Hyperbaric Oxygen Theray in the Treatment of Diabetic Foot Ulcers
Publication Date: May 1, 2015
Last Updated: March 14, 2022
Recommendations
In patients with Wagner Grade 2 or lower diabetic foot ulcers, we suggest against using hyperbaric oxygen therapy. ( Conditional , Very Low )
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In patients with Wagner Grade 3 or higher diabetic foot ulcers that have not shown significant improvement after 30 days of treatment, we suggest adding hyperbaric oxygen therapy to the standard of care to reduce the risk of major amputation and incomplete healing. ( Conditional , Moderate )
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In patients with Wagner Grade 3 or higher diabetic foot ulcers who have just had a surgical debridement of an infected foot (e.g., partial toe or ray amputation; debridement of ulcer with underlying bursa, cicatrix or bone; foot amputation; incision and drainage [I&D] of deep space abscess; or necrotizing soft tissue infection), we suggest adding acute post-operative hyperbaric oxygen therapy to the standard of care to reduce the risk of major amputation and incomplete healing. ( Conditional , Moderate )
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Recommendation Grading
Overview
Title
Use of Hyperbaric Oxygen Therapy in the Treatment of Diabetic Foot Ulcers
Authoring Organization
Undersea and Hyperbaric Medical Society
Endorsing Organizations
Centers for Disease Control and Prevention
Infectious Diseases Society of America
Society for Vascular Surgery
World Health Organization
Publication Month/Year
May 1, 2015
Last Updated Month/Year
June 27, 2023
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Female, Male, Adult, Older adult
Health Care Settings
Ambulatory, Hospital
Intended Users
Podiatrist, nurse, nurse practitioner, physician, physician assistant
Scope
Assessment and screening, Diagnosis, Prevention, Management, Treatment
Diseases/Conditions (MeSH)
D006931 - Hyperbaric Oxygenation, D017719 - Diabetic Foot, D016523 - Foot Ulcer
Keywords
Diabetic foot ulcers, Hyperbaric oxygen therapy, wagner grade 2, Lower DFO, wagner grade 3, Higher DFO