HYPERBARIC OXYGEN THERAPY ITS ALL ABOUT SCIENCE In

HYPERBARIC OXYGEN THERAPY

ITS ALL ABOUT SCIENCE: In particular, three laws of physics, known as the Universal Gas Laws: Boyle’s, Dalton’s and Henry’s laws. Henry’s seems the most prominent in HBOT because “gas becomes soluble according to its partial pressure; ” ex: how carbon dioxide melts into a soda, fizzing back into a gas when the bottle or can is popped open. Likewise, oxygen obeys these same gas laws and melts into the liquid human body when there is an increase in its partial pressure or density. The additional dissolved oxygen acts as an energy catapult, increasing cellular oxidative metabolism, promoting healing and repair.

ITS ALL ABOUT SCIENCE:

DALTONS LAW: The total pressure exerted by a mixture of gases is equal to the sum of the pressures that would be exerted by each of the gases if it alone were present and occupied the total volume. P=P 1+P 2+. . Pother

Pressure? Pressure is a force or weight per unit area. All matter, including air, has weight due to earth's gravity. 14. 7 PSI

HYPERBARIC THERAPY: Hyperbaric oxygen therapy (HBOT) thus refers to treatment of the entire body with 100 percent oxygen at greater than normal atmospheric pressures(14. 7 PSI). In the ambient atmosphere we normally breathe approximately 20 percent oxygen and 80 percent nitrogen. With the increased pressure and oxygen, the dissolved oxygen in the blood plasma and in all body cells, tissues and fluids is up to 10 times normal concentration; enough to sustain life with no blood at all.

HOW HYPERBARIC THERAPY WORKS:

HOW HYPERBARIC THERAPY WORKS:

HOW HYPERBARIC THERAPY WORKS PIC: 1 PIC: 2

HOW HYPERBARIC THERAPY WORKS PIC: 3 PIC: 4

HOW HYPERBARIC THERAPY WORKS NEED TO KILL OFF THIS “BAD BOY”? : THERE ENEMY? OXYGEN

l HBO elevates wound oxygen tension l HBO relieves pain by increasing oxygen transport to ischemic tissue and improving blood supply and circulation l HBO speeds up wound healing by promoting growth of new, healthy tissue (new capillaries formation - angiogenesis) l HBO reduces infection by killing bacteria directly and increasing capacity of white blood cell to fight infection and eliminate wasted products of bacterial invasion l HBO enhances the effect of some antibiotics providing the environment that is toxins free and supplied with enough oxygen l HBO reduces swelling which develops as a consequences of the infection, poor circulation and injury l HBO speeds up bone growth by osteogenesis and in bone infection such as osteomyelitis, improves osteoclastic activity (removing necrotic bone) l HBO prevents infection in generally by strengthening immune system.

INDICATIONS • Air or gas embolism • Carbon Monoxide poisoning • Acute traumatic ischemia • Exceptional blood loss • Cyanide poisoning • Decompression sickness • Non-healing wounds • Gas gangrene • Necrotizing infections • Osteomyelitis • Radiation effects • Compromised skin flaps • Burns

CASE STUDY #1 Oxygen could be one of the most versatile and powerful agents available to the modern medical practitioner. A lack of sufficient oxygen in the body can cause tissue and cells to die, toxins accumulate in the blood stream, brain function to diminish or become impaired and damage to organs. Eventually, it will kill us! We can live without food for three weeks. . . without water for three days. . . without oxygen for three minutes!

But, what happens to the body when the body is immersed in oxygen under pressure as in a HBO chamber? Tissues and cells are stimulated to growth and repair, toxins are other impurities are forced out by the oxygen, the immune system is supported, neural brain function increases, bacterial growth is inhibited and wounds heal faster. Oxygen. . . Mother Nature's Miracle Drug!

Three phases to healing 1. The inflammatory phase - Beginning immediately, this phase lasts two to six days during which the bleeding stops, white blood cells fight bacterial infection and collagen formation begins (collagen is what scars are made of and what holds the wound together). In this phase, the wound is usually warm, red, swollen and painful 2. Proliferative phase - This next phase usually continues for about three to four weeks. In this phase, collagen continues to be produced, pulling the edges of the wound together and new capillaries (tiny blood vessels) are formed to aid in healing. The new cells that help keep the wound clean cause it to be wet, weeping or white or yellow in appearance. 3. The maturation phase - This slow process entails even more collagen to strengthen the wound. Then scare 'remodeling' takes place when the excess collagen in the scar breaks down and changes a thick, red, raised scar to a thin, flat, white scar. This takes place over a period of months to year.

CASE STUDY #2 At every phase of wound healing, HBO therapy is beneficial. New tissue striving to fill the dead tissue wound space competes for oxygen. This can cause inflammation and swelling. HBO therapy provides this additional oxygen. HBO therapy also increases collagen production which helps wounds heal faster with less scaring.

CASE STUDY # 3 HBOT can be used to maintain vascularity and preserve viability of SKIN FLAPS AND GRAFTS A medial thigh wound before and after HBOT

CASE STUDY #4 Radiotherapy post-surgical resection of a tumor has resulted in wound dehiscence. 20 treatments of HBOT at 2 ata have allowed a rotation flap to take.

CASE STUDY #5 NON-healing diabetic wound treated for 7 weeks

CASE STUDY #6 60 year-old female diabetic patient with a wound of the right plantar foot x 2 years; patient has peripheral neuropathy was referred to the Center for Wound Management as a last resort for amputation prevention.

SURGERY

SURGERY-REMOVAL OF BONE

HYPERBARIC&WOUNDVAC COMBO The V. A. C. ® (Vacuum Assisted Closure®) is a unique system that promotes wound healing. Doctors can prescribe negative pressure wound therapy (NPWT) for many traumatic and chronic wound patients - in the hospital, extended care facility, and in the home. Patient will continue The Hyperbaric oxygen daily therapy alongside The VAC system of benefit.

END RESULT

CASE STUDY #7 *DIABETIC ULCER: PIC 1 *AFTER 15 HBOT: PIC 2

CASE FILE: Case file: Non smoker, diabetic for 25 years, insulin dependent for 13 years. Left foot partial amputation 3 months earlier. Right foot presenting 3 open ulcers and low tissue oxygen values.

The greatest benefit of hyperbaric oxygen is achieved in situation where the oxygen supply to the tissue is disrupted by infection, local injury (poor circulation) or generally in (immunocompromised) people such as diabetics. Case file - Before and after 9 HBO sessions: All ulcers closed. Tissue oxygen values above normal.

ARTERIAL ULCERS: Case file: Arterial ulcer before and after HBO.

VENOUS ULCERS: Case file: Venous ulcer before and after HBO. Woundbed prepared for skin graft.

GAS GANGRENE: Addition to surgery and antibiotics, hyperbaric oxygen therapy (HBOT) is used and acts to inhibit the growth of and kill the anaerobic C. perfringens.

MONOPLACE HYPERBARIC CHAMBERS:

MULTIPLACE HYPERBARIC CHAMBERS:

ANY QUESTIONS?

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