Hyperbare Zuurstoftherapie: Rapid Assessment - KCE

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58 Hyperbaric Oxygenation Therapy <strong>KCE</strong> Reports 74 Indication N° of sessions Fee level Serious CO max three times Monoplace chamber: intoxication First day: N96 Decompression disease max seven times Second and following day: N72 Arterial gas max seven times Multiplace chamber: embolism First day: N192 Anaerobic myonecrosis max seven times Second and following day: N168 A new nomenclature number was proposed for diagnostic HBOT in a multiplace hyperbaric chamber (K corresponds to €1.077 on January 1, 2008). Service N° of sessions Fee level Transcutaneous oxygen measurement under hyperbaric oxygen inhalation Only in consideration of starting therapeutic HBOT for chronic critical ischemia in case of diabetes or arteriosclerosis Only once per two years K156 Additionally, new nomenclature numbers were proposed for the following indications in a multiplace hyperbaric chamber. Indications N° of sessions Fee level Chronic critical ischemia: in case of diabetes o when transcutaneous oxygen measurement >100 mmHg when inhaling 100% O2 at 2.5 ATA in case of arteriosclerosis o when transcutaneous oxygen measurement > 50 mmHg when inhaling 100% O2 at 2.5 ATA Radionecrosis: Treatment of osteoradionecrosis of head and neck or Soft tissue radionecrosis (except for radiation- enteritis) Osteomyelitis: Chronic osteomyelitis, refractory after more than six weeks antibiotics therapy and after at least one surgical intervention; or Osteomyelitis of skull base or sternum Max 40 times in two years Max 40 times Max 30 times during two years Sudden deafness, refractory for classical drug therapy Max 15 times during five years Crush trauma or compartment-syndrome of the limbs, posttraumatic reperfusion syndromes or compromised skin Max 10 times grafts or myocutaneous flaps K45
<strong>KCE</strong> Reports 74 Hyperbaric Oxygenation Therapy 59 5.6 PROVIDERS OF HBOT Monoplace Multiplace Ten civil and two military centres currently have a hyperbaric chamber (see Figure 25 and Table 13). As mentioned above, ten hospitals originally received a monoplace chamber in the period 1967-1972. 131 Of these ten, ZNA Stuivenberg Antwerpen, AZ St-Jan Brugge and CHR La Citadelle Liège replaced their old monoplace chambers by a multiplace. Hôpital Civil Charleroi initially replaced its chamber by another monoplace chamber but currently also has a multiplace chamber at their disposal. The University Hospital St Pierre and CHU Sart Tilman Liège replaced their old chamber by a new monoplace chamber. UZ Gent also replaced its chamber by a new monoplace chamber but, in the meanwhile, has stopped its hyperbaric activities. Two university hospitals never replaced their monoplace chamber: UZ VUB Jette closed its chamber in May 2007 and UZ Leuven closed its chamber about a decade ago. A few hospitals that initially did not receive a monoplace chamber from the ministry purchased a chamber themselves: OLV Aalst, UZ Antwerpen and ZOL St-Jan Genk purchased a multiplace chamber while Cliniques du sud du Luxembourg Arlon installed a monoplace. Finally, there are two military centres for hyperbaric therapy: the military hospital at Neder-over-Heembeek and the marine basis of Zeebrugge. The latter is the only hyperbaric centre outside a hospital. Initially, this centre only treated military people with diving accidents. Today, citizens with various pathologies also receive HBOT in this facility. Figure 25. Overview of Belgian centres with (a) hyperbaric chamber(s) Military centre Population (2004) 400 000 Source: HBOT Centres: data from questionnaire; Population: data from NIS.
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Wettelijk depot : D/2008/10.273/13
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Hyperbare Zuurstoftherapie: Rapid Assessment - KCE

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