Dr. Villacorta, along with other wound care doctors, supervises the technicians and nurses performing the HBOT. Access to these advanced hyperbaric chambers requires that the indications being treated fall among a list of 15 approved by Medicare and the Undersea and Hyperbaric Medical Society (UHMS).
These indications include:
- Decompression sickness (DCS) – “the bends”
- Arterial gas embolism (AGE)
- Carbon monoxide poisoning (with or without cyanide poisoning)
- Clostridial myonecrosis (Gas gangrene)
- Crush injuries and compartment syndrome
- Necrotizing soft tissue infections
- Delayed radiation injuries (e.g., radiation cystitis, proctitis, osteoradionecrosis)
- Compromised skin grafts or flaps
- Acute traumatic ischemias (e.g., frostbite, severe burns)
- Chronic refractory osteomyelitis
- Diabetic foot ulcers/Wagner grade 3 or higher
- Thermal burns
- Intracranial abscess
- Severe anemia (only when blood transfusion is not an option)
- Sudden sensorineural hearing loss
Though some area doctors may be willing to use HBOT chambers at other hospitals or locations for trendy, off-label indications, we do not. Those off-label applications lack strong clinical evidence to back them, and therefore have more risk than reward.