HyperMED CLINICAL RESEARCH - HYPERBARIC OXYGENATION

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HyperMED Clinical Research  provides links with all current publications on Hyperbaric Oxygenation, Lokomat (Robotic Gait Assisted Walking) and other break-through we believe relevant to the objective of NeuroRecovery.

 

Clinical Research:  Hyperbaric Oxygenation

 

Clinical Trials

The Effect of Hyperbaric Oxygen Therapy on Patients Suffering From Neurologic Deficiency Due Traumatic Brain Injury

Traumatic brain injuries (TBI) are a major cause of morbidity and mortality worldwide. Due to improvements in emergency medical care, transportation and specialized trauma facilities, the number of people surviving TBI with impairment has significantly increased in recent years. The long term cognitive sequelae, which are often not visible persist far beyond the resolution of the obvious physical disabilities. This combined with the relatively low awareness of the general public has designated TBI as the "silent epidemic" (TBI CDC 2006). Hyperbaric oxygen therapy (HBOT) has been suggested as a possible treatment modality for these cases and preliminary studies are promising.

The purpose of this study is to evaluate the effectiveness of HBOT in the treatment of chronic mild traumatic brain injuries (mTBI). Sequential SPECT scans of the brain and neurocognitive testing will be used to evaluate cerebral blood flow (CBF) response, cognitive and functional improvement following treatment.

Treatment of Traumatic Brain Injury With Hyperbaric Oxygen Therapy

The purpose of this study is to determine if hyperbaric oxygen therapy (HBOT) improves the cognitive function of OIF/OEF individuals who have chronic mild to moderate traumatic brain injury (TBI). Cognitive function includes such things as thinking, remembering, recognition, concentration ability and perception. Traumatic brain injury is common with head injuries caused by blows to the head, nearby explosions, or concussion. Subjects will be assigned to an intervention or sham arm. Computer based cognitive tests will be used as outcome measures. Subjects are enrolled by invitation only.

Effects of Hyperbaric Oxygen Therapy on Children With Autism

The purpose of this investigation is to evaluate the cognitive and behavioral effects of Hyperbaric Oxygenation Therapy in children who present with a diagnosis of autism spectrum disorder.

HYPOTHESIS

  1. Hyperbaric Oxygenation Therapy will be safe to use with children with autism.
  2. Hyperbaric Oxygenation Therapy will have a statistically significant effect on the symptoms of autism.
  3. Hyperbaric Oxygenation Therapy will have a clinically significant observable effect on the overt symptoms of autism.
  4. The decreases in the symptoms of autism will correlate positively with the number of Hyperbaric Oxygenation Therapy sessions.
  5. Treatment gains obtained from Hyperbaric Oxygenation Therapy will be maintained at follow-up, post 40 treatment sessions.

SPECIFIC AIMS

  1. Provide further evidence for the safety of Hyperbaric Oxygenation Therapy in children with autism.
  2. To quantitatively assess the effects of Hyperbaric Oxygenation Therapy on behavioral and cognitive symptoms of autism before, during, and after treatment.
  3. Identify number of treatments required to reach therapeutic effects.
  4. Identify the length and durability of treatment effect and maintenance.

Rossignol DA, Rossignol LW. Hyperbaric oxygen therapy may improve symptoms in autistic children. Med Hypotheses. 2006;67(2):216-28. Epub 2006 Mar 22.

Effects of Hyperbaric Oxygen Therapy in Autistic Children: A Pilot Study

Autism is a neurodevelopmental disorder that currently affects as many as 1 out of 166 children in the United States. Autism is considered by many to be a permanent condition with little hope for improvement. Treatment for autism is centered on special schooling and behavioral therapy; medical science currently has little to offer.

Recent research has discovered that some autistic individuals have decreased blood flow to the brain, evidence of inflammation in the brain, and increased markers of oxidative stress. Multiple independent single photon emission computed tomography (SPECT) and positron emission tomography (PET) research studies have revealed hypoperfusion to several areas of the autistic brain, most notably the temporal regions and areas specifically related to language comprehension and auditory processing. Several studies show that diminished blood flow to these areas correlates with many of the clinical features associated with autism including repetitive, self-stimulatory and stereotypical behaviors, and impairments in communication, sensory perception, and social interaction. Hyperbaric oxygen therapy (HBOT) has been used with clinical success in several cerebral hypoperfusion syndromes including cerebral palsy, fetal alcohol syndrome, closed head injury, and stroke. HBOT can compensate for decreased blood flow by increasing the oxygen content of plasma and body tissues and can even normalize oxygen levels in ischemic tissue. In addition, animal studies have shown that HBOT has potent anti-inflammatory effects and reduces oxidative stress. Furthermore, recent evidence demonstrates that HBOT mobilizes stem cells from human bone marrow which may aid recovery in neurodegenerative diseases. Based upon these findings, it is hypothesized that HBOT will improve symptoms in autistic individuals.

The purpose of this study is to determine if HBOT improves clinical outcomes in children with autism. The study will also determine if HBOT changes markers of inflammation and oxidative stress in autistic children.

Effects of Hyperbaric Oxygen Therapy on Cognitive Function on Autistic Spectrum Disordered Children

Hyperbaric oxygenation chambers are FDA-approved and regulated devices. Hyperbaric oxygenation therapy (HBOT) is a medical procedure in which participants inspire enriched oxygen while their bodies are subjected to pressure greater than ambient barometric pressure at sea level (i.e., greater than 1 atmosphere absolute, or 760 mmHg). Hyperbaric oxygen therapy elevates tissue oxygen levels, thereby increasing the rate of tissue healing, and enhancing leukocyte-mediated phagocytosis. It may also elevate growth factors, which promotes angiogenesis and healing (Siddiqui, Davidson, & Mustoe, 1997).

While HBOT is most often used in wound healing and serious infections, it has been utilized in treating various disorders, most notably in cerebral palsy (Liptak, 2005; Marois & Vanasse, 2003) and other conditions, including fetal alcohol syndrome (Stoller, 2005), brain injury (Rockswold, 1993), and stroke (Helms, 2005) (see Joiner, 2002 for a review). The rationale for using HBOT in participants with neurological and developmental disorders is to relieve hypoxia, which often accompany these conditions. This leads to improvements in microcirculation and relief of cerebral edema by vasoconstriction, therefore leading to decreases in the symptom characteristics.

HBOT is implemented in various dose pressures (ATA) by practitioners for the treatment of symptoms of autism, averaging around 1.3-1.5 atmospheres for one hour sessions, for a minimum of 40 sessions. The results of HBOT are presumed to be long-term, but systematic examination of both short-term and long-term effects is currently warranted.

A Clinical Trial of the Clinical Effects of Hyperbaric Oxygen Therapy in Thai Autistic Children (VPH)

Autism is a developmental and behavioral pattern which includes the triad of impairments, 1. social interaction 2. social communication 3. imagination. Inevitable difficulties in the treatment, managing and handle with autistic children are the main problems. Their memories are seemingly in picture or photo records, which are difference from normal population. There are many concepts but no concise in causative factors, including useful treatments, useless and prolong remaining in many studies.

HBOT (Hyperbaric Oxygen Therapy) is a quite modern treatment in Thailand for nitrogen imbalance (decompression sickness syndrome or Caisson disease). How can we apply it to treat the autism? A hypothesis shows evidence that neurons surrounding the permanently damaged epicenter of injury can be reactivated with increased oxygen. Oxygen exists in the blood in two forms, combined with hemoglobin and dissolved in plasma. More oxygen is transported by hemoglobin, but oxygen is delivered to the tissues in dissolved form by the liquid portion of blood. HBOT can increase in plasma oxygen to the tissues including the brain. A little change in oxygen can make the better improvements in : cognitive ability, socialization, sleep, calmness, decreased stimming and language. It can make increased in Glutathione (GSH), and Glutathione (GSH) can decreased in oxidative stress with effected to remove metal compounds (mercury) to improve the autism.

This clinical trial study divided into 3 group populations 1. general autism 2. post-treatment chiropractic autism 3. medicated autism. This comparative study shows the major clinical symptoms before and after the treatment with HBOT. This study results and analysis are the most important for our further projects planning.

Autologous Mesenchymal Stem Cell and Bone Marrow Stem Cell Infusion Combined With Hyperbaric Oxygen Therapy in Type 2 Diabetes Mellitus

There is evidence that the non-immune mediated inflammatory pathways of cell damage occur in vitro in human islets upon hyperglycemia. Autologous stem cell therapies are an emerging set of therapies that show promise with a low side effect profile. we hypothesize that infusion of mononuclear cells from buffy coat obtained from bone marrow may provide multiple signals for regeneration and inflammation-induced lesion recovery of local tissues, of which the effect may be maximized by intra-arterial pancreatic infusion through angiography and combination with hyperbaric oxygen therapy, and simultaneous infusion of large amount of cultured mesenchymal stem cells may promote local regeneration and differentiation, as well as decrease the risk of cell infusion related pancreatitis.

