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Hyperbaric Oxygen Therapy – Facilities
Apollo Hospital, Delhi is the only centre in Northern India with multi-speciality support under one roof. We have a Multiplace oxygen chamber for Hyperbaric Oxygen, where we can treat 4-5 patients simultaneously. These patients are accompanied by trained staff to ensure patient comfort and compliance. Patients with Tracheostomy tubes, Catheters, IV Lines can be treated safely.
Our Advanced Wound Care Centre is one of the few centres offering a Thermal camera which is useful in predicting wound healing We also do Transcutaneous oxygen monitoring, which guides us about the healing potential of an area of skin and the need for hyperbaric oxygen therapy.
The only facility in Northern India offering multi-specialty support under one roof is Indraprastha Apollo Hospital in Delhi. We have a multi-patient oxygen room where we can providehyperbaric oxygen therapy to four to five patients at once. To guarantee patient comfort and compliance, these patients are accompanied by professional staff. Safe treatment is possible for patients who have IV lines, catheters, or tracheostomy tubes. Purified oxygen is breathed in a pressured environment during hyperbaric oxygen therapy. Air pressure in ahyperbaric oxygen therapy chamber is two to three times higher than the surrounding air pressure. Lungs can absorb a lot more oxygen in these circumstances than they could compared to inhaling pure oxygen at standard air pressure. Serious, infections air bubbles in blood vessels, and wounds that might not heal due to diabetes or radiation exposure are among conditions that can be treated with hyperbaric oxygen therapy. The increased oxygen that your blood delivers throughout your body aids in the battle against infection and triggers the release of growth factors and stem cells, which aid in the healing process. Blood’s capacity to carry oxygen rises during hyperbaric oxygen therapy. The brief extra high oxygen levels stimulate normal tissue oxygen levels even after the therapy is finished with regular planned treatments. The use of hyperbaric oxygen therapy is typically risk-free, but rare complications do occur.
Risks that may exist include:
Temporary myopia (nearsightedness) brought on by transient alterations in the eye’s lens Middle ear damage brought on by changes in air pressure, such as fluid leakage and eardrum rupture Seizures brought on by a central nervous system that is too oxygenated (oxygen toxicity). Lung collapse brought on by variations in air pressure (barotrauma) Due to the oxygen-rich environment of the treatment chamber, fire can occur under certain conditions. Reduced blood sugar levels in those with diabetes receiving insulin treatment We also perform transcutaneous oxygen monitoring, which informs us about the ability of a skin area to heal and whether hyperbaric oxygen therapy is necessary. Our Advanced Wound Care Centre is one of the few facilities that offers a Thermal camera, which is beneficial in predicting wound healing.
Advanced Wound Care
At Indraprastha Apollo Hospital’s Advanced Wound Care Centre, we are committed to treating chronic wounds through a multidisciplinary approach including Hyperbaric Oxygen treatment.
Any wound not healing adequately with standard wound care in 30 days is in need of Advanced wound care services. Treatment of these wounds can be challenging.
Advanced wound care combines state of the art techniques with principles of moist wound healing and achieves faster healing with better cosmetic outcomes
Diabetes-related lower-extremity amputations are largely preventable. Eighty-five percent of amputations are preceded by a foot ulcer. Effective management of diabetic foot ulcers, which leads to healing, can prevent limb loss.
