Hyperbaric Oxygen Therapy An Overview by Julie Taylor Table of contents Basic Information Technical Overview History of Hyperbaric Medicine and HBOT From Diving to Diagnosis Definition of HBOT Use and Acceptance of HBOT Clinical Case Studies Types of Hyperbaric Chambers, Unique Features and Applications Monoplace Chambers Multiplace Chambers Mild Chambers Alternate Designs Architecture and Construction Requirements Preparing for the Treatment Vitamins Nutritional Assessment Considerations for all Diabetic Patients Patient Education Benefits of HBOT Side Effects Claustrophobia/Confinement Anxiety Risks and Safety of HBOT Oxygen Toxicity Pulmonary Toxicity Hyperoxic Myopia Barotrauma Contraindications Relative Contraindications Safety Policies and Procedures Safety Precautions Fire Potential in HBO Chambers Treatment Indications A Intracranial Abscess Exceptional Blood Loss Anemia Acute Peripheral Arterial Insufficiency B Bone Damage Thermal Burns C Cosmetic Surgery D Decompression Sickness (DCS) Diabetic Wounds E Arterial Gas Embolism (AGE)/Intravascular Gas Embolism (IGE) G Gas Gangrene H HIV/AIDS HBOT and HIV Cost Effectiveness Treating Specific Conditions with HBOT Pulmonary Complications Neurologic Manifestations of HIV Dermatologic Manifestations Ocular Disorders Metabolic Disorders Liver Problems Psychological Issues Hyperbaric Oxygen Therapy Clinic and Peer Support Terminal Stages HBOT and Concurrent Pharmacological Therapies I Infections Progressive Necrotizing Infection (Meleney’s Ulcer) O Central Retinal Artery Occlusion (CRAO) Refractory Osteomyelitis P Acute Cyanide Poisoning Carbon Monoxide Poisoning and CO Poisoning Complicated by Cyanide Poisoning R Radiation Tissue Damage S Compromised Skin Grafts and Flaps T Tinnitus and Hearing Loss Applications for HBOT HBOT and Inflammation Response Inflammatory Reaction Systemic Inflammation HBOT and Cellular Changes HBOT Mechanisms of Action “Off-Label” Uses for HBOT Stroke History of HBOT as a Stroke Therapy Traumatic Brain Injury (TBI) Autism Autism and Gastrointestinal Inflammation Neurotransmitter abnormalities Dysbiosis Multiple Sclerosis Areas of Current Research Pediatric research Neurological research Wound Care research Surgical and Pharma-Therapeutics research Authorities in HBOT Leading Authorities in HBOT Thomas M. Bozzuto, D.O. Paul Harch, M.D. K. Jain, M.D. Eric P. Kindwall, M.D. Richard A. Neubauer, M.D. Other Notable Experts Education Physician Training for HBOT in the U.S. Diving Organizations Other aspects of HBOT HBOT in Celebrity Popular Culture HBOT in Science Fiction HBOT in Mainstream News HBOT in Sports Medicine HBOT in Politics Related Medical Conditions and Disease Indications for HBOT Use Regulatory Organizations American Society of Mechanical Engineers (ASME) National Fire Protection Association (NFPA) Food and Drug Administration (FDA) U. S. HBOT Centers High Pressure Processing for the Food Industry HBOT in the Cosmetic and Pharmaceutical Industries