Hyperbaric Oxygen Therapy in Chronic Stable Brain Injury

The purpose of this study is to discover the feasibility of conducting clinical research in individuals with chronic sequelae following brain injury who are given hyperbaric oxygen. This study will also look at the outcome of individuals with a chronic stable brain injury due to trauma, anoxia (lack of oxygen to the brain), or stroke, who are given hyperbaric oxygen. Outcome measures testing cognitive (memory, etc.) and functional (balance, strength, etc.) measures will be performed before the hyperbaric sessions, immediately following them, and 6 months later. The subject will receive 60 hyperbaric sessions, 60 minutes in the chamber, to a pressure of 1.5 ATA, once daily, Monday through Friday.

Hyperbaric oxygen is presently being used in an attempt to improve functional outcome following a multitude of brain injuries such as stroke, anoxic brain injury, traumatic brain injury, and others. Family members of brain-injured individuals correspond via the Internet into coalitions demanding that their loved ones receive hyperbaric oxygen therapy. There are anecdotal reports of benefit with hyperbaric oxygen following brain injury but there is little credible scientific evidence for efficacy of hyperbaric oxygen in brain injury. Clearly, what is needed to answer if hyperbaric oxygen improves brain injury are results from carefully designed multi-center, prospective, randomized controlled clinical trials. However, the implementation of such a Phase III clinical trial is challenging without information from Phase II trials. We propose to conduct a feasibility trial that may potentially guide a future Phase III clinical trial.

Mechanisms by which hyperbaric oxygen improves sequelae following brain injury are speculative. Hyperbaric oxygen upregulates growth factor receptor sites on human endothelium and can stimulate healing in hypoxic wounds. It is conceivable that hyperbaric oxygen exerts similar effects within damaged neuronal tissue but this information is lacking. Stem cells are present in the adult brain and there is speculation that hyperbaric oxygen may stimulate these stem cells to generate new neurons, but once again, this information is speculative.

In this Phase II feasibility prospective clinical trial, we propose to recruit and enroll 60 brain-injured subjects and expose them daily to hyperbaric oxygen at 1.5 atmospheres absolute for 60 minutes per session, for 60 sessions per subject. This research protocol is the one most commonly used by practitioners who claim benefit with hyperbaric oxygen therapy. Before and after the 60 hyperbaric oxygen sessions, and at 6 months following completion of hyperbaric oxygen, outcome measures consisting of neuropsychological testing, functional measures, health-related quality of life measures, and a neurological examination will be conducted and analyzed with the subjects serving as their own controls. Important information regarding a subsequent Phase III clinical trial, including subject recruitment, tolerance and risk of therapy, dropout rate, and potential benefit or lack of benefit with hyperbaric oxygen will be reported.

Hyperbaric Oxygenation role in White Matter Hyperintensities - Hyperbaric Oxygen Treatment In Patients With White Matter Hyperintensities On Magnetic Resonance Imaging and Neurologic Deficits

White Matter Hyperintensities on MRI of brain with two or more symptoms and/or Neurological impairments e.g. gait disturbance, dysequilibrium, decline in cognitive function, upper motor neuron deficit, dysmetria, hyper-reflex or unilateral increase in muscle tone

Pilot Study of Hyperbaric Oxygen Therapy (HBOT) in Chronic Traumatic Brain Injury (TBI)/Post Concussion Syndrome (PCS) and TBI/Post-Traumatic Stress Disorder (PTSD)

This is a pilot trial to see if one or two 40 treatment courses of low pressure hyperbaric oxygen therapy can improve cognition and brain imaging in subjects with either chronic mild-moderate traumatic brain injury (TBI), also known as post-concussion syndrome (PCS) or chronic PCS with post-traumatic stress disorder (PTSD) secondary to blast injury.

Efficacy of Hyperbaric Oxygen Therapy in Laryngectomy Patients

This study is designed to develop a predictive model for the development of wound complications in patients undergoing laryngectomy surgery for laryngeal/adjoining structure cancers, and to evaluate the clinical efficacy of hyperbaric oxygen for the prevention/management of wound complications in this previously irradiated population. The eligibility profile welcomes the involvement of patients in need of laryngectomies for newly diagnosed cancers and for failed chemoradiation. Patients are afforded the opportunity to be cared for by some of the most distinguished head & neck surgeons and hyperbaric medicine physicians at the University of Pennsylvania in Philadelphia, the oldest teaching medical facility in the country, as well as the Philadelphia Veterans Affairs Medical Center. In addition, participants will be contributing to a body of research uncovering new methods for the assessment of tissue/tumor oxygenation, modeling to promote early wound complication identification, and confirming the role of hyperbaric oxygen therapy in the care and prevention of these problem wounds.

Clinical Outcomes Modeling for Laryngectomy Surgery Patients and Efficacy of Hyperbaric Oxygen Therapy, with Ara Chalian, MD as Project Leader, will develop a predictive model for surgical risk among patients requiring laryngectomy due to cancer, validate the model and assess the efficacy of HB02 therapy for improving outcome. The focus will be to determine the patho-physiological basis for heightened surgical risk among post-radiation head and neck patients and the efficacy of hyperbaric oxygen (HB02) therapy for improving outcome.

This multidisciplinary center will investigate the mechanisms of action, safety, and clinical efficacy of Hyperbaric Oxygen (HB02) Therapy. The group will evaluate if HB02 therapy will benefit patients who must undergo laryngectomy and reconstructive surgery after radiation therapy because, at pharmacological doses, oxygen augments angiogenesis and impedes specific types of intercellular adherence.

The project tests two hypotheses: (1) Predictive models can be developed for sub-groups of head and neck cancer patients who have undergone surgery based on tumor specific site, previous treatment, and co-morbidity and predict which patients will have complications (wound infection and fistula), and (2) HB02 given by a standard protocol can modify tissue hypoxia and vascularity that is present in patients with previous radiation therapy to the neck who have recurrent or secondary cancers requiring laryngectomy. The specific aims are to: (1) develop a detailed database model to predict the risk of developing post-operative complications in complex head and neck aerodigestive tract cancer resections, (2) conduct prospective validation of the predictive model using data on patients treated at the University of Pennsylvania Head and Neck Cancer Center, (3) determine whether hyperbaric oxygen therapy alters post-surgical complication rates and acute and long-term quality of life. The studies include evaluation of clinical parameters, surgical outcome and quality of life measurements, and objective, laboratory-based assessments of the magnitude of hypoxia/vascularization in surgical zones and tumors to provide objective data on surgical risk and clinical responses to HB02 therapy.

The prospective trial allows for planned follow-up and data collection for modeling and tumor oxygenation assessments for patients undergoing laryngectomy. The randomized trial is a treatment trial, comparing standard care before and after laryngectomy to the intervention of pre- & post-operative HBO2 in conjunction with laryngectomy. All patients receive nutritional counseling, speech therapy, and comprehensive peri-surgical care.

Slowing the Degenerative Process, Long Lasting Effect of Hyperbaric Oxygen Therapy in Retinitis Pigmentosa

Our aim was to assess the role and usefulness of Hyperbaric oxygen therapy in a long lasting period, assessing its efficacy on rescuing retinal photoreceptors and preserving visual function in retinitis pigmentosa.

Radiation Therapy Plus Hyperbaric Oxygen in Treating Patients With Newly Diagnosed Glioblastoma Multiforme

Radiation therapy uses high-energy x-rays to damage tumor cells. Hyperbaric oxygen may increase the effectiveness of radiation therapy. Combining hyperbaric oxygen with radiation therapy may be an effective treatment for glioblastoma multiforme.

PURPOSE: Phase I/II trial to study the effectiveness of combining radiation therapy with hyperbaric oxygen in treating patients who have newly diagnosed glioblastoma multiforme.

Dose Escalation Study of Hyperbaric Oxygen With Radiation and Chemotherapy to Treat Squamous Cell Carcinoma of the Head and Neck (HBO-XRT)

This research is being done because we do not know the best treatment for advanced Squamous Cell Carcinoma of the Head and Neck. These cancers have been treated with a combination of surgery, radiation and chemotherapy in varying combination. When the tumor is inoperable, radiation therapy is used with or without chemotherapy in the hope of curing the tumor.

Recently, it has become recognized as generalized knowledge that cancer cells are hypoxic (low oxygen concentration). Because of the low oxygen concentrations, many cancer treatments have not been successful. The theory behind this study is to give oxygen to patients prior to chemotherapy and radiation in hopes of generating greater results in killing cancer cells. The purpose of this study has two main objectives. The primary objective is to determine patient tolerance to each arm of the trial.

The second objective is to determine the feasibility of treatment delivery and acute toxicities associated with each regimen.

It is our intention to undertake a randomized and controlled trial should this Phase I trial prove successful in terms of patient tolerance

Can Hyperbaric Oxygen Improve Erectile Function Following Surgery for Prostate Cancer (HBOT)

The purpose of this study is to determine if adding hyperbaric oxygen therapy, a therapy that delivers oxygen under slight pressure, to a drug treatment of PDE5I (such as Viagra, Levitra, Cialis)for men following surgery for prostate cancer will result in more men being able to continue to have erections.

