Under Pressure Hyperbarics

Under Pressure Hyperbarics was founded by experts in the filed with over 25 years in hyperbaric medicine combined. We believe in evidence-based medicine and use FDA, PVHO, ASME and National Board approved chambers to safely treat all of our patients.

Our Staff

Nicole Garrett, CHT

Nicole has a background in commercial diving and dive medicine. As a former EMT and diver medic (DMT), Nicole is now a Certified Hyperbaric Technician (CHT) and Safety Director. She started her career at USCD’s hyperbaric chamber treating everything from crush injuries, air gas embolisms, decompression illness to diabetic wounds and effects of radiation for cancer treatments. She then went on to participate in the Traumatic Brain Injury study for the Department of Defense. After the study she went on to open UCSD’s second multiplace facility in Encinitas, CA.

After several years in multi-place operations she moved to monoplace operations. Over her career she has assisted in opening several hundred hospital based hyperbaric facilities across the country. Assisting with facility design, installation and maintenance of the hyperbaric chambers, teaching the UHMS board certified training course for the physicians and staff, and hands on training of the hyperbaric technicians and safety directors.

She is well respected in her field and is frequently called upon for consulting at centers across the county and world wide.

Our Medical Staff

Som Kohanzadeh, MD, FACS

Dr. Som is a Board Certified Plastic and Reconstructive Surgeon, and Board Certified General Surgeon. He grew up in Westlake Village, then attended UCLA, where he graduated with honors with a degree in Cybernetics while specializing in Physiologic Science and a minor in Mathematics. Next, he attended UC San Diego Medical School, where he spent an additional year conducting Plastic Surgery research focused on hand reconstruction while visiting multiple underserved cities in Mexico as part of the Interface outreach program to provide plastic and reconstructive surgery.

He then moved back to Los Angeles, where he completed his residency training in General Surgery at Cedars Sinai Medical Center. He also performed a research fellowship in Plastic and Reconstructive Surgery in collaboration with UC San Diego. During this time he presented at multiple regional and national meetings, while also publishing multiple research articles in the fields of General Surgery, Vascular Surgery, Trauma Surgery and Plastic Surgery. Upon completion of his General Surgery training, he earned his Board Certification from the American Board of Surgery.

He then completed Plastic and Reconstructive Surgery training at the University of Alabama Birmingham with the world famous Luis Vasconez, where he trained in all aspects of Reconstructive and Aesthetic Plastic Surgery. Additionally, he spent significant time gaining expertise in both microsurgery and complex hand surgery.

While at UAB he also participated in complex reconstruction and wound care. Here he also learned about hyperbaric oxygen treatments. Upon his return to Los Angeles, Dr. Som joined the Sherman Oaks Wound Center where he became the Director of Plastic and Reconstructive Surgery. He completed extensive training in hyperbaric medicine and over the past 6 years has taken over as director of the Wound Center in Sherman Oaks as well as setting up the Beverly Hills Wound Center as part of Wound Institute of America Beverly Hills. Our commitment to the advancement of wound healing and providing excellent outcomes for patients led us to start Under Pressure Hyperbarics, the most advanced hyperbaric treatments center in Beverly Hills.

Dr. Som has presented over 50 projects locally, nationally and internationally at the the International Society of Aesthetic and Plastic Surgery in Santiago, Chile. While there he also had the opportunity to operate side by side with international surgeons and learn techniques from the other side of the world. He continues to strive to make advancements in Plastic Surgery, wound care and hyperbaric medicine with cutting edge research and investigation, bringing the newest art and science to Southern California.

David Pougatsch, DPM

David Pougatsch, DPM, is the co-founder of Wound Institutes of America, and the associate director of Reconstructive Foot and Ankle Surgery at The Center for Reconstruction and Wound Healing.

He is a fellowship-trained podiatrist specializing in treating complex acute and chronic wounds, and preventing amputations of the foot and ankle.

Dr. Pougatsch uses various advanced modalities to heal wounds in a difficult patient population.

Dr. Pougatsch is board certified by the American Board of Podiatric Medicine, and serves on the board's committees.

about image

Hard Chamber

about image

Soft Chamber

Normally, you breathe 21% oxygen at sea level. Using significant pressure, Medical Grade Hard-Shell Hyperbaric chambers help the body circumvent the normal way oxygen is delivered to your body, and thereby increasing the delivery of oxygen to cells by 10, 15 or even 20 times the normal amount (200%). This is what is required to attain the benefits of Hyperbaric Oxygen Therapy.

In contrast, Soft Chambers only increase oxygen intake to 26%, just 5% more than normal, as they are unable to attain enough pressure to provide substantial benefits. Because inflatable bag chambers cannot achieve necessary pressures for healing (1.5ATA+), their use is not considered Hyperbaric Medicine.

Currently, most practitioners and companies who use, sell or lease Soft Shell Chambers feature research and scientific results that were based on TRUE clinical hyperbaric studies using ‘Hard,’ FDA approved chambers. Some inflatable bag chamber companies have even been sanctioned by the FDA for making “fraudulent medical claims.”

Hard sided chambers must meet stringent requirements in order to be fit for Humans to go inside. Devices that have met those requirements will have a stamp on them from the National Board. It will look like this:

If your chamber does not have this Stamp, DO NOT GO INSIDE. The materials used have not been proven safe and serious injury or even death could occur.

Soft side chambers are not approved by the FDA for treating anything other than Altitude sickness and will not contain the stamp of approval. In addition soft chambers put you at risk of toxic inhalation. They are made with rubber, plastic and petroleum products that off-gas in oxygen rich environments. This exposes the individual inside to toxicity by inhalation.

Am I being treated with 100% medical grade oxygen.

Oxygen under pressure is treated like a drug. It requires a prescription from a registered physician to get and administer. If you did not get a prescription for hyperbaric treatments it is likely that you are not being treated with 100% oxygen. Even if the oxygen is being administered from a tank, it may not be medical grade. Several facilities have been found treating with welding grade oxygen that can have impurities.

Studies show that oxygen becomes bacteriostatic (stops reproducing) at 1.5ATA (16.5 feet sea water). Being treated at pressures less than that not only cannot kill bacteria, but can enhance the growth of certain mold, fungus, and anaerobic bacteria. In addition, soft sided chambers cannot be adequately disinfected between patient use.

Treating patients at depths less than 1.5ATA have shown no clicinal benefit. Research show most indications require a treatment depth of 2ATA (33Feet sea water) or greater to be beneficial.

Reputable hyperbaric facilities have nationally certified technicians who have undergone extensive training, testing and successful completion of an internship at an accepted medical grade hyperbaric program. Certified technicians must also have an EMT, DMT, RN or MD/DO in order to sit for the certification exam. Soft-side chamber do not require any certifications to operate.

Facilities should comply with all NFPA, ASME, PVHO-1 and PVHO-2 requirements. These cover chamber grounding, fire suppression, what materials can go in a hyperbaric chamber, what materials the chamber can be made out of, etc… Soft sided chambers and chambers that do not have the National Board stamp of approval are not subject to these stringent requirements as they are not considered true hyperbaric chambers.