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| ID | Topic | Question |
| Answer# 1 | Hyperbaric Medicine | When you decide to treat someone with HBO who has known COPD how do you exlude/include people from treatment who are potential CO2 retainers. In other words, do you perform PFT's prior to initiation of HBOT to check the severity of their illness? Do you get ABGs to assess the degree of CO2 retention? What range of CO2 retention do you consider "safe" or unsafe, as often times we really can't predict how they will react to high 02 concentrations? Lastly, do you ever plan to do a course in wound managment? |
| Answer# 2 | Wound Care | Do you know anything about being able to maintain a VAC dressing while in a monoplace chamber? |
| Answer# 3 | Hyperbaric Medicine | Do any of you distinguished gentlemen have any knowledge in treating cancer patients after chemotherapy or radiation therapy with Hyperbaric Chambers? I have recently visited Russian hospitals and other medical facilities where they claim, that they treat patients after such procedures, and, what is amazing to me, they say, people who participated in such treatments fill so much better and quicker recover from the procedures, than the ones who did not participate in treatments with HBOT. |
| Answer# 4 | Hyperbaric Safety / Technology | Do fiberglass casts have to be bivalved when a patient wearing one is treated in amonoplace chamber? |
| Answer# 5 | Hyperbaric Compliance | I have issues with billing hyperbaric treatments and wondered if you could help me. I am using 99183 for physician billing and he wants the quantity of 4 billed with it. We are getting reimbursement but only by medicare others such as medicaid are rejecting stating it should be billed as one unit. Please shed some light on this subject for me. Thank you for your help in this matter. |
| Answer# 6 | Hyperbaric Safety / Technology | Are there any safty issues regarding pt's wearing Acticoat Silver Dsg's during treatment? |
| Answer# 7 | Hyperbaric Medicine | Is there a national protocol in regards to the temperature setting on the electrodes of the TCPO2 monitor? For instance, I heard some information that if the electrode is kept on a patient for more than two hours, then the temperature can be minimized from a half to a full degree to prevent burns. We are in the process of revising our policy and procedure manual and we are looking for some sort of national standard in writing that we can obtain. Thank you. |
| Answer# 8 | Hyperbaric Safety / Technology | Are any medications contraindicated with the use of HBO; particularly chemotherapeutic agents? |
| Answer# 9 | Hyperbaric Safety / Technology | What is the general concensus about skin patches in a monoplace environment? I am speaking of things like Fentanyl patches that the patients wear and change every three days. Or let's take that one step further what about nicotine patches with the silver lining? |
| Answer# 10 | Hyperbaric Safety / Technology | Would you please provide info related to the use of Leukovorin, 5FU and Leukovorin while also receiving HBO therapy for radiation injury to the spine. Is it safe to give HBO during the same time frame that the patient is being given these chemotherapeutic agents? |
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