One patient in a sitting or reclining position can be accommodated by monoplace hyperbaric chambers. These hyperbaric chambers do not allow space for personnel, and therefore require a two-way communication system. Acrylic dome or viewing ports must allow medical personnel to directly view the patient's progress.
Monoplace hyperbaric chambers should operate in maximum pressures from about 30 psi. Multiplace chambers operate from 75 psi.
For monoplace hyperbaric chambers, the main pressure gauges should range from 1-3 ATA (atmospheres absolute), and from 1-6 ATA for multiplace hyperbaric chambers. The majority of treatments for decompression sickness and embolisms are performed at 2-3 ATA.
Examining discharge data and estimating the number of patients with the appropriate indications for this therapy will help facilities in evaluating the potential demand for HBOT.
There is a study that suggests that a reasonable daily treatment volume for the first year of operation can be reached by applying a factor of 1 for every 100,000 people in the facility's service area.
A multiplace hyperbaric oxygen chamber may be more cost effective when a facility's throughput gets to 12 patients a day
Facilities should consider the following factors before making a hyperbaric chamber purchase: chamber capacity, duration of treatments, and daily hours of operation.
To allow for emergencies and flexible scheduling of patients, the hyperbaric chamber operation at 80% of facility capacity is considered appropriate.
Facilities should check with their insurance carriers to find out if there are any specific insurance requirements for hyperbaric chamber systems.
Specially trained technical and medical staff is needed for a fully developed HBOT program. Such a program also requires an investment in hyperbaric oxygen chamber equipment and training in proper hyper pressure chamber installation and operation.

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