Our centre helps in diagnosing the underlying cause of the non-healing ulcers and manages it in a multi-pronged manner to achieve faster healing with less pain
A variety of wounds can be managed at our Centre, including:
- Bed sores (Pressure ulcers)
- Diabetic foot ulcers/diabetic wounds
- Venous ulcers / Varicose ulcers
- Arterial ulcers
- Gangrene
- Non-healing surgical wounds
- Complex burns
- Radiation ulcers
- Autoimmune ulcers
Wound Care Services
Many services are offered for the management of chronic wounds. These services include:
- Wound evaluation and monitoring using advanced modalities such as sequential Thermal Imaging, transcutaneous measurement of partial pressure of oxygen, ankle brachial pressure index measurement, etc
- Wound treatment, including cleaning and bandages
- Mechanical, sharp and enzymatic debridement of non-healing wounds
- Advanced wound dressing selection such as alginates, hydrofiber, collagen dressings, etc
- Pressure treatments, including compression wraps and negative pressure wound therapy (Wound vac)
- Hyperbaric Oxygen Therapy (in selected cases)
- Comprehensive foot examination which includes biothesiometry for vibration perception testing, cold perception test, monofilament test, static and dynamic foot pressure and ankle brachial pressure index
- Medications
- Moisture treatments with hydrogels and tissue builders
- Biological dressings /Skin substitutes
- Coordination of advanced surgical or medical care if indicated
Get an Appointment
If you have any questions, please call the Apollo Wound Care Centre at 011-71792029. Our knowledgeable staff will guide you on the best way to set up an appointment. Many patients who have been advised amputation for gangrene or diabetic foot ulcer have benefitted from our services and their limbs have been salvaged. Our doctors are always available for a second opinion if amputation has been advised.
Hyperbaric Oxygen Therapy – FAQs
01
What is hyperbaric oxygen therapy?
Hyperbaric Oxygen Therapy is a form of medical treatment in which the patient breathes 100% Oxygen at a pressure greater than the atmospheric pressure .The term is self-explanatory , the Hyper denoting High pressure ( higher than the normal atmospheric pressure ) Oxygen Therapy . Treatment is given in “treatment chambers” which can deliver oxygen concentrations to tissues at levels higher than any existing Oxygen delivery methods.
02
What does hyperbaric oxygen treatment do?
During Hyperbaric Oxygen Therapy, due to higher pressure the oxygen dissolves more in the liquid part of blood (plasma) and its level increases 10-20 times of normal level. This floods the tissues with oxygen, revitalizing their cells and enhancing the body’s natural healing process. This oxygen reaches all areas of the body – including those places also where it was not reaching earlier due to inadequate blood supply or less haemoglobin.
03
How does hyperbaric oxygen therapy help?
Normally blood carries 19 ml of O2 in combination with Hb and 0.3 ml dissolved in plasma. If inspired O2 concentration is increased to 100 % , O2 combined with Hb increases to a maximum of 20 ml when the Hb is 100% Saturated and the amount of O2 dissolved in plasma increases fivefold to 1.5 ml. During HBO in addition to the Hb which is 100% saturated the amount of O2 carried in solution will increase to 4.3 ml % at a pressure of 2 ATA ** to 6 ml %. at 3** ATA is the unit of Pressure and 1 ATA is equal to 760 mm of Mercury or pressure at sea level.
04
What does hyperbaric oxygen treatment do?
During Hyperbaric Oxygen Therapy, due to higher pressure the oxygen dissolves more in the liquid part of blood (plasma) and its level increases 10-20 times of normal level. This floods the tissues with oxygen, revitalizing their cells and enhancing the body’s natural healing process. This oxygen reaches all areas of the body – including those places also where it was not reaching earlier due to inadequate blood supply or less haemoglobin.
05
What are the side effects of hyperbaric oxygen therapy?
When used in standard protocols hyperbaric oxygen therapy is safe. Commonest side effect may be slight discomfort or pain in the ears (aural barotrauma) if the ears are not able to equalize pressure.
06
What does hyperbaric oxygen treatment do?
During Hyperbaric Oxygen Therapy, due to higher pressure the oxygen dissolves more in the liquid part of blood (plasma) and its level increases 10-20 times of normal level. This floods the tissues with oxygen, revitalizing their cells and enhancing the body’s natural healing process. This oxygen reaches all areas of the body – including those places also where it was not reaching earlier due to inadequate blood supply or less haemoglobin.
07
Is hyperbaric oxygen therapy good for you?
Hyperbaric oxygen therapy enhances the healing and improves the quality of life of the patients in many well-defined areas.
08
Can you do hyperbaric oxygen therapy at home?
