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Hyperbaric Wound Healing Flashcards

6 cards from real Certified Hyperbaric Technologist Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. How does hyperbaric oxygen therapy promote wound healing?

    Answer: By increasing tissue oxygen levels to stimulate angiogenesis, fibroblast proliferation, and white blood cell function

    HBO therapy dramatically increases dissolved oxygen in plasma, promoting new blood vessel formation (angiogenesis), enhancing fibroblast collagen production, improving neutrophil bacterial killing, and reducing edema through vasoconstriction.

  2. What is the recommended HBO protocol for diabetic foot ulcers?

    Answer: 2.0-2.4 ATA for 90 minutes, 5 days per week for 20-40 treatments

    Diabetic foot ulcers typically require treatment at 2.0-2.4 ATA for 90 minutes per session, 5 days per week, with a treatment course of 20-40 sessions depending on wound response.

  3. What role does transcutaneous oxygen measurement (TcPO2) play in HBO therapy?

    Answer: It assesses tissue oxygenation to predict wound healing potential and patient selection for HBO

    TcPO2 measurements assess the oxygen level at the wound site, helping determine if the tissue is hypoxic and whether HBO therapy can adequately increase oxygen delivery to promote healing, guiding patient selection.

  4. What is the mechanism by which HBO therapy helps treat chronic refractory osteomyelitis?

    Answer: By increasing oxygen delivery to infected bone, enhancing antibiotic effectiveness and white blood cell bactericidal activity

    HBO increases oxygen tension in infected bone tissue, which enhances neutrophil killing activity (which requires oxygen), potentiates certain antibiotics, stimulates osteoclast and osteoblast activity, and promotes new bone formation.

  5. When should HBO therapy be discontinued for a non-healing wound?

    Answer: If no measurable wound improvement is observed after 15-20 treatments

    If a wound shows no measurable improvement (reduction in size, improved granulation tissue, decreased drainage) after 15-20 treatments, the case should be reviewed, as continuing HBO without demonstrated benefit is not warranted.

  6. What is delayed radiation injury and how does HBO therapy treat it?

    Answer: Progressive tissue damage from prior radiation therapy, treated by HBO-stimulated angiogenesis in damaged tissue

    Delayed radiation injury (osteoradionecrosis, soft tissue radionecrosis) results from progressive vascular damage in previously irradiated tissue. HBO stimulates new blood vessel growth in the damaged tissue, restoring blood supply and healing capacity.

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