Prostate cancer is the most common non-skin malignancy in men in the United States, with approximately 232,000 diagnoses of adenocarcinoma projected for 2005. More than 150,000 of these men are treated with radical prostatectomy. Common sequelae following successful NSRRP (nerve-sparing radical retropubic prostatectomy)include urinary incontinence and sexual dysfunction. Recent advances in surgery technique and treatment have been made but in spite of aggressive management, recovery of sexual function is incomplete with fewer than one-fifth reporting return to baseline. The etiology of erectile dysfunction following radical prostatectomy results most probably from local surgical trauma and neurapraxia, which leads to corpus cavernosal hypoxemia in the post-NSRRP period. This hypoxemia is believed to impact negatively on the health and maintenance of the smooth muscle cells within the corpus cavernosum. Hyperbaric oxygen therapy (HBO2T) is a unique modality that is able to provide oxygen delivery to tissues that have been damaged by traumatic injury.

Hypothesis: The addition of post-NSRRP hyperbaric oxygen therapy (HBO2T) to a treatment of phosphodiesterase type 5 inhibitor (PDE5I) will reduce the incidence of erectile dysfunction (ED) and urinary incontinence when measured at 1, 3, 6, 12 and 18 months post-NSRRP for Stage I prostate cancer.

Two Comparison groups: Patients receive either PDE5I alone or PDE5I plus sham hyperbaric oxygen therapy (in chamber with air delivered rather than pure oxygen)

Clinical Trial of Hyperbaric Oxygen Treatment in Trigeminal Neuralgia Patients

Trigeminal neuralgia(TN) is a recurrent severe shooting neuropathic pain. Treatment of this pain continues to be a challenge in clinical pain management. Hyperbaric oxygen (HBO) has been used of neuropathic diseases, which can improve blood partial pressure of oxygen, reduce edema, relieve neural oppression and attenuate inflammatory response. The hypothesis of this protocol is that hyperbaric oxygen treatment could relieve neuropathic pain and improve the quality of life in TN patients. Visual analogue scale (VAS) and the mcgill pain questionnaire (MGPQ) will be assessed before the initiation of the study, after hyperbaric oxygen (HBO) treatment and at monthly intervals for the subsequent 3 months. Titration of dosage and pain frequency will be recorded throughout the study. Clinical global impression (CGI) by the individual patient will be evaluated at monthly intervals after HBO treatment.

Hyperbaric Oxygen Therapy (HBOT) for Chronic Diabetic Lower Limb Ulcers

People with diabetes mellitus and non-healing ulcers of the lower limb are at higher risk of amputation. Current standard care for foot ulcers includes maintaining optimal blood glucose levels, use of debridement, antibacterials, dressings, antibiotics for infection; adequate nutrition; pressure relief and amputation. There has been an increased interest in the use of hyperbaric oxygen therapy (HBOT) as an adjunctive treatment for diabetic ulcers. HBOT is an established technology which currently is an accepted treatment of chronic diabetic ulcers in Ontario and physicians who provide this service are reimbursed under the current Ontario Health Insurance Plan (OHIP). However there are only a few facilities that can provide this service. In addition, results of published HBOT studies are inconsistent. The current study will provide quality efficacy data on the use of HBOT as an adjunctive therapy. As this study has been recommended by the Ontario Health Technology Advisory Committee (OHTAC), the results of the study will be used to make policy decisions regarding the funding and further utilization of HBOT therapy for people with diabetes mellitus with ulcers of the lower limb in the province. If the results are favorable towards HBOT in the treatment of diabetic ulcers, potential expansion and availability of this and other programs maybe be possible. A randomized placebo control trial evaluating HBOT, to the best of our knowledge has not been completed in this area and will provide much needed information to the scientific community.

Hyperbaric Oxygen Therapy as Adjunctive Treatment of Chronic Diabetic Foot Ulcers (HODFU)

The purpose of this study is to evaluate if hyperbaric oxygen therapy heels more foot ulcers as compared to placebo in patients with diabetes mellitus and chronic foot ulcers.

Hyperbaric Oxygen Therapy and SPECT Brain Imaging in Traumatic Brain Injury

Hypothesis: That SPECT brain imaging tracks and is consistent with clinical improvements in patients receiving hyperbaric oxygen therapy (HBOT) for chronic traumatic brain injury.

Postoperative Hyperbaric Oxygen Treatments to Reduce Complications in Diabetic Patients Undergoing Vascular Surgery (HODiVA)

This trial aims to evaluate if hyperbaric oxygen treatment (HBO) given postoperatively is effective in reducing healing time and wound complications after lower extremity bypass surgery in patients with diabetes. Hypothesis: Postoperative HBO treatment is effective in reducing complications in patients with diabetes undergoing peripheral vascular surgery

The Effects of Hyperbaric Oxygen Therapy (HBOT) on Acute Thermal Burns

The blinded RCTstudy aims to:

  • Determine the effects of HBOT on burns conversion for patients who have fresh thermal burns injury using the LDI.
  • Objectively determine the proportion of burns conversion in areas of partial thickness burns for early thermal burns injury in both arms of the RCT.
  • Study the effects of HBOT on immunological markers IL-1, IL-2, IL-4, IL-6, IL-8, IL-10, TNF-α and TGF-β ( comparison between both arms and 2 assessment points).
  • Study the effect of HBOT on haematological markers including procalcitonin ,albumin, lymphocyte counts, neutrophil count, and macrophage count.
  • Study the effects of HBOT on histology specimens in quantifying P53 protein, leukocyte and macrophage infiltration, burns depth assessment and vascular endothelial growth factor (VEGF) and inducible nitric oxide synthase (iNOS) .
  • Study the effects of HBOT on bacteriology of tissue culture in areas of deep dermal burns.

Hyperbaric Oxygen in Lower Leg Trauma

Hyperbaric Oxygen may prevent complications and improve outcomes in severe lower limb trauma. We propose to investigate this hypothesis by conducting an International multi centre randomised control trial of standard trauma/orthopaedic care with or without a concurrent course of hyperbaric oxygen treatments.

Hyperbaric Oxygen Therapy in Treating Patients With Radiation Necrosis of the Brain

Hyperbaric oxygen may increase blood flow and decrease swelling in areas of the brain damaged by radiation therapy. Giving hyperbaric oxygen therapy together with dexamethasone may be an effective treatment for radiation necrosis of the brain.

Preconditioning With Hyperbaric Oxygen in Cardiovascular Surgery

Animal studies have shown that preconditioning with hyperbaric oxygen can induce central nervous system and heart ischemic tolerance. This study was designed to determine the protective effect of hyperbaric oxygen preconditioning on brain and myocardium ischemia-reperfusion injury during coronary artery bypass graft surgery.

The Protective Effects Of Treatment With Hyperbaric Oxygen Prior To Bypass Heart Surgery

The purpose of this study was to determine if treating patients who have coronary heart disease with hyperbaric oxygen (HBO) prior to coronary artery bypass graft (CABG) surgery reduces injury to the heart and vascular system during and after surgery. Furthermore, this study also aims to identify some of the post CABG clinical effects of HBO treatment prior to CABG.

Randomized Controlled Trial of Hyperbaric Oxygen in Patients Who Have Taken Bisphosphonates

Osteonecrosis of the jaw (ONJ) has recently been recognized as associated with bisphosphonate (BP) therapy, however there is little information on the natural history, treatment or prevention strategies for this condition1. Bisphosphonates, particularly compounds containing an aliphatic chain with an amino group in the R2 position, (pamidronate, alendronate and zoledronate) are extremely effective and widely used in the treatment of breast cancer, prostate cancer, multiple myeloma and non-malignant bone disease. Although ONJ appears to develop in less than one percent of patients taking these drugs, the seriousness of the disease plus the current lack of treatment options makes this a very difficult clinical problem This study will randomize 35 out of 70 patients to receive HBO in addition to their routine oral surgery therapy for ONJ and follow both groups over a 2-year period. The study design is an interventional, prospective, randomized trial with a 2-year follow up period. Seventy subjects meeting the inclusion criteria for ONJ will be recruited by participating physicians and randomized to receive 40 HBO treatments over a 4 week period or to continue their normal oral care. No subject, HBO treated or not, will be asked to change, initiate or discontinue any ongoing therapies they may be receiving from their primary care giver for ONJ or any other medical condition. The analysis will compare remission rates between the two groups while controlling for age, gender, race, previous local trauma or surgery, tumor type, diabetes, immunosuppression, bisphosphonate duration, indication (hypercalcemia), infection, corticosteroids, and thalidomide and dental hygiene. All subjects will be closely followed throughout the 24 month course of the study with weekly contacts by phone or email to log jaw pain level as well as to record any change in general medical condition. The 17 question Duke Health Profile will be used to measure quality of life indicators at 4 key points during the study. Comparison(s): 1) clinical remission rate in patients receiving and not receiving HBO. 2) Bone turnover and molecular measures of osteoclast signaling in ONJ patients before and after HBO and relative to non-diseased controls (labs from non-diseased controls to be obtained from a companion study).

