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woundcare 

BaroMedical wound care

Oxygen reflection
Printable PDF brochure

 

Wounds are characterized by the area of tissue damage with poor circulation and reduced oxygen supply (ischemia and hypoxia). Usual complication is inflammation and infection that can reach thru all the layers down to the bone (osteomyelitis). Research has shown that breathing and absorbing pure oxygen at increased pressures will facilitate wound healing and increase the body's ability to fight infections. 

BaroMedical wound careCombined approach
The foundation for BaroMedical's wound care program is a combination of advanced and effective wound dressing materials, hyperbaric oxygen therapy and electrical stimulation  to create ideal conditions for wound healing and tissue repair.

Increasing the oxygen concentration in the body will start the growth of new blood vessels for better microcirculation, it will decrease inflammation and swelling, eliminate bacteria and provide oxygen for the body's immune defense response. Electrical stimulation will further promote the circulation of superoxygenated blood deeper in the wounded area and combined effect is magnified.

Oxygen initiates healing from within the body by mobilizing the growth factors and preparing the wound bed for the right combination of topical wound  therapy. Many of the chronic wounds are simply locked in a state of poor oxygen level, poor local circulation and increased local bacterial load and wound dressings are simply not penetrating deep enough to start the healing. This is extremly important in deep tunneling wounds such as chronic anal fissure (ref). Once the oxygen therapy has cleaned the wound surface from the bacterial load and prepared the wound bed the full potential of advanced wound dressings can be utilized. Clinical studies show that the combined effect of hyperbaric oxygen with woundcare therapy is more succesfull than the effect of each therapy on its own.



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 (anal fissures)
  • Abscesses, fistulas and fissures
  • Post surgical wounds and grafts
  • Cosmetic surgery
  • Burns and frost bites
  • Closed wounds (hematoma, bruises, crush injury) 



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.










Case report:  Tunneling wound


Peripheral Vascular Disease (PVD) with stenosis of the femoral artery


Tunnel wound before hyperbaric oxygen therapyOpen, infected wound 4x4cm on the heel with exudate from the  tunnel. Blood flow reduced, sensitivity in the whole foot is lost and pain is constantly present. Walking with difficulty using cane.




Tunnel wound after hyperbaric oxygen therapy
Hyperbaric oxygen therapy: 26 oxygen sessions over five weeks combined with 5
electrical stimulation sessions and daily wound care provided infection control, return of sensitivity in the foot and wound.  Photo shows situation 11 days after last session.



Case report:  Arterial ulcer with undermining  



Undermining wound before hyperbaric oxygen therapy
Female: 80 years, suffers from chronic wound on her shin down to the bone. Wound  is painful has deep undermining with necrosis and moderate exudation. Wound
swab lab results show local infection.  Surrounding area is swollen, skin is dry, flaky with patches. Change of wound dressing is painful.

Undermining wound after hyperbaric oxygen therapy
Hyperbaric oxygen and daily wound care for 10 days resulted in
reduced swelling. After the first four hyperbaric sessions the change of wound  dressing is not painful and generally pain is reduced. Photo shows stable situation after 10 hyperbaric sessions at which point the surrounding skin is improved and wound is closing without the need of further oxygen therapy.