revascularization 0 M. Craig So Im having a hard time with the "rules" for using diagnosis code 440.23. If my patient goes for revascularization to help an arterial wound, how soon after the proceedure should he start HBO? AND, does his wound still need to be ischemic after the proceedure in order to qualify for HBO? Im getting mixed responses. Some say start HBO as soon as possible after revscularization and some say the wound must still be getting worse and ischemic after the revascularization in order for HBO to be an option.
by M. Craig
Wednesday, November 20, 2013
Encouraging patients to make their appts 1 E. Pinson I have found that if the patients do not have to wait very long to get into the chamber and the process is efficient when there are being treated, they are more likely to keep their appointments.  Continually reminding them that the benefits of HBOT are a cumulative effect and that they will not see as much improvement/benefit if they are not receiving regular treatment, can also help.Good luck
by R. Byrne
Friday, November 08, 2013
Osteo in pt with MS 0 D. Denham Has anyone had experience diving a pt with MS and osteo?  My concern would be "toxic effects" of the 2-2.4 ATA, based on work from others that this is too much oxygen.  (Not to be confused with seizure oxygen toxicity.)  Would the 1.5 ATA do anything for the osteo?  Would any insurer cover that?  Any comments would be greatly appreciated! 
by D. Denham
Wednesday, October 30, 2013
Sclerotic chronic Graft versus Host Disease 1 N. Norsworthy I have no literature to offer, but would suggest a TCOM with O2 challenge, and then a physician to physician contact with the insurance company.
by M. Casson
Wednesday, October 16, 2013
URGENT: Myeloma with Wegener's Granulmatosis 0 M. Rolph Hello! I was wondering if anyone has any experience of treating Myeloma with Wegener's Granulomatosis - or at least something akin to the latter - with HBOT? I am looking for supportive evidence of some sort, that may convince the Haematology consultant dealing with my father's case, to consider HBOT as a possible solution for the lesions he has across his hands, abdomen and his lower extremities.He can barely walk, as the lesions cause him considerable pain.Just to make you aware, none of the people at the hospital in the UK where he is being treated, have ever seen anything like it, apparently (just had his 3rd round of photographs take today, 6 weeks after diagnosis).I have done a fair bit of research, which seems to suggest that it could be beneficial. The consultant who is dealing with the case, has been very dismissive of the evidence I have presented (didn't even look at it - he is very busy though...!). His main concern is that elevated partial pressures of O2 may lead to an increase in the growth/spread of the Myeloma.Is he correct?I am not trying to cure the Myeloma, by the way! I am trying to find something that may accelerate the healing of the lesions, to improve my father's quality of life.  If anyone has any experience with this kind of thing, I would really appreciate your feedback. Many thanks in advance.
by M. Rolph
Monday, September 30, 2013
Implantaed Contact Lenses 0 E. Slisher We have a patient being evaluated for HBO who has had implanted contact lenses for last 30 years.  Has anyone had HBO patient with these lenses?  I appreciate any input :-) Thanks!  
by E. Slisher
Tuesday, August 20, 2013
Pneumothorax 0 D. Humphrey Is there a time frame that is considered safe to begin HBO after a pneumothorax?
by D. Humphrey
Monday, July 29, 2013
Humidification levels inside the chamber 6 S. Bourbonnais Oops.  Correction, the floor wax is conductive not nonconductive. 
by L. Cheesebrough-Pegg
Thursday, May 30, 2013
Radiation-induced haemorrhagic cystitis 1 Here's one I found: http://www.redjournal.org/article/S0360-3016(11)03760-6/abstract
by R. Byrne
Monday, May 20, 2013
ARNP/ PA in Hyperbarics 1 I am a midlevel clinician (NP) working in a hyperbaric clinic. We also have a PA working here as well.  We don't seem to have any issues billing for the 99183 code.  Do you have any specific questions?Rosemary
by R. Byrne
Monday, May 20, 2013