Hyperbaric Oxygen Treatment of Mandibular Osteoradionecrosis. A Randomized Clinical Study

There is currently not sufficient evidence that hyperbaric oxygen (HBO) benefits the surgical removal of necrotic bone in osteoradionecrosis patients. This study aims at testing the hypothesis that HBO does improve healing after surgical removal of necrotic bone in irradiated previous head and neck cancer patients compared to not receiving HBO.

Hyperbaric Oxygen Therapy Compared With Standard Therapy in Treating Chronic Arm Lymphedema in Patients Who Have Undergone Radia

... Hyperbaric Oxygen Therapy Compared With Standard Therapy in Treating Chronic Arm Lymphedema in Patients Who Have Undergone Radiation Therapy for Cancer ... Brief Summary RATIONALE: Hyperbaric oxygen therapy may be effective in repairing damaged tissue and reducing lymphedema caused by radiation therapy for cancer. ... http://www.clinicaltrials.gov/ct2/show/NCT00077090?recr=Open&cond=%22Lung+Diseases%2c+Interstitial%22&rank=21

Can Hyperbaric Oxygen Improve Erectile Function Following Surgery for Prostate Cancer - Full Text View - ClinicalTrials.gov

... The purpose of this study is to determine if adding hyperbaric oxygen therapy a therapy that delivers oxygen under slight pressure ... return home from surgical hospital stay PLUS Post-NSRRP hyperbaric oxygen therapy (90 minutes of 100% oxygen at 2.2ATA ... http://www.clinicaltrials.gov/ct2/show/NCT00906269?term=sexual+and+gender+disorders&intr=%22Sildenafil%22

Hyperbaric Oxygen Therapy in Chronic Stable Brain Injury - Full Text View - ClinicalTrials.gov

... To estimate the immediate and long-term effects of hyperbaric oxygen therapy on subjects with chronic brain injury. ... Internet into coalitions demanding that their loved ones receive hyperbaric oxygen therapy. There are anecdotal reports of benefit with hyperbaric ... http://www.clinicaltrials.gov/ct2/show/NCT00830453?recr=Open&cond=%22Vascular+Disease%22

Hyperbaric Hyperoxygenation With Radiotherapy and Temozolomide in Adults With Newly Diagnosed Glioblastoma - Full Text View

... Other: Hyperbaric Oxygen Therapy Phase II Study Type: Interventional Study Design: Treatment Open Label Single Group Assignment Safety Study ... Other: Hyperbaric Oxygen Therapy in addition to standard radiation and chemotherapy you will also receive the experimental hyperbaric treatment prior ... http://www.clinicaltrials.gov/ct2/show/NCT00936052?cond=%22Astrocytoma%22&rcv_d=60

The Effects of Hyperbaric Oxygen Therapy (HBOT) on Acute Thermal Burns - Full Text View - ClinicalTrials.gov

... The Effects of Hyperbaric Oxygen Therapy (HBOT) on Acute Thermal Burns This study is currently recruiting participants. ... The Effects of Hyperbaric Oxygen Therapy on Acute Thermal Burns Further study details as provided by Singapore General Hospital: ... http://www.clinicaltrials.gov/ct2/show/NCT00824551?cntry1=SE%3aSG

Hyperbaric Oxygen Therapy in Treating Patients With Radiation Necrosis of the Brain - Tabular View - ClinicalTrials.gov

... areas of the brain damaged by radiation therapy. Giving hyperbaric oxygen therapy together with dexamethasone may be an effective treatment ... PURPOSE: This randomized clinical trial is studying how well hyperbaric oxygen therapy works in treating patients with radiation necrosis of the brain. ... http://www.clinicaltrials.gov/ct2/show/NCT00087815?intr=%22quality-of-life+assessment%22&rank=50

 

Hyperbaric Oxygen Therapy in Chronic Stable Brain Injury - Tabular View - ClinicalTrials.gov

... To estimate the immediate and long-term effects of hyperbaric oxygen therapy on subjects with chronic brain injury. ... Internet into coalitions demanding that their loved ones receive hyperbaric oxygen therapy. There are anecdotal reports of benefit with hyperbaric ... http://www.clinicaltrials.gov/ct2/show/NCT00830453?recr=Open&cond=%22Nervous+System+Diseases%22

Treatment of Traumatic Brain Injury With Hyperbaric Oxygen Therapy - Full Text View - ClinicalTrials.gov

... The purpose of this study is to determine if hyperbaric oxygen therapy (HBOT) improves the cognitive function ... Traumatic Brain Injury (TBI) With Hyperbaric Oxygen Therapy (HBOT) Further study details as provided by San Antonio ... http://www.clinicaltrials.gov/ct2/show/NCT00810615?term=tbi+%28traumatic+brain+injury%29&cond=%22Nervous+System+Diseases%22+AND+%22Craniocerebral+Trauma%22

Treatment of Traumatic Brain Injury With Hyperbaric Oxygen Therapy - Tabular View - ClinicalTrials.gov

... Treatment of Moderate to Mild Cognitive Dysfunction Caused by Traumatic Brain Injury (TBI) With Hyperbaric Oxygen Therapy (HBOT) Brief Summary The purpose of this study is to determine if hyperbaric oxygen therapy (HBOT) improves the cognitive function ... http://www.clinicaltrials.gov/ct2/show/NCT00810615?cond=%22Nervous+System+Diseases%22

The Effect of Hyperbaric Oxygen Therapy on Patients Suffering From Neurologic Deficiency Due Traumatic Brain Injury - Full Text

... epidemic" (TBI CDC 2006). Hyperbaric oxygen therapy (HBOT) has been suggested as a possible ... 40 consecutive one hour treatments at 1.5 ATA with 100% O2 Procedure: Hyperbaric Oxygen Therapy (HBOT) ... http://www.clinicaltrials.gov/ct2/show/NCT00715052?term=tbi+%28traumatic+brain+injury%29&cond=%22Nervous+System+Diseases%22+AND+%22Craniocerebral+Trauma%22

Pilot Study of Hyperbaric Oxygen Therapy (HBOT) in Chronic Traumatic Brain Injury (TBI)/Post Concussion Syndrome (PCS) and TBI/P

... Related Studies Pilot Study of Hyperbaric Oxygen Therapy (HBOT) in Chronic Traumatic Brain Injury (TBI)/ ... one or two 40 treatment courses of low pressure hyperbaric oxygen therapy can improve cognition and brain imaging in subjects ... http://www.clinicaltrials.gov/ct2/show/study?cond=%22Post-Concussion+Syndrome%22&rank=2

Trental &Vitamin E for Radiation-Induced Fibrosis - Tabular View - ClinicalTrials.gov

... Treatments for fibrosis are lacking with the primary treatment being hyperbaric oxygen therapy. The combination of Trental & Vitamin E has ... http://www.clinicaltrials.gov/ct2/show?term=oxpentifylline&intr=%22Radiation-Protective+Agents%22&rank=11

Trental & Vitamin E for Radiation-Induced Fibrosis - Full Text View - ClinicalTrials.gov

... Treatments for fibrosis are lacking with the primary treatment being hyperbaric oxygen therapy. The combination of Trental & Vitamin E has ... http://www.clinicaltrials.gov/ct2/show/study?intr=%22Alpha-Tocopherol%22&rank=22

Hyperbaric Oxygen Therapy and SPECT Brain Imaging in Traumatic Brain Injury - Full Text View - ClinicalTrials.gov

... brain imaging tracks and is consistent with clinical improvements in patients receiving hyperbaric oxygen therapy (HBOT) for chronic traumatic brain injury. ... Drug: Hyperbaric oxygen therapy Total body exposure to increased atmospheric pressure oxygen Drug: hyperbaric oxygen therapy total body exposure to greater than atmospheric pressure oxygen ... http://www.clinicaltrials.gov/ct2/show/NCT00594503?term=tbi+%28traumatic+brain+injury%29&cond=%22Nervous+System+Diseases%22+AND+%22Craniocerebral+Trauma%22

Carbon Monoxide Monitoring and Emergency Treatment - Full Text View - ClinicalTrials.gov

... a reservoir with a facemask that prevents rebreathing. Hyperbaric oxygen therapy may provide added benefit for patients with CO poisoning ... CO poisoning would have clinical implications. Compared to hyperbaric oxygen therapy CPAP therapy can begin earlier including the pre-hospital ... http://www.clinicaltrials.gov/ct2/show/NCT00841165?term=vermont&recr=Open&intr=%22Antimetabolites%22&cntry1=NA%3aUS

Efficacy of Hyperbaric Oxygen Therapy in Laryngectomy Patients - Full Text View - ClinicalTrials.gov

... early wound complication identification and confirming the role of hyperbaric oxygen therapy in the care and prevention of these problem wounds. ... Clinical Outcomes Modeling for Laryngectomy Surgery Patients and Efficacy of Hyperbaric Oxygen Therapy with Ara Chalian MD as Project Leader will develop ... http://www.clinicaltrials.gov/show/NCT00026975

Cevimeline in Treating Patients With Dry Mouth Caused by Radiation Therapy for Head and Neck Cancer - Tabular View - ClinicalTri