Hyperbaric oxygen therapy requires a hyperbaric chamber with strict safety protocols and treatment monitored by a doctor trained in hyperbaric medicine. So, the treatment cannot be done at home.
09
What is the most common complication of hyperbaric oxygen therapy?
Commonest side effect is slight discomfort or pain in the ears (aural barotrauma) if the ears are not able to equalize pressure.
10
Does using oxygen make your lungs weaker?
No, hyperbaric oxygen therapy does not make the lungs weaker.
11
What is the success rate of hyperbaric oxygen therapy?
Hyperbaric oxygen therapy is safe when given under controlled conditions with following strict protocols and the success rate of therapy will depend patient to patient based on multiple factors such as indication for treatment, patient’s age, any other medical problems, etc.
12
How many treatments are needed?
A patient’s clinical response and other factors often dictate the number of treatments required. Emergency cases, such as carbon monoxide poisoning, arterial gas embolism or decompression sickness, may only require one or two treatments. Non-healing wounds may call for as many as 20 to 30 treatments.
13
Are any tests needed before my treatments?
A doctor trained in hyperbaric medicine will examine you before your treatments begin. You may need to have a few tests to make sure it is safe to expose you to oxygen under pressure. These tests include:Check of ears for ability to equalize pressure Check of lungs i.e. chest x-ray and / or pulmonary function tests Blood tests An eye examination (if you will be receiving a long series of treatments. Any other tests depending on your general state of health e.g. ECG. How do I prepare for my treatment?
Do’s and Don’ts during treatment
DO’S
Bring a book or reading material with you.
Plan on spending 2 hours at the Department .
Let us know
If you have flu , ear nasal or chest congestion,
Develop nausea , vomiting or diarrhoeas
Are pregnant
What medicines you are on .
If you are a diabetic
Any history of head injury or seizures
Any history of lung disease, asthma etc.
DONTS
Don’t drink alcohol for 8 hours before HBO2
DON’T SMOKE while having HBO2 therapy.
Don’t use alcohol and petroleum based skin products
Don’t wear clothes other than cotton
Don’t start / stop any medications without informing us.
Do not carry watch, dentures, hearing aid ,electronic items, jewellery ,contact lens ,Cigarettes, lighters, or matches into treatment area .
You Need To Know This About Smoking….
The purpose of HBOT is to deliver high doses of oxygen to your body through your blood. Smoking inhibits this oxygen delivery in the following ways. We strongly advise you to stop smoking during the entire period of hyperbaric therapy, continuing to smoke during your treatment period will make your therapy less effective. The smoke inhibits oxygen uptake in the Lungs. Most important, the nicotine in cigarettes narrows the diameter of the blood vessels. This greatly reduces the amount of blood that can reach your tissues. Smoking increases lung congestion and risk of complications. Smoking decreases the amount of oxygen that your blood carries. Do not smoke while receiving hyperbaric oxygen treatment. Smoking is not permitted in the Hyperbaric Unit.
14
What about my medications?
There is no need to disrupt your medication routine because of HBOT treatments. Bring your medications with you when you come. If you have to have shots or IV medications our nursing staff can help you.
15
How is HBOT administrated?
Hyperbaric Oxygen Therapy is given in a cabin which is pressurized with compressed air. At a certain controlled pressure patients breathe 100% oxygen through a mask, hood or endotracheal tube. 4-6 patients can be treated at the same time.A staff nurse is present at all the times with patients inside the chamber while the treatment is monitored from a Control Panel outside the chamber.
16
How long is a hyperbaric treatment?
Except for decompression sickness and arterial gas embolism, the typical treatments are approximately one and half hours long. Patients are generally treated once a day, but sometimes may require therapy twice a day.The hyperbaric doctor will determine your treatment schedule. Normal treatment days are Monday through Saturday, excluding holidays.You must be on time for your session since any delays affect the treatment of all patients. A late arrival may result in the cancellation of your treatment. If you are unable to attend your session because of an urgent problem, please call us.
