Clinical Indications

  • G. Oriani
  • A. Marroni
  • F. Wattel
  • D. J. Bakker
  • J. Niinikoski
  • E. M. Camporesi
  • A. Gasparetto
  • M. Goulon
  • L. J. Greenbaum
  • E. P. Kindwall
  • M. Lamy
  • D. Linnarsson
  • J. M. Mantz
  • C. Perret
  • P. Pietropaoli
  • H. Takahashi
  • C. Voisin


The use of hyperbaric chambers in intensive care started in Europe more than 30 years ago; the present experience is sufficient to identify those clinical conditions where hyperbaric oxygen (HBO) has a therapeutic interest. Therefore the first scope of the Conference is to confront the obtained clinical results in order to reach a consensus in the definition of recognized indications for HBO according to three levels of priority:
  1. 1.

    Situations where the transport to a hyperbaric facility is strongly recommended because it is recognized that HBO positively affects the prognosis for survival. This implies that the patient is transfered to the nearest hyperbaric facility as soon as possible (type 1 recommendation).

  2. 2.

    Situations where the transport to a hyperbaric facility is recommended because it is recognized that HBO constitues an important part of the treatment of that given condition, which, even if it may not influence the prognosis for patient’s survival, it is nevertheless important for the prevention of serious disorders. This implies that the transfer to a hyperbaric facility is made, unless this represents a danger to the patient’s life (type 2 recommendation).

  3. 3.

    Situations where the transfer to a hyperbaric facility is optional, because HBO is regarded as additional treatment modality that can improve clinical results (type 3 recommendation)

Establishing a similar list is not an easy task, because in almost all cases the choice of an indication for treatment is based on clinical experience, not on controlled studies. Is it necessary, in similar conditions, that the validity of a given indication is again put under discussion and that the results of controlled prospective studies are awaited before defining lists of indications for hyperbaric oxygen therapy? This Jury does not think that this is appropriate. Clinical experience has an unquestionable value when it is the result of multiple agreeing observations, collected during many years and independently confirmed by different groups. In other words, it seems justified that indications for which there is unanimous consensus of the leading experts are accepted without further evidence.


Hyperbaric Oxygen Necrotizing Fasciitis Pyoderma Gangrenosum Hyperbaric Oxygen Therapy Carbon Monoxide Intoxication 
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Copyright information

© Springer-Verlag Italia, Milano 1996

Authors and Affiliations

  • G. Oriani
    • 1
  • A. Marroni
    • 2
  • F. Wattel
    • 3
  • D. J. Bakker
    • 4
  • J. Niinikoski
    • 5
  • E. M. Camporesi
    • 6
  • A. Gasparetto
    • 7
  • M. Goulon
    • 8
  • L. J. Greenbaum
    • 9
  • E. P. Kindwall
    • 10
  • M. Lamy
    • 11
  • D. Linnarsson
    • 12
  • J. M. Mantz
    • 13
  • C. Perret
    • 14
  • P. Pietropaoli
    • 15
  • H. Takahashi
    • 16
  • C. Voisin
    • 17
  1. 1.Anaesthesia, Intensive and Hyperbaric Care DepartmentGaleazzi Orthopaedic InstituteMilanItaly
  2. 2.Roseto degli AbruzziItaly
  3. 3.Blud. du. Prof. LeclercqService de Réanimation Médicale et de Médicine Hyperbare Hôpital Albert CalmetteLille CedexFrance
  4. 4.Academic Medical Center, Department of Surgery (Hyperbaric Medicine)University of AmsterdamAmsterdam Z. O.The Netherlands
  5. 5.Department of SurgeryUniversity of TurkuTurkuFinland
  6. 6.New YorkUSA
  7. 7.RomeItaly
  8. 8.ParisFrance
  9. 9.BethesdaUSA
  10. 10.MilwaukeeUSA
  11. 11.LiegeBelgium
  12. 12.StockholmSweden
  13. 13.StrasbourgFrance
  14. 14.LausanneSwitzerland
  15. 15.AnconaItaly
  16. 16.NagoyaJapan
  17. 17.LilleFrance

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