The State Institution
Romodanov Neurosurgery Institute
National Academy of Medical Sciences of Ukraine

Department of Hyperbaric Oxygen Therapy


Tel. 044 483-18-77

e-mail: vivhbo@i.ua

How to find: Institute of Neurosurgery, Building 5, 2nd floor (see Map and Institute scheme)


The department of hyperbaric oxygenation (HBO) was founded in 1989, but the use of pressure chambers at the institute began in 1982. Sessions were held for patients in the intensive care unit with cerebral edema and ischemia and craniocerebral trauma on the BLKS-3-01 pressure chamber. Since 1989, the Yenisei-3 pressure chamber with an artificial lung ventilation device has been used, and since 1992, two more Oka-MT. During this time, about 45,000 sessions were performed for more than 5,000 patients.
Doctors M.I. Dolgova, O.I. Bogatyr, M.I. Orishaka, I.V. Voronov, O.M. Lazun, A.I. Yermoliev, and S.I. Wendelovskyi worked in the department at different times.
Currently, the head of the department is Ihor Vasyliovych Voronov, an anesthesiologist of the highest qualification category.

Indications for HBO
in accordance with the recommendations of the Association of Underwater and Hyperbaric Medicine of the United States (UHMS) (http://www.uhms.org), 14th edition since 1967 and according to the 7th European Consensus Conference EUBS (http://www.eubs.org) on hyperbaric medicine in Lille (France), December 3-4, 2004:
1. Carbon monoxide (CO) poisoning
2. Carbon monoxide (CO) poisoning complicated by cyanide poisoning
3. Syndrome of prolonged compression of soft tissues, crushing, compartment syndrome and other acute traumatic ischemia
4. Radiation osteoradionecrosis (of the lower jaw)
5. Radiation osteoradionecrosis of other bones
6. Radiation necrosis of soft tissues (bladder)
7. Radiation damage to soft tissues of other areas
8. Delayed radiation damage (necrosis of soft tissues and bones)
9. Preventive (prophylactic) use before operations and implantations in radiation-damaged tissues
10. Dysbaric disease (conditions after violation of decompression regimes in divers)
11. Gas or air embolism
12. Improvement of the healing of certain problematic wounds
13. Necrotizing infections of soft tissues (anaerobic bacterial infection)
14. Intracranial abscess
15. Diabetic foot
16. Complicated skin and skin-muscle flap plastic surgery (compromised grafts and flaps)
17. Sudden deafness (idiopathic sensorineural)
18. Ischemic ulcers
19. Persistent (chronic) osteomyelitis, refractory osteomyelitis
20. Neuroblastoma of the 4th stage
21. Anoxic encephalopathy
22. Reperfusion syndrome after vascular operations and limb replantation
23. Acute thermal injury (Thermal burns)
24. Acute ischemic disorders in ophthalmology (occlusion of the central retinal artery)
25. Cystic pneumatosis of the intestine
26. Impairment of cerebral circulation (stroke)
27. External malignant otitis
28. Sickle cell disease
29. Necrosis of the femoral head
30. Severe anemia

Contraindications to hyperbaric therapy are:
– claustrophobia,
– convulsions (epileptic disease),
– severe forms of hypertension,
– violation of the patency of the auditory tubes,
– acute respiratory diseases (runny nose, sinusitis),
– draining bilateral inflammation of the lungs,
– pneumothorax,
– the presence of bullae (cysts) in the lungs.

A standard session takes 45-60 minutes.
The pressure in the pressure chamber during the session is from 0.2 to 1.2 excess atmosphere.
During the session, there is a possibility of constant contact between the patient and the doctor.
Before the start of the session, the patient dresses in cotton clothes.

Updated on 14 December 2023

Head of the department – Igor V. Voronov

Department of Hyperbaric Oxygen Therapy

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