Hyperbaric Oxygenation Treatment
DATE OF VISIT:
HYPERBARIC TREATMENT SUPERVISION NOTE:
INDICATION FOR TREATMENT:
Soft tissue radionecrosis of the forearm
Soft tissue radionecrosis of the scalp
osteoradionecrosis of the mandible
Soft tissue radionecrosis of the oropharynx and palate
Diabetic wound - Wagner Grade 3 of the right foot
Soft tissue radionecrosis of the right breast
Soft tissue radionecrosis of the left breast
Soft Tissue radionecrosis and formation of sigmoid/vaginal Fistula
Arterial Embolism and thrombosis of the right lower extremity
Chronic osteomyelitis of the left ischium
Chronic osteomyelitis of the left hip
Chronic refractory osteomyelitis of the pelvic bone, soft tissue radionecrosis of the bladder
osteoradonecrosis of the jaw
Soft tissue radionecrosis of the larynx
Soft tissue radionecrosis/ostial radionecrosis of the skull
Compromised flap to the right breast
Chronic refractory osteomyelitis
Soft tissue radionecrosis of the right leg
Radiation proctitis, soft tissue radionecrosis
Soft tissue radionecrosis of LA
Soft tissue radionecrosis of right leg
TREATMENT NUMBER:
SUBJECTIVE:
Patient is here for hyperbaric treatment.
OBJECTIVE:
VITAL SIGNS: At the time of arrival
Please see the above
HEENT: Tympanic membranes are clear.
COR: Regular rate and rhythm.
LUNGS: Clear.
Interview of the patient and review of the chart revealed no new difficulties or side effects from previous treatments. The patient's pretreatment checklist was found to be appropriate.
DESCRIPTION OF PROCEDURE:
The patient was placed whole body in the Sechrist monoplace chamber at 2 ATAs of pressure, 100% oxygen for 90 minutes at a rate of ascent and descent of 1.5 ATAs per minute. This was done with trained emergency response team being available along with the ICU services in case there was any kind of hyperbaric complications. The physician/provider was present or within 5 minutes at all times during the therapy.
HYPERBARIC TREATMENT RATIONALE:
The patient is receiving hyperbaric oxygen as there is very well documented evidence in the hyperbaric oxygen literature that administration of hyperbaric oxygen helps to stabilize the bone changes that occur following radiation injury and has been the recommended standard of treatment prior and following surgical procedures that include the previously irradiated bone.
ADDITIONAL COMMENTS / TREATMENT PROGRESS:
Upon surfacing patient is noted to be neurologically intact and without signs of barotrauma.