... No concurrent hyperbaric oxygen therapy No concurrent beta adrenergic antagonists anticholinergic agents cevimeline metabolism inhibitors or other medications known to effect salivary function ... http://www.clinicaltrials.gov/ct2/show/record/NCT00017511?intr=%22Parasympathomimetics%22&rank=13

Cevimeline in Treating Patients With Dry Mouth Caused by Radiation Therapy for Head and Neck Cancer - Full Text View - ClinicalT

... No concurrent hyperbaric oxygen therapy No concurrent beta adrenergic antagonists anticholinergic agents cevimeline metabolism inhibitors or other medications known to effect salivary function ... http://www.clinicaltrials.gov/ct2/show/NCT00017511?intr=%22Cholinergic+Agonists%22&rank=11

Pilot Study of Hyperbaric Oxygen Therapy (HBOT) in Chronic Traumatic Brain Injury (TBI)/Post Concussion Syndrome (PCS) and TBI/P

... Related Studies Pilot Study of Hyperbaric Oxygen Therapy (HBOT) in Chronic Traumatic Brain Injury (TBI)/ ... http://www.clinicaltrials.gov/ct2/show/NCT00760734?cond=%22Post-Concussion+Syndrome%22&rank=2

Effects of Hyperbaric Oxygen Therapy in Autistic Children: A Pilot Study - Tabular View - ClinicalTrials.gov

... impairments in communication sensory perception and social interaction. Hyperbaric oxygen therapy (HBOT) has been used with clinical success ... James SJ Melnyk S Mumper E. The effects of hyperbaric oxygen therapy on oxidative stress inflammation and symptoms in children ... http://www.clinicaltrials.gov/ct2/show/NCT00324909?cond=%22Inflammation%22&rank=43

A Study Comparing V.A.C. Negative Pressure Wound Therapy (NPWT) to Moist Wound Therapy (MWT) in the Treatment of Diabetic Foot

... ≤8 days prior to screening Use of hyperbaric oxygen therapy (HBO) ≤30 days prior to screening ... http://www.clinicaltrials.gov/ct2/show/NCT00837096?intr=%22Anti-Infective+Agents%22&map=ES

Microcirculation and Oxidative Stress in Critical Ill Patients in Surgical Intensive Care Unit - Full Text View - ClinicalTrials

... Patients who have received antioxidants within 24h Patients who have received hyperbaric oxygen therapy Patients who have a hemoglobin value less than 9 g/dl ... http://www.clinicaltrials.gov/ct2/show/study/NCT00808691?recr=Open&cond=%22Consciousness+Disorders%22

Oxidative Stress and Microcirculation in Patient With Hepatic Failure Undergoing Liver Support Treatment - Full Text View - Clin

... Patients who had used of antioxidant therapy within 24 hours before study Patients who had received hyperbaric oxygen therapy within 24 hours before study ... http://www.clinicaltrials.gov/ct2/show/NCT00772252?intr=%22supportive+care%2ftherapy%22

Edaravone and Argatroban Stroke Therapy Study for Acute Ischemic Stroke - Tabular View - ClinicalTrials.gov

... warfarin or antiplatelet except for aspirin before enrollment Intravascular surgery surgical operation hyperbaric oxygen therapy or hypothermia therapy before enrollment ... http://www.clinicaltrials.gov/ct2/show/NCT00153946?intr=%22Phenylmethylpyrazolone%22&rank=7

Clinical Trial: Complementary Hyperbaric Oxygen for Brain Tissue Damage Caused by Radiation Therapy

... The purpose of this study is to determine the effectiveness of hyperbaric oxygen therapy (HBOT) as an additional treatment for patients ... radionecrosis a condition that causes tissue damage. Condition Intervention Phase Abnormalities Radiation Induced Procedure: Hyperbaric oxygen therapy ... http://www.clinicaltrials.gov/ct/show/NCT00087815

A Study to Evaluate the Clinical Effectiveness of a Collagen-ORC Antimicrobial Matrix in Venous Leg Ulcers - Tabular View - Clin

... 5 days within the past year. Expect to undergo hyperbaric oxygen therapy at any time during the study. ... http://www.clinicaltrials.gov/ct2/show?intr=%22Anti-Infective+Agents%22&map=PA&rank=10

 

Evidence Based

Hyperbaric oxygen therapy for late radiation tissue injury

... (late radiation tissue injury (LRTI). Hyperbaric oxygen therapy (HBOT) involves breathing oxygen in a specially designed chamber. ... (LRTI) developing months or years later. Hyperbaric oxygen therapy (HBOT) has been suggested as a treatment ... http://www.cochrane.org/reviews/en/ab005005.html

Cochrane Reviews - Normobaric and hyperbaric oxygen therapy for migraine and cluster headache

... Title: Normobaric and hyperbaric oxygen therapy for migraine and cluster headache Stage: Date of creation: 17 March 2005 ... http://www.cochrane.org/reviews/en/info_B0F2D37582E26AA2016D83E2487EB781.html

Medical News: Hyperbaric Therapy Called Effective Against Autism - in Neurology, Autism from MedPage Today

... March 12 -- Autistic children showed significant symptom improvement following hyperbaric oxygen therapy in a sham-controlled trial researchers here said. ... study was the first randomized sham-controlled trial of hyperbaric oxygen therapy for autism but a series of earlier open-label ... http://www.medpagetoday.com/Pediatrics/Autism/13245

Hyperbaric oxygen in the treatment of patients with cerebral stroke, brain trauma, and neurologic disease.

... integrity. In addition HBO therapy attenuates motor deficits decreases ... palsy in some studies HBO therapy has improved the function ... accelerate neurologic recovery after spinal cord injury by ameliorating mitochondrial dysfunction ... headache and brain and spinal cord injury are promising and warrant ...

 
Prediction of neurologic outcome in patients with spinal cord injury by using hyperbaric oxygen therapy.

... 385-9 The effectiveness of hyperbaric oxygen therapy (HBO) in predicting ... recovery in patients with spinal cord injury was evaluated. HBO has been used to treat spinal cord injury but HBO does ...

 

Successful treatment of cervical spinal epidural abscess by combined hyperbaric oxygenation.

... (cefozopran) for 5 days he subsequently developed motor weakness paresthesia and urinary retention. MRI demonstrated spinal cord compression at the C1-C4 level. HBO therapy was added to the antibiotic regimen and three days later we found clinical evidence of a response to treatment. ... therapy. This case suggests that HBO therapy is an effective ...

Hyperbaric oxygen therapy for acute coronary syndrome

... ACS is very common and may lead to severe complications including death. Hyperbaric oxygen therapy (HBOT) involves people breathing pure oxygen ... more rapid relief from their pain if they receive hyperbaric oxygen therapy as part of their treatment. ... http://www.cochrane.org/reviews/en/ab004818.html

Normobaric and hyperbaric oxygen therapy for migraine and cluster headache

... oxygen therapy for migraine and cluster headaches Migraine and cluster headaches are severe and disabling. Both hyperbaric oxygen therapy ... A number of acute and prophylactic therapies are available. Hyperbaric oxygen therapy (HBOT) is the therapeutic administration of 100% ... http://www.cochrane.org/reviews/en/ab005219.html

 

Interventions for replacing missing teeth: hyperbaric oxygen therapy for irradiated patients who require dental implants

... Interventions for replacing missing teeth: hyperbaric oxygen therapy for irradiated patients who require dental implants. ... region may benefit particularly from reconstruction with implants. Hyperbaric oxygen therapy (HBO) has been advocated to improve ... http://www.cochrane.org/reviews/en/ab003603.html

Hyperbaric oxygen therapy for promoting fracture healing and treating fracture non-union

... pain and loss of function. The use of hyperbaric oxygen therapy or HBOT has been suggested as a way ... Bennett MH Stanford RE Turner R. Hyperbaric oxygen therapy for promoting fracture healing and treating fracture non-union. ... http://www.cochrane.org/reviews/en/ab004712.html

Effect of hyperbaric oxygen therapy on healing of diabetic foot ulcers.

... We undertook a prospective randomized investigation of the use of hyperbaric oxygen therapy versus standard therapy for the treatment of foot ulcers ... We noted that foot ulcers in patients in the hyperbaric oxygen therapy group were more likely to heal and were more ...

