Hyperbaric Oxygen Therapy (HBOT)
We provide HBOT at 2.0-2.4 atmospheres absolute (ATA) for FDA-approved indications including diabetic foot ulcers, refractory osteomyelitis, necrotizing soft tissue infections, compromised grafts/flaps, radiation tissue injury, and carbon monoxide poisoning. Our protocols include precise treatment pressures, durations (60-120 minutes), and frequencies (daily to 5x/week) based on specific indications and response.
Topical Oxygen Delivery Systems
We offer continuous topical oxygen therapy (TOT) and cyclical topical oxygen therapy systems for outpatient and home use. These portable devices deliver 100% oxygen directly to wound surfaces at controllable flow rates, creating a localized oxygen-rich environment without systemic effects. Ideal for patients unsuitable for HBOT or requiring extended treatment durations.
Comprehensive Wound Assessment & Monitoring
We perform transcutaneous oxygen measurements (TcPO2) at baseline and periodically during therapy to document oxygenation improvement. Our monitoring includes wound measurement tracking, photographic documentation, and regular assessment of treatment response using validated tools. We coordinate with referring providers to integrate oxygen therapy with comprehensive wound management.
Safety Protocols & Patient Education
Our hyperbaric safety program includes comprehensive patient screening (contraindication assessment), detailed education on chamber procedures, strict fire safety protocols, emergency procedures, and continuous monitoring during treatments. For topical systems, we provide thorough training on home use, maintenance, and recognition of potential issues requiring medical attention.
- Comprehensive evaluation including indication verification and contraindication screening
- Baseline transcutaneous oxygen measurements and wound documentation
- Individualized treatment protocol development
- Hyperbaric chamber operation with continuous monitoring
- Topical oxygen system fitting and patient training
- Regular assessment of treatment response and side effects
- Coordination with primary wound care providers
- Documentation of outcomes and treatment parameters
FDA-approved indications include diabetic foot ulcers with hypoxia (TcPO2 <40mmHg), refractory osteomyelitis, necrotizing soft tissue infections, compromised grafts/flaps, radiation tissue injury (osteoradionecrosis, radiation cystitis/proctitis), carbon monoxide poisoning, arterial gas embolism, and decompression sickness. Off-label uses require careful consideration and documentation.
HBOT increases dissolved oxygen in plasma 10-15 times normal, reaching hypoxic tissues despite poor circulation. This enhances fibroblast proliferation, collagen synthesis, angiogenesis, leukocyte bacterial killing, and antibiotic effectiveness while reducing edema through vasoconstriction. The intermittent hyperoxia also stimulates stem cell mobilization and growth factor release.
Treatment courses vary: diabetic foot ulcers typically require 30-40 treatments, radiation injuries 30-60 treatments, necrotizing infections 10-20 treatments. We assess response after 10-15 treatments using objective measures (wound size reduction, TcPO2 improvement) and adjust treatment plans accordingly. Most protocols involve daily treatments 5-6 days per week.
HBOT risks include barotrauma (ears, sinuses), oxygen toxicity (CNS or pulmonary), fire hazard, and claustrophobia. Contraindications include untreated pneumothorax, certain chemotherapy drugs, and uncontrolled seizures. Topical oxygen risks are minimal but include skin irritation. Our comprehensive screening and monitoring minimize these risks to <1% significant complications.
Topical oxygen delivers oxygen directly to wound surface without systemic effects, suitable for outpatient/home use with fewer contraindications. HBOT achieves higher tissue oxygen levels throughout body, more effective for deeper infections and systemic conditions. They are often complementary: HBOT for acute/severe cases, topical for maintenance or mild-moderate cases. We select based on specific clinical scenarios.
Our Team
Meet the Experts Behind Your Care
Dr. Viswanath Atreyapurapu
Consultant Vascular & Endovascular Surgeon
Dr. Manikanth Karumuri
Consultant Plastic, Reconstructive & Cosmetic SurgeonTestimonials
What Our Patients Are Saying
“I recently underwent vein laser treatment at IKIGAI under the care of Dr. Vishvanath Atreyapuram, and I am incredibly impressed with the experience and results. From the moment I stepped into the clinic, the staff made me feel welcome and at ease. Dr. Vishvanath is not only highly skilled and professional but also took the time to explain the procedure in detail, addressing all my concerns patiently.”
“My daughter was born with cleft palate and was advised to get operated after she turns 1 year old. We have lost all our hopes and were very worried about her. Dr K. Manikanth garu has done palatoplasty for my daughter last year. Since then he has taken very good care of my daughter even after the surgery and during reviews also, and now my daughter is perfectly alright. Thanks alot for Dr. Manikanth garu for the treatment.”
“Ikigai clinics is offering expert surgical care for all vascular and plastic surgery related conditions. It offers a serene ambience, world class infrastructure and highly skilled surgeons with personalized treatment plan for every patient. Highly recommended👍”
“I recently underwent vein laser treatment at IKIGAI under the care of Dr. Vishvanath Atreyapuram, and I am incredibly impressed with the experience and results. From the moment I stepped into the clinic, the staff made me feel welcome and at ease. Dr. Vishvanath is not only highly skilled and professional but also took the time to explain the procedure in detail, addressing all my concerns patiently.”
“I had a great experince with Dr viswanath Atreya and Dr manikanth karumuri for my varicose veins and venous ulcers treatment at ikigai clinics. From the very first consultation ,the doctor was kind ,through and extremely knowledgeable .iam so greatful for the care i recived and would highly recommend Dr viswanath and Dr manikanth to anyone dealing with varicose veins and venous ulcers Thank you ikigai clinics”
“⭐⭐⭐⭐⭐ Highly Recommend Ikigai Clinic for Nose Plastic Surgery! I recently had a nose plastic surgery at Ikigai Clinic, The entire experience, from consultation to post-surgery care, was handled with utmost professionalism and expertise. I'm truly satisfied with my results, and I highly recommend Ikigai Clinic to anyone considering cosmetic procedures. Thank you so much (Dr.Manikanth Karumuri)”
“I recently underwent AVF surgery with Dr. Viswanath Atreyapurapu at Ikigai Clinics, and I couldn’t be more satisfied with the care I received. Dr. Viswanath was incredibly professional, patient, and knowledgeable. He took the time to explain the procedure thoroughly and made me feel at ease every step of the way. The surgery went smoothly, and the post-operative care was excellent. Highly recommend Dr. Viswanath and Ikigai Clinics to anyone in need of vascular care.”