Protocols, at a glance.

Typical dosing by indication — pressure, duration, frequency, air breaks, and course length, with the standard-setting source. Your treating team confirms the plan per patient.

Indication	Pressure	Minutes	Frequency	Sessions	Air breaks	Source
Carbon monoxide poisoning Prioritize LOC, pregnancy, cardiac involvement, high COHb.	2.8–3.0 ATA	90–120	ASAP, up to 3 in 24h	1–3	Per table	UHMS
Compromised graft/flap Start ASAP after compromise recognized; coordinate with surgeon.	2.0–2.5 ATA	90	Once–twice daily initially	10–20	Per table	UHMS
Crush injury Begin within 24h; taper as perfusion improves.	2.0–2.4 ATA	90	3× first 24h, then BID	3–12	Per table	UHMS
Decompression sickness Follow USN Treatment Table 6; extend for residual symptoms.	2.8 ATA	285	Per USN Table 6	1+	USN TT6 schedule	US Navy Diving Manual
Delayed radiation injury For ORN: 20 pre-op + 10 post-op sessions around dental surgery.	2.4 ATA	90	Daily, 5×/week	30–60	2×5 min	Marx protocol / UHMS
Diabetic foot ulcer Reassess wound at 30 sessions; requires Wagner grade III+ unresponsive to 30 days standard care.	2.0–2.4 ATA	90	Daily, 5×/week	30–40	2×5 min at 30 & 60 min	UHMS / Medicare NCD 20.29
Necrotizing soft-tissue infection Adjunct to surgery + antibiotics; do not delay operative care.	2.0–2.5 ATA	90	BID between debridements	5–30	Per table	UHMS
Refractory osteomyelitis Combine with surgical debridement and culture-directed antibiotics.	2.0–2.5 ATA	90	Daily	20–40	2×5 min	UHMS
Sudden sensorineural hearing loss Best within 2 weeks of onset; combine with steroids.	2.0–2.4 ATA	90	Daily	10–20	2×5 min	AAO-HNS guideline / UHMS

Reference ranges from UHMS indications, the Marx protocol, and the US Navy Diving Manual. Not a substitute for physician judgment on the individual case. Printable — use your browser's print / save-as-PDF.

Have a case in mind?

Use the referral tool to get a patient-specific assessment, codes, and a ready-to-send letter.

Open HBOT Refer