Hyperbaric oxygen therapy for thermal burns

... Recovery is often slow and complicated by infection and scarring. Hyperbaric oxygen therapy (HBOT) is a treatment designed to increase ... was to assess the evidence for the benefit of hyperbaric oxygen therapy (HBOT) for the treatment of thermal burns. ... http://www.cochrane.org/reviews/en/ab004727.html

Hyperbaric oxygen therapy for multiple sclerosis

... the nerves leads to progressive weakness and disability. Hyperbaric oxygen therapy (HBOT) involves people breathing pure oxygen ... On the basis of speculative pathophysiology it has been suggested that Hyperbaric Oxygen Therapy (HBOT) may slow or reverse the progress of the disease. ... http://www.cochrane.org/reviews/en/ab003057.html

Hyperbaric Oxygen Therapy for Brain Injury, Cerebral Palsy, and Stroke: Structured Abstract

... a literature review of the benefits and harms of hyperbaric oxygen therapy (HBOT) for brain injury cerebral palsy and stroke. ... AltHealthWatch and MANTIS from inception to March 2001 using terms for hyperbaric oxygen therapy brain injury cerebral palsy and stroke. ... http://www.ahrq.gov/clinic/tp/hboxtp.htm

Hyperbaric oxygen as an adjuvant treatment for malignant otitis externa

... repeated removal of dead tissue and surgical management. Hyperbaric oxygen therapy is increasingly being used in addition to these treatments ... The review found no trials to demonstrate that the addition of hyperbaric oxygen therapy offers a better outcome than the treatments alone. ... http://www.cochrane.org/reviews/en/ab004617.html

Hyperbaric oxygen therapy for the adjunctive treatment of traumatic brain injury

... Bennett MH Trytko B Jonker B. Hyperbaric oxygen therapy for the adjunctive treatment of traumatic brain injury. ... problem with significant effect on quality of life. Hyperbaric oxygen therapy (HBOT) has been suggested to improve oxygen ... http://www.cochrane.org/reviews/en/ab004609.html

Hyperbaric oxygen therapy for chronic wounds

... impact on the well-being of those affected. Hyperbaric oxygen therapy (HBOT) is a treatment designed to increase ... resulting in inadequate oxygenation of the wound bed. Hyperbaric oxygen therapy (HBOT) has been suggested to improve oxygen ... http://www.cochrane.org/reviews/en/ab004123.html

Hyperbaric oxygen therapy for acute ischaemic stroke

... oxygen therapy. Hyperbaric oxygen therapy (HBOT) is a treatment designed to increase the supply of oxygen to the part ... It has been postulated that hyperbaric oxygen therapy (HBOT) may reduce the volume of brain ... http://www.cochrane.org/reviews/en/ab004954.html

Slowing the degenerative process, long lasting effect of hyperbaric oxygen therapy in retinitis pigmentosa.

... The aim of this study was to assess the efficacy of HBO therapy on visual function in RP patients. ... mean age 35 02) underwent HBO therapy. No statistically significant difference was found at the beginning ...

Hyperbaric oxygen, oxidative stress, NO bioavailability and ulcer oxygenation in diabetic patients.

... 1-12 BACKGROUND: Hyperbaric oxygen therapy (HBO2) increases tissue oxygenation thus serving as an adjunct therapy for diabetic wounds. ...

alpha-Lipoic acid modulates extracellular matrix and angiogenesis gene expression in non-healing wounds treated with hyperbaric

... that are involved in wound repair. Patients undergoing HBO therapy were double-blind randomized into two groups: the LA ... LA supplementation in combination with HBO therapy downregulated the inflammatory cytokines and the growth factors which ...

 

Normobaric and hyperbaric oxygen therapy for migraine and cluster headache.

... A number of acute and prophylactic therapies are available. Hyperbaric oxygen therapy (HBOT) is the therapeutic administration of 100% ...

Hyperbaric oxygen therapy for delayed onset muscle soreness and closed soft tissue injury

... Bennett M Best TM Babul S Taunton J. Hyperbaric oxygen therapy for delayed onset muscle soreness and closed soft tissue injury. ... are common and are often associated with athletic activity. Hyperbaric oxygen therapy (HBOT) is the therapeutic administration of 100% ... http://www.cochrane.org/reviews/en/ab004713.html

Hyperbaric Oxygen Therapy for Radionecrosis of the Jaw: A Randomized, Placebo-Controlled, Double-Blind Trial From the ORN96 Stud

... Google Scholar PubMed Related Articles Social Bookmarking Hyperbaric Oxygen Therapy for Radionecrosis of the Jaw: A Randomized Placebo-Controlled Double-Blind Trial From the ORN96 Study Group Djillali Annane Joël Depondt Philippe Aubert Maryvonne Villart Pierre Géhanno Philippe Gajdos Sylvie Chevret ... Comment on "Hyperbaric Oxygen Therapy for Radionecrosis of the Jaw: A Randomized Placebo-Controlled Double-Blind Trial From the ORN96 ... http://jco.ascopubs.org/cgi/content/abstract/22/24/4893

 

ONS PUTTING EVIDENCE INTO PRACTICE   pdf icon

... (2004). Non randomized phase II trial of hyperbaric oxygen therapy in patients with chronic arm ... http://www.ons.org/outcomes/volume4/lymphedema/pdf/References.pdf

CO poisoning and hyperbaric oxygen therapy: more studies need to be done.

... Aug 1 American journal of respiratory and critical care medicine Am. J. Respir. Crit. Care Med. ...

Rehabilitation of oral function in head and neck cancer patients after radiotherapy with implant-retained dentures: effects of h

... The objective of this prospective study was to assess the effect of hyperbaric oxygen therapy on treatment outcome (condition of peri-implant tissues ... satisfaction in head and neck cancer patients. Adjuvant hyperbaric oxygen therapy could not be shown to enhance implant survival ...

Hyperbaric oxygen therapy for multiple sclerosis.

... On the basis of speculative pathophysiology it has been suggested that Hyperbaric Oxygen Therapy (HBOT) may slow or reverse the progress ... We found no consistent evidence to confirm a beneficial effect of hyperbaric oxygen therapy for the treatment of multiple sclerosis and do ...

Systematic review of hyperbaric oxygen therapy for cerebral palsy: the state of the evidence.

... 942-7 A systematic review of the evidence was conducted on the benefits and adverse effects of hyperbaric oxygen treatment (HBOT) ...

Hyperbaric oxygen therapy and cerebral palsy--where to now?

... Print 34 2 2007 Mar-Apr Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society Inc Hyperbaric ...

Effect of hyperbaric oxygen on cardiac neural regulation in diabetic individuals with foot complications.

... Our aim was to test the hypothesis that hyperbaric oxygen therapy may restore cardiac neural regulation dysfunction in diabetic individuals ... The experimental group consisted of 23 subjects exposed to hyperbaric oxygen therapy of 202.65 kPa for 90 min ...

Hyperbaric oxygen therapy in the management of carbon monoxide poisoning, osteoradionecrosis, burns, skin grafts, and crush inju
 

Hyperbaric oxygen therapy for acute acoustic trauma.

... 247-57 We conducted a study on the effect of hyperbaric oxygen therapy on 122 soldiers following acute acoustic trauma. ... The results of our studies show that hyperbaric oxygen therapy shortens the course of healing with respect to high-pitch perception dysacusis. ...

Hyperbaric oxygen combined with intravenous edaravone for treatment of acute embolic stroke: a pilot clinical trial.

... HBO and control groups. The HBO group underwent HBO therapy combined with intravenous edaravone administration for 7 days whereas ... did not differ significantly between the two groups. HBO therapy combined with intravenous edaravone administration appears to be effective ...

Hyperbaric oxygen therapy for idiopathic sudden sensorineural hearing loss and tinnitus: a systematic review of randomized contr

... (ISSHL) and tinnitus are common. Hyperbaric oxygen therapy (HBOT) may improve hearing loss ...

A new treatment modality for fibromyalgia syndrome: hyperbaric oxygen therapy.

... VAS scores after the first session. We conclude that HBO therapy has an important role in managing FMS. ...

Hyperbaric oxygen therapy for radiation necrosis of the jaw: comments on a randomized study.

... Print 32 3 2005 May-Jun Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society Inc Hyperbaric ...

The role of hyperbaric oxygen therapy in ischaemic diabetic lower extremity ulcers: a double-blind randomised-controlled tri

... Jan European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery ...

Adjunctive systemic hyperbaric oxygen therapy in treatment of severe prevalently ischemic diabetic foot ulcer. A randomized stud

... 1338-43 OBJECTIVE: To evaluate the effectiveness of systemic hyperbaric oxygen therapy (s HBOT) in addition to a comprehensive protocol ... dorsum of the foot significantly increased in subjects treated with hyperbaric oxygen therapy: 14.0 +/- 11.8 ...

 

Hyperbaric oxygen therapy in the treatment of secondary keratoendotheliosis.

... 448-52 We evaluated the effectiveness of hyperbaric oxygen therapy in the treatment of keratoendotheliosis secondary to surgical treatment. ...

Handbook of Hyperbaric Oxygen Therapy -- 109 (6): 518 -- Annals of Internal Medicine

... Handbook of Hyperbaric Oxygen Therapy By B. Fischer K.K. Jain E. Braun and S. Lehri. ... http://www.annals.org/cgi/content/abstract/109/6/518

Does hyperbaric oxygen administration decrease side effect and improve quality of life after pelvic radiation?

... Medicine and tissue biopsy in Department of Pathology Anatomy. The hyperbaric oxygen therapy (HBOT) was done in Dr. ...

Side effects of hyperbaric oxygen therapy in children with cerebral palsy.

... 237-44 BACKGROUND: This article reports the side effects observed in a double-blind placebo-controlled multi-center randomized clinical trial carried ...