17
How does a hyperbaric treatment feel like?
The treatment is painless. At the beginning and end of your treatment, you may notice a feeling of fullness in your ears. This is much like the feeling when flying in an airplane or diving underwater. As your eardrums respond to the changing pressure, you may hear popping or crackling noises. The Paramedic / Nurse will teach you how to relieve this sensation by clearing your ears.Consent We cannot legally treat you without your written consent. You will be asked to sign a form consenting to treatments and photographs (of wounds).Following are the steps to the treatmentThe staff will assist you in entering the treatment chamber. You will be positioned at your seat. Now we are ready to pressurize the chamber, this is when you need to clear your ears. Compression takes about 10-15 minutes and you will have to clear your ears several times during this phase. Notify the inside attendant at the first sign of discomfort in your ears or sinuses so we can stop compression and help you. The Technician / Doctor will adjust the rate of compression to reduce the fullness in your ears. You will notice the air gets warm during compression. When our treatment pressure is attained, we will vent out the warm air and ventilate with fresh air for the whole time of the treatment. The chamber has an air conditioning system. Treatment normally ends after about 90 minutes. The inside observer will place your Oxygen mask / hood on and set the oxygen flow and exhaust dump hose to the proper settings. Hoods, neck rings and console panel are the responsibility of the inside observer and should not be operated by the patient. Neck rings must remain on until the end of the treatment. The staff will assist you in removing the neck rings. After your treatment is finished we slowly decompress the chamber. This takes another 10 – 15 minutes. Don’t try to clear your ears during the decompression phase. Your ears will clear automatically.
18
What are the methods of equalizing pressure in our Middle Ear?
You may feel pain in your ears during pressurisationThe Valsalva ManoeuvreHold your nose closed and close your mouth. Lift the back of your tongue toward the roof of your mouth. Attempt to blow through your nose (short and sharp) while holding it shut. Other MethodsYou can try to yawn; swallow or drink sips of water. You will have to repeat this procedure several times during the pressurization phase of treatment If you have difficulty with your ears, notify an inside attendant immediately. Don’t wait until it hurts.
19
How much does hyperbaric oxygen therapy cost in Delhi?
Analysis have shown that the addition of Hyperbaric Oxygen to conventional treatment results in significant cost savings due to lesser stay in hospital and shorter course of illness. The unit cost of treatment at Apollo hospital is the cost per patient per therapy in a sitting position. Each therapy lasts for 60 – 90 minutes. Patients who are in a lying position, have multi system ailments and are treated as emergency cases are charged additional amounts. Chronic conditions such as non-healing wounds and radiation wounds have to receive a large number of therapies and are offered discounts.
20
Do I need to be admitted for treatment?
Most Indications do not need admission to hospital. However, you may need admission for some procedures and if required by Insurance Company.
21
What does a diabetic foot ulcer look like?
Diabetic foot ulcers are usually located on the sole of the foot or tip of toes. They are usually round with a red crater and make have thickened skin in wound edges.
22
Is diabetic foot ulcer serious?
Patients with diabetes commonly have damage to their nerves and poor blood supply which impairs wound healing. A diabetic foot ulcer, if not treated adequately may even lead to amputation.
23
How long does it take for a diabetic foot ulcer to heal?
Most of the diabetic foot ulcers, when treated by a trained healthcare professional following standards of care protocols, such as offloading and advanced dressings, should heal in 6-12 weeks.
24
How do you treat bed sores?
Bedsores are caused by a combination of pressure and friction on the affected part. So, removing pressure from the area, and protecting the ulcer with a dressing will help in healing.
25
Can bedsores be treated at home?
Depending on the depth and stage of the wound, most of the bedsores can be safely treated at home using standard wound care protocols.
26
What does a varicose ulcer look like?
Venous ulcers are usually located on the lower part of legs and are irregular in shape, shallow and with a red base.
27
Can varicose ulcer be cured?
Venous leg ulcers should heal in 8-12 weeks when treated with graduated compression therapy by a trained healthcare professional.
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