3035A Boone Trail Extension Fayetteville, NC  28304 
+910-920-1165 / FAX 910-425-5178
info@northcarolinahyperbarics.com

WHAT TO EXPECT

What to Expect

Looking in a chamber

KEEP YOUR APPOINTMENTS:
Missing your scheduled appointments can compromise the success of your ongoing care. Follow-up appointments are essential so that you and your physician can assess the progress of your treatment plan. It is also essential that you continue the prescribed plan until the treatment goals you and your physician have agreed upon have been accomplished, and until you and your physician formally agree to end your treatment. If you find you cannot keep a future appointment call the facility as soon as you can to reschedule.

VISITORS:
Visitors are welcome. Children will be required to remain in the reception area at all times. Tours may be conducted if prior arrangements have been made so we do not interfere with other patient’s treatments or their privacy. After visitors have seen the chambers they will be required to return to the reception area until your treatment is completed.

(HBO) therapy is a medical treatment in which the entire body is exposed to increased atmospheric pressure while the patient breathes 100% oxygen.
The breathing of oxygen while in a pressurized environment stimulates the body mechanisms to promote healing.
There is very little sensation while undergoing HBO therapy. During pressurization, you will get a “fullness” buildup in your ears as a result of the pressure change. This feeling is similar to diving down to the bottom of a swimming pool, driving through the mountains or flying in a plane. The technician will show you how to relieve this fullness so that you can avoid discomfort during your treatment.
Once the treatment begins, you will hear a hissing sound as the chamber pressurizes. You may also notice a temporary increase in temperature during this compression. A technician will adjust the rate of compression according to your tolerance and coach you on relieving the full sensation in your ears. The compression phase of the treatment generally lasts about 10-15 minutes, depending upon how effective you are in clearing the pressure in your ears.
Once you are at the prescribed pressure in the chamber, your ear pressure sensation will go away. You should feel absolutely normal at this time. You may watch television, listen to music, sleep or just rest during the remainder of the treatment. You can expect treatments to usually last about two (2) hours.
At the end of your treatment, the pressure will gradually decrease as the chamber ascends over a period of 10-15 minutes. During this decompression, you will experience a popping sensation in your ears as a result of the decreasing pressure. This popping is a normal adjustment of pressure inside your ears.
Generally, you experience no after-effects from HBO therapy, however, some patients report a crackling sensation in their ears between treatments. This may be relieved in the same manner as clearing your ears during compression. If the crackling should continue, please report this to the staff. Additionally, some patients report feeling light headed for a few moments following treatment, but the episode is brief and the patients are soon able to continue with their normal daily activity. As with all medical procedures and treatments, there are some side effects that could result from exposure to hyperbaric oxygen. These are rare, but they will be discussed with you in detail before you sign your “Consent for Treatment” form.
PURPOSE OF TREATMENT:
1. A generalized constriction of blood vessels that decreases edema or swelling.
2. Activation of the immune system to fight and kill certain bacteria.
3. Stimulation of cells to rebuild tissues and enhance healing.
4. Inactivation of toxic materials produced by bacteria.
5. The rebuilding of small blood vessels, such as capillaries.
7. Enhances stem cell release.
8. Helps to clear infections in bones and rebuild new bone.
Hyperbaric Oxygen (HBO) Therapy is a medical application, which is useful in the treatment of selected surgical and medical problems. HBO therapy can be used as a primary treatment modality for problems such as decompression sickness (the bends), or as adjunctive therapy to medicines and/or surgery, such as with skin grafts and problem wounds.
HBO therapy may be administered in either a large, steel cylinder called a multi-place chamber or an acrylic mono-place chamber. While in the chamber you will breathe 100% oxygen while subject to increased atmospheric pressure.

On treatment days there are several things which will need to be done before, during, and after the treatment.
BEFORE TREATMENT:
Arrive thirty minutes before your scheduled treatment time. Change into approved clothing and use the restroom and attend to other personal needs as necessary. Your physical and psychosocial condition will be assessed before treatment. The staff will check your vital signs, as well as blood sugar if applicable. Continue your regular home medications as scheduled unless otherwise directed by the physician. We will review ear clearing procedures and other information about your treatment. Do not drink carbonated beverages within one hour of your treatment, as this may cause stomach cramps. Please tell a staff member if you have any cold or flu symptoms, such as:
a. Sinus drainage.
b. Stuffy ears or nose.
c. Nausea or vomiting.
d. Stomach cramps or diarrhea.
TREATMENT:
Descent (compressed gas is put into the chamber). There will be a technician in/at the chamber with you at all times. Inform them immediately if you require any assistance. The ability to clear your ears is important in preventing ear discomfort or trauma. As the chamber fills with pressure, you will need to equalize the pressure inside your ears to the pressure inside the chamber. You will be taught a couple of different pressure-clearing techniques.
There are several ways to do this: YAWN. . . SWALLOW. . .OR BLOW THROUGH YOUR NOSE WHILE PINCHING IT CLOSED (VALSALVA). This is performed as follows:
a. Hold your nose and close your mouth.
b. Blow out through your nose.
c. Keep blowing until your ears feel normal. Tell the technician
immediately if you cannot relieve the fullness or pressure in your ears. 

Standard treatments last about two hours. In the multi-place chamber, the oxygen hood or mask will be removed periodically to allow you to breathe chamber air, depending on your condition. In the mono-place, you will breathe air on your breaks through an air mask. The technician will assess you during your treatment. Remove the mask or hood only when instructed.
Ascent (compressed gas is released from the chamber). The inside chamber temperature may chill during accent. Your Ears may “pop” or “crackle,” your ears will equalize by themselves. DO NOT VALSALVA OR DRINK WATER ON ASCENT. Tell the technician immediately if the pressure does not relieve itself in your ears or sinus. Breathe normally on the ascent. DO NOT HOLD YOUR BREATHE DURING ASCENT.
POST TREATMENT:
A staff member will take your vital signs after the treatment and monitor you for problems. You will be provided wound care if ordered by the physician.