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microvascular

assessment 

BaroMedical wound care

Oxygen reflection
Printable PDF brochure

 
picture of the leg with Tcom (white sensor on the picture), LDF (black sensor on the picture)
Microcirculation is the network of the smallest of the blood vessels at the end of arterial and venous system where the all important nutrient exchange happens for the basic cell metabolism.  
Oxygen therapy will  first and foremost affect the microcirculatin and cell metabolism. This effect will then carry from the cellular level to the improved organ function.
Blood carrying more oxygen to the tissue and improved circulation can be measured with :
Transcutaneous tissue oxymentry
Laser Doppler flowmetry 

Assessment of the microcirculations is non-invasive, non painful and is very important in evaluating the present condition before entering the oxygen therapy as well as progress and success of the hyperbaric oxygen therapy.

For those who are asking the questions on effectivenes of various treatment options, therapy lenght and chamber technologies (air versus oxygen compression) this is a tool for validation.

For people with leg problems and poor circulation the microvascular assessment is a precise estimate of the number of sessions needed for improved circulation. There is no more need to guestimate - not only the improved health but also numbers will show. 





Proactive wound care

BaroMedical woundcareProactive wound care is the timely application of appropriate wound care therapy and prevention methods. Early detection of microcirculation damage is crucial as well as commencement of hyperbaric oxygen therapy to obtain the most effective health care management.
 
We continuously scan for scientific advancements in wound care and select products according to the following criteria:


  • Reduce the need for surgical debridment
  • Reducing pain and the need for pain medication
  • Gently removing necrotic tissue 
  • Promoting faster formation of granulation tissue and re-epithelization
  • Providing soft and moist environment for more effective healing
  • Easy application and removal, without the disruption of the newly formed granulation tissue 
  • Comfortable to wear 
  • Can be changed only once a week, which reduces the time and cost of dressing

Preventive Oxygen Therapy

Entering the hyperbaric chamberRegular hyperbaric oxygen sessions can boost microcirculation and initiate release of stem cells from bone marrow.  Stem cells are one of the most important factors in tissue repair and maintenance of optimal health.
 





Oxygen therapy is used in treatment of:
 

  • Soft tissue injuries and bone fractures
  • Venous and arterial ulcers
  • Diabetic wounds, gangrene, neuropathies
  • Pressure sores (decubitus)
  • Bone infections (osteomyelitis)
  • Post radiation problems
  • Chron’s and ulcerative colitis
  • Abscesses, fistulas and fissures
  • Post surgical wounds and grafts
  • Cosmetic surgery
  • Burns and frost bites
  • Closed wounds (hematoma, bruises, crush injury, internal fissures)



Case report:  Diabetic foot ulcer


Diabetic foot gangrene is a leading cause of amputations.  Insufficient microcircu-lation and infection turn the chronic wound into gangrene.  Early hyperbaric oxygen can stop the tissue necrosis and prevent amputation.


Venous ulcer before hyperbaric oxygen therapy
Diabetic foot ulcer
Male: 55 years, non smoker. Left foot had partial amputation 3 months earlier due to similar ulcer.  Right foot with open wounds had both oxygen and blood flow reduced to 30%. 




Venous ulcer after hyperbaric oxygen therapy
Hyperbaric oxygen therapy: nine sessions over two weeks provided return of blood flow and oxygen for normal wound healing. Photo shows complete wound closure after 4 months.










Case report:  Venous leg ulcer


“I had an open, painful, smelly leg ulcer for two years and had a wound care nurse visit twice a week. She suggested oxygen therapy which helped tremendously in pain, infection and wound healing. I do not need home visits and my quality of life has greatly improved.”
C.W.J. West Vancouver, 2001

Venous ulcer before hyperbaric oxygen therapy
Female: 68 years. Oxygen and blood flow are at 55% of normal and bone is infected. Notice swelling, inflammation and damage of periwound skin.






Venous ulcer after hyperbaric oxygen therapy
Hyperbaric oxygen and daily wound care for 2 months resulted in return of normal blood flow and pain relief. Wound successfully covered with skin graft.









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