The approved indications of HBOT in Slovakia are divided into three groups:

  • I. group (primary) – HBOT is crucial to the outcome of treatment
  • II. group (secondary) – HBOT has a very positive role in the outcome of treatment
  • III. group – obligatory indications

Primary:

  • Gas poisoning
  • Crush syndrome
  • Decompression sickness
  • Gas embolism
  • Severe bacterial infections

 

Secondary:

  • Diabetes mellitus with complications
  • Ischemic ulcers in the lower limbs
  • Complications of varicose veins of the lower extremities
  • Implantation surgery
  • Post-radiation – induced tissue lesions
  • Sudden deafness
  • Osteomyelitis
  • Damage to the brain, spinal cord and peripheral nerves

 

Obligatory:

  • Post-radiation lesions of the central nervous system
  • Acute ophthalmic events
  • Non-healing wounds
  • Burns and frostbite

 

Indications approved in Europe:

The list of indications is a pan-European consensus, which is verified and supported by scientific evidence and has been approved by EUBS (European Underwater and Baromedical Society) and ECHM (European Committee for Hyperbaric Medicine)

Acute conditions:

  • Air and gas embolism
  • Decompression sickness
  • Carbon monoxide poisoning
  • Clostridial myonecrosis (gas gangrene)
  • Other aggressive infection – especially necrotizing soft tissue infections, necrotizing fasciitis including Fournier gangrene 
  • Crushing and landslide injuries (crush injury), severe acute traumatic soft tissue ischemia, compartment syndrome
  • Burns
  • Sudden deafness
  • Severe anaemia, bleeding aetiology
  • Early stage of hangings

 

Chronic conditions:

  • Coronary grafts and flaps
  • Refractory osteomyelitis
  • Radiation damage to bone and soft tissue infections (cystitis, proctitis, enteritis)
  • Problematic and difficult healing wounds
  • 4th stage of neuroblastoma
Complete list of indications

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