TCOM Reimbursement 0 L. Cheesebrough-Pegg I have a question regarding the performance of TCOM studies in your units. Our Local Coverage Determination (LCD):Noninvasive Vascular Testing (N.I.V.T.) states: ...must be performed by a physician who is competent in diagnostic vascularstudies or under the general supervision of physicians who have demonstrated minimum entry level competency by being credentialed in vascular technology, or...How do you interprete this requirement for reimbursement? Does the physician have to be a vascular doc or one who has minimum crediantals in vascular technology? Or, is a phsyician credentialed in any area of medicine (i.e. an internal medicine or emergency medicine doc) able to perform TCOMs and receive reimbursement? Cuarrently we only have on CHT at my unit and am wondering if this person should be performing all TCOMS.Thanks for responses.
by L. Cheesebrough-Pegg
Monday, May 20, 2013
TCOM Reimbursement 0 L. Cheesebrough-Pegg I have a question regarding the performance of TCOM studies in your units. Our Local Coverage Determination (LCD):Noninvasive Vascular Testing (N.I.V.T.) states: ...must be performed by a physician who is competent in diagnostic vascularstudies or under the general supervision of physicians who have demonstrated minimum entry level competency by being credentialed in vascular technology, or...How do you interprete this requirement for reimbursement? Does the physician have to be a vascular doc or one who has minimum crediantals in vascular technology? Or, is a phsyician credentialed in any area of medicine (i.e. an internal medicine or emergency medicine doc) able to perform TCOMs and receive reimbursement? Cuarrently we only have on CHT at my unit and am wondering if this person should be performing all TCOMS.Thanks for responses.
by L. Cheesebrough-Pegg
Monday, May 20, 2013
osteochondritis dessicans 0 K. Simmons A patient with osteochondritis dessican of the knee, still having avascular defect, even though has had lesion treated with pins and revascularization drilling of lesion.  Any one treated similar patient with HBO, or know of literature to support this treatment?
by K. Simmons
Friday, April 26, 2013
marx protocol 0 G. Karras 44 y/o female w history squamous cell carcinoma soft pallet. Received XRT about a year ago. Last month underwent tooth extraction of one of her molars. She received the Marx protocol...10 dives prior to the tooth extraction then 10 dives post. She has done well. She completed her last dive about 2 weeks ago. She calls now saying she may need a root canal on one of her other teeth.My question: does she need more HBO2 treatments post root canal and is there any data on how long into the future the effects of the Marx protocol will last in patients like this? Thank youGeorge Karras
by G. Karras
Wednesday, April 24, 2013
STRN of the head and neck HBO treatment 0 Question about returning patients for STRN prophylaxis. If the patient had undergone the Marx protocol in the past do they need to repeat the full 20 or 30 pre and 10 post or can they just do the 10 post treatments? If the 10 treatments is sufficient should they be pre or post extraction? Thanks for responses.
by
Monday, April 22, 2013
Cardiac Function 1 W. Palko-Schraa I agree with your cardiologist.  I have treated multiple patients with low ejection fractions.  As long as the patient does not show up with signs of heart failure i.e. SOB, chest pain, etc., I have not had a problem with these patients.  This is my personal experience.  I have not caused a patient to go into acute failure secondary to HBOT. Vince 
by V. Ferrini
Monday, March 25, 2013
Marx Protocol 1 J. Whitlark I can't say what the recommended time frame is for patients having extractions post last HBO treatment. If the oral surgeon and the hyperbaric physician are concerned about the down time and the patient has established ORN then the 30/10 protocol may be an option for you? Honestly, I can not offer much more info about this but I have sent your question to my medical director to see what she thinks.  http://www.ncbi.nlm.nih.gov/pubmed/10023268
by J. Cormier
Thursday, March 07, 2013
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Calendar

9/18/2014 » 9/21/2014
Medical Examiner of Divers

10/1/2014
UHMS: Online Wound Care Educational Series

10/1/2014
Hyperbaric Physician Certification