 

Cerebral perfusion SPECT imaging for assessment of the effect of hyperbaric oxygen therapy on patients with postbrain injury neu

... METHODS: Two to 4 courses of HBO therapy and/or medications were used to treat 320 patients ... therapy group and the non-HBO therapy group. HBO therapy was superior to medication treatment alone in the recovery ...

A prospective study: hyperbaric oxygen therapy in diabetics with chronic foot ulcers.

... 457-9 Research suggests that hyperbaric oxygen therapy may have beneficial effects on ulcer healing and amputation rates in diabetic patients. ...

Hyperbaric oxygen therapy of diabetic foot ulcers, transcutaneous oxymetry in clinical decision making.

... impaired wound healing from osteomyelitis. In these conditions hyperbaric oxygen therapy may be used as an adjunctive treatment and is associated with a better outcome. Randomized prospective controlled trails have shown the benefit of hyperbaric oxygen therapy in diabetic ulcers of the lower extremity. Transcutaneous oxygen measurement performed under hyperbaric oxygen therapy has a prognostic

 

Hyperbaric oxygen therapy in diabetic foot.

... study group (conventional management and 4 sessions of hyperbaric oxygen therapy) and control group (conventional management). ... The average hospital stay was not affected. We conclude that hyperbaric oxygen therapy can be safely used and is beneficial as an adjuvant

Negative results of a phase II study of hyperbaric oxygen therapy for amyotrophic lateral sclerosis.

... Oct Amyotrophic lateral sclerosis : official publication of the World Federation of Neurology Research Group on Motor Neuron Diseases ..

alpha-Lipoic acid supplementation inhibits oxidative damage, accelerating chronic wound healing in patients undergoing hyperbari

... Taken together we demonstrated an adjuvant effect of LA in HBO therapy used for impaired wound healing treatment. We propose that LA may be used to further promote the beneficial effects of HBO therapy. ...

Adjuvant hyperbaric oxygen therapy in the management of crush injury and traumatic ischemia: an evidence-based approach.

... 144-51 Hyperbaric oxygen therapy (HBO) has been recommended as an adjunct treatment in acute traumatic ischemia and crush injury.

Safety and efficacy of hyperbaric oxygen therapy for the treatment of interstitial cystitis: a randomized, sham controlled,

... United States J Urol 0376374 AIM IM J Urol. 2006 Oct;176(4 Pt 1):1442-6 16952654 ...

Safety and efficacy of hyperbaric oxygen therapy for the treatment of interstitial cystitis: a randomized, sham controlled, doub

... 1442-6 PURPOSE: We conducted a double-blind sham controlled study to evaluate the safety efficacy and feasibility of hyperbaric oxygenation for interstitial cystitis. ...

Hyperbaric Oxygen Therapy -- RAYMOND 79 (1): 138 -- Annals of Internal Medicine

... PubMed Comments and Corrections Hyperbaric Oxygen Therapy LAWRENCE W. RAYMOND M.D. 1 July 1973 | Volume 79 Issue 1 | Pages 138-139 ... tissue that can be expected to be saved by hyperbaric oxygen therapy after acute coronary arterial occlusion (Ann Intern Med ... http://www.annals.org/cgi/content/abstract/79/1/138-a

Hyperbaric oxygen treatment of chronic refractory radiation proctitis: a randomized and controlled double-blind crossover trial

... These differences were abolished after the crossover. CONCLUSION: Hyperbaric oxygen therapy significantly improved the healing responses in patients with refractory ...

Hyperbaric oxygen therapy for delayed onset muscle soreness and closed soft tissue injury.

... are common and are often associated with athletic activity. Hyperbaric oxygen therapy (HBOT) is the therapeutic administration of 100% ...

Should hyperbaric oxygen be added to treatment in idiopathic sudden sensorineural hearing loss?

... In our prospective randomized study we aimed to investigate the therapeutic effects of HBO therapy in the 1st 2 weeks of the onset of ISSHL. ... received the same basic treatment with the addition of HBO therapy. Audiological assessments of the patients were performed before and after the treatment. ...

Usefulness of hyperbaric oxygen therapy to inhibit restenosis after percutaneous coronary intervention for acute myocardial infa

... Hyperbaric Oxygen Therapy in Percutaneous Coronary Interventions Investigators eng Clinical Trial Journal Article Randomized Controlled Trial United States Am J Cardiol ...

Hyperbaric oxygen therapy for the adjunctive treatment of traumatic brain injury.

... problem with significant effect on quality of life. Hyperbaric oxygen therapy (HBOT) has been suggested to improve oxygen ...

Peter A. Blume, DPM 1 Jodi Walters, DPM 2 Wyatt Payne, MD 3 Jose Ayala, MD 4 John Lantis, MD 5   pdf icon

... Exclusion criteria also included ulcer treatment with normothermic or hyperbaric oxygen therapy; concomitant medications such as corticosteroids immunosuppressive medications or chemotherapy; ... http://care.diabetesjournals.org/cgi/reprint/dc07-2196v1.pdf

Hyperbaric oxygen therapy of acute ischemic stroke.

... Y standards N Meta-Analysis as Topic N Oxygen N administration & dosage N therapeutic use N Reproducibility of Results N ...

A randomized, double blind study of the prophylactic effect of hyperbaric oxygen therapy on migraine.

... In a double blind placebo-controlled study to assess the prophylactic effect of hyperbaric oxygen therapy on migraine 40 patients were randomly assigned to a treatment ...

Hyperbaric oxygen therapy and multiple sclerosis.

... Undersea Hyperb Med. 2001 Fall;28(3):113-5 12067145 Undersea Hyperb Med. 2002 ...

The effect of hyperbaric oxygen therapy on a burn wound model in human volunteers.

... All were screened for contraindications to hyperbaric oxygen therapy (acute sinusitis otitis media pneumonia pregnancy active cancer ... oxygen therapy. This study further supports earlier conclusions that hyperbaric oxygen therapy is beneficial in a superficial dermal wound. ...

Prevention of hyperbaric-associated middle ear barotrauma.

... the prevention of middle ear barotrauma in patients undergoing hyperbaric oxygen therapy. DESIGN: Prospective parallel double-blind randomized trial. ... hyperbaric oxygen facilities. PARTICIPANTS: Sixty patients undergoing hyperbaric oxygen therapy; 30 subjects in each treatment arm. ...

 
Effectiveness of hyperbaric oxygen therapy in the treatment of complex regional pain syndrome.

... 258-62 In this double-blind randomized placebo-controlled study we aimed to assess the effectiveness of hyperbaric oxygen (HBO) ...

Hyperbaric oxygen for idiopathic sudden sensorineural hearing loss and tinnitus

... secondary to a vascular problem not yet identified. Hyperbaric oxygen therapy (HBOT) involves breathing pure oxygen in a specially ... problem with significant effect on quality of life. Hyperbaric oxygen therapy (HBOT) may improve oxygen supply to the inner ... http://www.cochrane.org/reviews/en/ab004739.html

Hyperbaric oxygen therapy for radionecrosis of the jaw: a randomized, placebo-controlled, double-blind trial from the ORN96 stud

... 4893-900 PURPOSE: To determine the efficacy and safety of hyperbaric oxygen therapy (HBO) for overt mandibular osteoradionecrosis. ...

Hyperbaric oxygen therapy in acute ischemic stroke: results of the Hyperbaric Oxygen in Acute Ischemic Stroke Trial Pilot Study.

... 571-4 BACKGROUND AND PURPOSE: Hyperbaric oxygen therapy (HBO) has promise as a treatment for acute stroke. ...

Prognostic factors in unintentional mild carbon monoxide poisoning.

... oxygen therapy in 307 patients. Study was conducted at a hyperbaric oxygen therapy referral centre. ... suffer a loss of consciousness. One course of hyperbaric oxygen therapy or 6-h normobaric oxygen therapy was given. ...

Hyperbaric oxygen therapy for acute ankle sprains.

... 619-25 We conducted a randomized double-blind study of 32 subject with acute ankle sprains to compare treatment with hyperbaric oxygen ...

Hyperbaric oxygen therapy for acute coronary syndrome.

... ACS is common and may prove fatal. Hyperbaric oxygen therapy (HBOT) will improve oxygen supply to the threatened ...

The role of hyperbaric oxygen therapy in ischaemic diabetic lower extremity ulcers: a double-blind randomised-controlled trial.

... 513-8 OBJECTIVE: ischaemic lower-extremity ulcers in the diabetic population are a source of major concern because of the associated high

Hyperbaric oxygen therapy for wound healing--part III.

... Print Print 1999 Oct Tecnologica. MAP supplement. Blue Cross and Blue Shield Association. Medical Advisory Panel Hyperbaric ...

Hyperbaric oxygen therapy does not affect recovery from delayed onset muscle soreness.

... 558-63 PURPOSE: This study investigated whether hyperbaric oxygen therapy (HBOT) improves recovery after exercise-induced muscle injury. ...

Hyperbaric Oxygen Therapy: Size of Infarct Determines Therapeutic Efficacy -- GLAUSER and GLAUSER 78 (1): 77 -- Annals of Intern

... Hyperbaric Oxygen Therapy: Size of Infarct Determines Therapeutic Efficacy STANLEY C. GLAUSER M.D. Ph.D. ... multiple small necrotic areas will respond more favorably to hyperbaric oxygen therapy than any phenomena that produce one large volume of necrosis. ... http://www.annals.org/cgi/content/abstract/78/1/77

Effect of hyperbaric oxygen therapy on exercise-induced muscle soreness.

