OSTEOMYELITIS (REFRACTORY) Refractory osteomyelitis is chronic osteomyelitis that has persisted or recurred after appropriate interventions have been performed or where acute osteomyelitis has not responded to accepted management techniques. HBO2 adjunctive therapy, aggressive surgical debridement, parenteral antibiotics (or equivalent) and nutritional support improve patient outcomes. HBO2 should be initiated immediately following surgical debridement of infected bone. RATIONALE: HBO2 promotes angiogenesis, increased leukocyte killing, aminoglycoside transport across bacterial cell walls, and osteoclast activity in removing necrotic bone. When used according to guidelines, HBO2 is clinically efficacious and cost effective. Source: Hyperbaric Oxygen Therapy: A Committee Report. Undersea and Hyperbaric Medical Society. 1996 Revision. Approved Indications Air or Gas Embolism Carbon Monoxide Poisoning and Smoke Inhalation Carbon Monoxide Poisoning Complicated by Cyanide Poisoning Clostridial Myonecrosis (Gas Gangrene) Crush Injury, Compartment Syndrome, Acute Traumatic Ischemias Decompression Sickness (the "Bends") Enhancement of Healing in Selected Problem Wounds Exceptional Blood Loss (Anemia) Necrotizing Soft Tissue Infections Osteomyelitis (Refractory) Radiation Tissue Damage (Osteoradionecrosis) Skin Grafts and Flaps (Compromised) Thermal Burns Select from List About Us --Why We Are Here --Key Players and Staff Travel and Accommodations Contact Us Links Site Map Treatment --What is HBO Therapy? --How is HBO Therapy Administered? --Lyme Disease and HBO Therapy --Cerebral Palsy and HBO Therapy --Contraindications to HBO Therapy --What You Can Take into the HBO Chamber Understanding the Language of HBO Therapy --Glossary Clinical Reference --Chico Hyperbaric Research Studies --Other Informative Research Studies --Approved Indications of HBO Therapy --Investigational Indications of HBO Therapy Home Page Chico Hyperbaric Center Telephone: 1-888-324-6240 Email: info@HBOToday.com Chico Hyperbaric Center Web Site Developed & Hosted by Access Now 2000. Copyright © 1999-2001. All Rights Reserved. #