Indications and Contraindications for Hyperbaric Oxygen Therapy

FDA Approved Indications for Hyperbaric Oxygen Therapy

  • Exceptional blood loss/anaemia
  • CO and cyanide poisoning
  • Decompression sickness
  • Gas embolism
  • Gas gangrene
  • Intracranial abscess
  • Ischaemia-reperfusion injuries
  • Non-healing wounds, e.g., gangrene, diabetic/pressure ulcer
  • Osteomyelitis
  • Selected aerobic and anaerobic infections
  • Skin grafts
  • Thermal burns

'Off-Label' Indications

  • AIDS
  • Acute and chronic anaemia
  • Acute and chronic arterial insufficiency
  • Acute acoustic trauma
  • ALS (Lou Gehrig’s disease)
  • Alzheimer’s disease
  • Autism spectrum disorders
  • Bacterial infections
  • Near drowning
  • Near hanging
  • Cancer
  • Cerebral oedema
  • Cerebral palsy
  • Chemical poisoning (e.g., pesticides)
  • Cluster headaches
  • Colitis
  • Coma
  • Compartment syndrome
  • Complex regional pain syndrome (CRPS; Sudeck’s disease)
  • Crohn’s disease
  • Diabetes
  • Demyelinating neuropathies
  • Fibromyalgia
  • Fractures
  • Guillain-Barre syndrome
  • Headaches
  • Heart attack, myocardial ischaemia
  • Hypoxic birth injuries
  • Iliosacral syndrome
  • Inflammatory arthritis
  • Lupus
  • Lyme disease
  • Macular degeneration
  • Migraines
  • Multiple sclerosis
  • Mycoplasma infections
  • Neurovascular compression
  • Osteoporosis
  • Parkinson’s disease
  • Peptic and duodenal ulcers
  • Peripheral nerve injuries
  • Peripheral vascular disorders
  • Postoperative instability
  • Postoperative soft tissue infections
  • Post-stroke / stroke
  • Reflex sympathetic dystrophy (RSD)
  • Rehabilitative care
  • Retinitis pigmentosa
  • Rheumatoid arthritis
  • Scleroderma
  • Silicone-induced diseases
  • Spinal cord injuries
  • Spider bites
  • Sports injuries
  • Sudden deafness
  • Surgical healing, reconstruction/cosmetic surgery
  • Thoracic outlet syndrome (TOS)
  • Traumatic brain injuries
  • Veterinary care
  • Support for cardiac surgery and rehabilitation

Contraindications and Risks

Absolute Contraindications

  • Untreated pneumothorax
  • Relative Contraindications
  • Current upper respiratory tract infections, chronic sinusitis or sinus problems

Pregnancy

  • Severe emphysema, CO2 retention, COPD or breathing problems
  • Risks

Claustrophobia and anxiety in confined spaces

  • Fatigue
  • Ear drum complaints / rupture, sinus pain
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