... 135-45 The purpose of this study was to examine the effects of HBO2 therapy on exercise-induced muscle soreness. ...

Early post-operative hyperbaric oxygen therapy modifies neutrophile activation.

... 1798-9 BACKGROUND/AIMS: To investigate the effect of acute hyperbaric oxygen therapy (HBOT) on post-operative sinusoidal endothelial cell ...

Hyperbaric oxygen therapy for late radiation tissue injury.

... CD005005 BACKGROUND: Cancer is a significant global health problem. Radiotherapy is a treatment for many cancers and about 50% ...

Sudden hypoacusis treated with hyperbaric oxygen therapy: a controlled study.

... Of the many therapeutic protocols that have been proposed for treating sudden hypoacusis hyperbaric oxygen therapy (HOT) plays a leading role. ...

Hyperbaric oxygen reduced size of chronic leg ulcers: a randomized double-blind study.

... To evaluate the effect of hyperbaric oxygen therapy on chronic wound healing 16 otherwise healthy patients who had nondiabetic chronic leg ... Mann-Whitney U test. These data indicate that hyperbaric oxygen therapy may be used as a valuable adjunct to conventional ...

Efficient oxygen mask for patients undergoing hyperbaric oxygen therapy.

... Center constitute a highly efficient oxygen delivery system for HBO therapy. This view has been refleced in arterial blood gas ...

Hyperbaric oxygen for idiopathic sudden sensorineural hearing loss and tinnitus.

... problem with significant effect on quality of life. Hyperbaric oxygen therapy (HBOT) may improve oxygen supply to the inner ...

Arch Surg -- Abstract: Hyperbaric Oxygen for Treating Wounds: A Systematic Review of the Literature, March 2003, Wang et al. 138

... ABSTRACT | FULL TEXT The Clinical and Economic Potential of Hyperbaric Oxygen Therapy in the Treatment of Diabetic Ulceration and Other Conditions ... The role of hyperbaric oxygen therapy in the treatment of sternal wound infection. Mills and Bryson Eur. J. ... http://archsurg.ama-assn.org/cgi/content/abstract/138/3/272

Effects of hyperbaric oxygen therapy on perfusion parameters and transcutaneous oxygen measurements in patients with intramedull

... 87-91 We evaluated the effect of hyperbaric oxygen (HBO2) therapy on tibialis posterior (TPA) dorsalis pedis (DPA) ...

Hyperbaric oxygen, oxygen-ozone therapy, and rheologic parameters of blood in patients with peripheral occlusive arterial diseas

... POAD assigned at random either to a cycle of HBO therapy or O2-O3 therapy were evaluated for blood viscosity erythrocyte ... a significant decrease of blood viscosity. By contrast HBO therapy did not produce any significant change. ...

Systematic review of hyperbaric oxygen in the management of chronic wounds.

... 24-32 BACKGROUND: Many therapeutic options exist for chronic wounds. Hyperbaric oxygen therapy (HBOT) is one such option. ...

A pilot study with long term follow up of hyperbaric oxygen pretreatment in patients with locally advanced breast cancer undergo

... this was preceded by ten once daily sessions of hyperbaric oxygen therapy (HBO2) administered either at 2.4 ...

Systematic management of osteoradionecrosis in the head and neck.

... treated using a systematic approach that combined sequestrectomy and hyperbaric oxygen therapy. RESULTS: Seven (21%) ... Surgery still plays a major role in controlling osteoradionecrosis and hyperbaric oxygen therapy is adjuvant. ...

PLoS Medicine: Reporting Methods of Blinding in Randomized Trials Assessing Nonpharmacological Treatments

... 16%) or other NPT such as preoperative autologous blood donation hyperbaric oxygen therapy or blood patch (n ... http://www.plosmedicine.org/article/info%3adoi%2f10.1371%2fjournal.pmed.0040061

Randomized clinical trial comparing OASIS Wound Matrix to Regranex Gel for diabetic ulcers.

... Center for Comprehensive Wound Care and Hyperbaric Oxygen Therapy St. Luke's Medical Center Milwaukee WI USA. ...

Effects of intermittent exposure to hyperbaric oxygen for the treatment of an acute soft tissue injury.

... CONCLUSIONS: The findings of this study suggest that hyperbaric oxygen therapy is not effective in the treatment of exercise-induced ...

Hyperbaric oxygen therapy for cognitive disorders after irradiation of the brain.

... 192-8 PURPOSE: Analysis of the feasibility and effect of hyperbaric oxygen treatment (HBO) on cognitive functioning in patients ...

Glasgow Coma Scale, brain electric activity mapping and Glasgow Outcome Scale after hyperbaric oxygen treatment of severe brain

... divided into a treatment group (n=35 receiving HBO therapy) and a control group (n=20 receiving ...

Adjunctive effect of hyperbaric oxygen treatment after thrombolysis on left ventricular function in patients with acute myocardi

... P .05). CONCLUSIONS: Adjunctive hyperbaric oxygen therapy after thrombolysis in acute myocardial infarction has a favorable ...

Inhibition of restenosis by hyperbaric oxygen: a novel indication for an old modality.

... Adler Dale D Y Sopko Joseph J Y Hyperbaric Oxygen Therapy in Percutaneous Coronary Interventions (HOT-PI) Investigators eng Clinical Trial Journal Article Randomized Controlled Trial United States Cardiovasc Radiat Med 100888865 IM N Angina Unstable N ...

Hyperbaric oxygen therapy in the management of crush injuries: a randomized double-blind placebo-controlled clinical trial.

... 333-9 Hyperbaric Oxygen (HBO) therapy is advocated for the treatment of severe trauma of the limbs in association with surgery ...

Hyperbaric oxygen therapy for carcinoma of the cervix--stages IIB, IIIA, IIIB and IVA: results of a randomized study by the Radi

... Aug International journal of radiation oncology biology physics Int. J. Radiat. Oncol. Biol. Phys. Hyperbaric ...

Interventions for the physical aspects of sexual dysfunction in women following pelvic radiotherapy

... supported by grade IIC evidence. The value of hyperbaric oxygen therapy and surgical reconstruction is supported by the much weaker ... http://www.cochrane.org/reviews/en/ab003750.html

Hyperbaric oxygen therapy in chronic stable multiple sclerosis: double-blind study.

... 988-91 We carried out a randomized double-blind placebo-controlled trial of hyperbaric oxygen therapy (HBO) in patients with chronic stable MS. ...

Should Stroke Victims Routinely Receive Supplemental Oxygen? : A Quasi-Randomized Controlled Trial -- Rønning and Guldvog 30 (1

... radical formation and lipid peroxidation. Animal studies evaluating hyperbaric oxygen therapy have not been conclusive concerning recovery after cerebral ischemia. ... Takahashi M Iwatsuki N Ono K Tajima T Akama M Koga Y. Hyperbaric oxygen therapy accelerates neurologic recovery after 15-minute complete global cerebral ischemia in dogs. ... http://stroke.ahajournals.org/cgi/content/full/30/10/2033

Systematic reviews of wound care management: (3) antimicrobial agents for chronic wounds; (4) diabetic foot ulceration.

... Topical ketanserin increased ulcer healing rate in 2 studies while systemic hyperbaric oxygen therapy reduced the rate of major amputations in 1 study. ...

Management of Anaerobic Infections -- FINEGOLD et al. 83 (3): 375 -- Annals of Internal Medicine

... Analytic Reviews : Hyperbaric Oxygen Therapy J Intensive Care Med March 1 1989; 4(2): 58 - 74. ... http://www.annals.org/cgi/content/abstract/83/3/375

 

Predictors of Occult Carbon Monoxide Poisoning in Patients with Headache and Dizziness -- HECKERLING et al. 107 (2): 174 -- Anna

... Analytic Reviews : Hyperbaric Oxygen Therapy J Intensive Care Med March 1 1989; 4(2): 58 - 74. ... http://www.annals.org/cgi/content/abstract/107/2/174?ijkey=5eacb2dd3d9dedc5375f482ef18f4e757f0ea338&keytype2=tf_ipsecsha

Hyperbaric Oxygen, Allopurinol, and Diet-Induced Acute Pancreatitis -- DEGERTEKIN et al. 103 (3): 474 -- Annals of Internal Medi

... of acute pancreatitis is unknown we investigated the effect of hyperbaric oxygen therapy and allopurinol a xanthine oxidase inhibitor (a putative ... http://www.annals.org/cgi/content/abstract/103/3/474-b

 

Hyperbaric oxygen therapy: treatment for spinal cord decompression sickness.

... 97-101 Spinal cord injury (SCI) may result from decompression sickness ... A complete or incomplete spinal cord injury may result from decompression ... Recompression and hyperbaric oxygen therapy is the primary treatment. The use of hyperbaric oxygen therapy (HBO) ...