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Transcutaneous Oxygen Measure (TCOM)

HBO referrals for non-healing wounds may be assessed with transcutaneous oxygen measurements (TCOM).

The applications of TCOM include: assessment of healing potential of problem wounds, selection of surgical debridement and amputation levels, survival prediction of skin grafts and flaps, and selection of appropriate candidates for Hyperbaric Oxygen Therapy.

Based on the results of a TCOM study, a determination can be made as to whether the wound will heal with HBO therapy.
Selecting appropriate candidates for HBO treatment can be accomplished with an oxygen challenge in conjunction with TCOM.

Only patients that have a documented poor to fair chance of healing spontaneously and demonstrate a good response to oxygen administration are treated with HBO.

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