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

Endorsing Organizations

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