Hyperbaric Medicine: Frequently Asked Questions

How does hyperbaric oxygen therapy work?
Essentially, hyperbaric oxygen treatments use a combination of elevated ambient pressure and inspired oxygen concentration to greatly increase the amount of oxygen in the blood. This elevated oxygen concentration allows oxygenation of tissues that are not getting enough oxygen at baseline, encourages new blood vessels to grow into these oxygen deprived tissues, and helps the body eliminate certain kinds of bacteria.
Why are nautical/diving terms used?
Basically, much of the technology and information that we currently use in clinical hyperbaric oxygen therapy was developed by the world's navies during World War Two as a result of the development of military divers (”frogmen”) and underwater demolitions. In addition, many of the pioneers of hyperbaric medicine were from a military background, and many current practitioners became interested in hyperbaric medicine through diving-related experiences. Thus, this diving-related terminology continues to be used even though clinical hyperbaric practice has evolved away from it's underwater beginnings.
What conditions, injuries, or indications can be treated with hyperbaric oxygen therapy?
There are 14 indications that are approved to be treated by the Hyperbaric Oxygen Therapy Committee:
  1. Air or gas embolism – when gas bubbles enter arteries or veins
  2. Carbon monoxide poisoning – when carbon monoxide is inhaled and injuries arise from that
  3. Clostridial myositis and myonecrosis – a rapidly progressive infection of the soft tissue, known commonly as "gas gangrene"
  4. Crush injury, compartment syndrome, and other acute traumatic ischemias – injuries that result from trauma, from minor contusions to limb threatening damage
  5. Decompression sickness – referred to as the "bends," is the formation of inert gas bubbles in tissue, usually caused by rapid ascent from a dive.
  6. Arterial insufficiencies – wounds that are not healing properly
  7. Severe anemia – a loss of red blood cell mass due to hemorrhage, hemolysis, or aplasia
  8. Intracranial abscess – an inflammation caused from infected material coming from local or remote infectious sources
  9. Necrotizing soft tissue infections – a rare but severe type of bacterial infection that can cause tissue death
  10. Osteomyelitis – an infection of bone or bone marrow
  11. Delayed radiation injury (soft tissue and bony necrosis) – some radiation treatments leave patients with cell damage to soft tissue (such as mouth, throat, and the gastrointestinal tract).
  12. Compromised grafts and flaps – when a skin graft does not heal properly
  13. Acute thermal burn injury – severe burns that can be treated with enhanced oxygen
  14. Idiopathic sudden sensorineural hearing loss – hearing loss caused by a malfunction in a certain nerve in the brain
Are there different types of chambers?
Yes, chambers are classified into two categories: monoplace and multiplace.
  • Monoplace chambers are defined as a chamber that is designed to accommodate only one patient at a time. Generally, these consist of an acrylic tube with a door at one end through which the patient is inserted into the chamber. They can be compressed with either air or oxygen. These chambers have the advantage of needing less physical space, and tend to be less expensive to purchase, maintain, and staff. The disadvantages are that they allow only limited access to the patient and tend to restrict patient positioning.
  • Multiplace chambers are designed to accommodate two or more patients. Some of these chambers are massive and can hold 20 or more people. Thus, they require a large physical space and significant infrastructure to operate, and can be very expensive to acquire, maintain, and staff. The advantages are that they allow for an inside attendant so full access to all patients is possible, which makes caring for very ill patients easier. Also, their size tends to minimize claustrophobia in susceptible patients.
What type of chamber does UI Hospitals and Clinics use?
The Dr. Peter J.R. Jebson Hyperbaric Medicine Facility uses a multiplace chamber that can hold six patients and one therapist. It is the largest hyperbaric chamber in the state of Iowa and the only multiplace chamber in the Midwest that admits emergency patients and operates 24 hours a day, seven days a week.
What separates UI's Hyperbaric Clinic from others?
There are five things that differentiate us:
  1. Our hyperbaric chamber is open 24 hours a day, seven days a week, 365 days a year.
  2. We offer emergency treatment for people with life-threatening injuries.
  3. UI Hospitals and Clinics is comprehensive, all aspects of an injury and any complications that might arise can be treated here.
  4. We operate a six-person chamber. Going in with other patients and a therapist builds comradery.
  5. All types of patients can be treated in our chamber. We can fit ICU patients and fit all of their equipment.