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COMPLETE MEDICAL EQUIPMENTS- HBOT PRESENTATION -SECHRIST
1. Man can survive without food for weeks, and with out water for
days, But only minutes without oxygen.
Oxygen is the basis of life………..
**COMPLETE MEDICAL EQUIPMENTS**
COMPLETE
2. “The positive power of the use of hyperbaric oxygen is
really a modification of God’s gift to man….”
**COMPLETE MEDICAL EQUIPMENTS**
COMPLETE
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3. Chemical Composition of the Dry
Atmospheric Air Near the Earth
Carbon dioxide
Inert gases
Nitrogen
Аз о т
Helium
78,08 % Methane
Угле кис лы й га з
Hydrogen
Ине р тны е га з ы
Nitrous oxide
Ге лий
Ме та н
SO
Во д о р о д 2
З а кисOzone
ь а з о та
Дв уо кис ь с е р ы
Кис л о ро д
Oxygen ОзNO2
он
Дв уо кис ь а з о та
NH
Аммиа к 3
20,95 %
CO
Окис ь угле р о д а
Йо д
Iodine
0,9 7 %
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4. Hyperbaric Oxygen Therapy
(HBOT)
Hyperbaric Oxygen Therapy = uses a special chamber, sometimes
called a pressure chamber, to allow a person to get high levels of oxygen
in the blood. This means that the air inside the pressurized chamber is
typically 2 1/2 times greater than normal atmospheric pressure. This leads
to your blood carrying larger amounts of oxygen, and bringing this oxygen to
organs and tissues in the body. By doing so, wounds, particularly infected
wounds, can heal more readily.
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5. HBOT – The Chamber
shell – steel or aluminum
windows – acrylic
human entrance w/ air lock system
observation window & intercom system
carbon dioxide scrubber
control panel
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6. Hyperbaric Oxygen
Therapy
6 lbs. O2 per/day 2 lbs. O2 absorbed into blood
Hemoglobin = metalloprotein in RBCs that hold/transports O2
1g hemoglobin = 1.34 mL O2 @ atmospheric pressure
100% O2 administered @ 2-3 times the atmospheric pressure
pO2 = 39 mmHg vs. pO2 = 50-80 mmHg
↑ pressure = ↑ O2 absorption
7.5 lbs. O2 1 hour RBC fill extra O2 dissolves in blood plasma for transport
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8. HBOT— The role of O2 in the
body
Cofactor enzymes:
-mono-oxygenase
-Intradioxygenase
-Interdioxygenase
↓ O2 = ↓ ATP
collagen deposition/synthesis
angiogenesis/epithelization
O2 = antioxidant protects tissues from free radicals
trauma physiological response vasoconstriction hypoxia
hypoxia – reduces cellular metabolism
- ↓ defense mechanism
- ↓ repair of injured cells
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9. HBOT— What is it USED
for?
Decompression sickness Necrotizing fascitis
Arterial gas embolism Anemia
Carbon monoxide poisoning Gas gangrene
Osteomyelitis Chronic non-healing wounds
Skin grafts Sports injuries
Burns and more…
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10. HBOT— Decompression
sickness
diver resurfaces too quickly
gas bubbles form in tissue and blood
blocks lymphatics, veins and arteries
HBOT
- reduces bubble size
- corrects hypoxia
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11. HBOT— Sports Injuries
trauma physiological response vasoconstriction hypoxia
ischemia = swelling cuts off O2 circulation to the affected areas
↑ O2 leads to…
↑ collagen deposition/synthesis
↑ angiogenesis/epithelization
↑ ATP
↓ recovery time
Performance
speeds recovery between workouts
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12. HBOT— Treatment
2.0 ATA oxygen X 90 minutes
wound healing
comprised skin grafts *Average 90 min. HBOT
thermal burns Rx = $300 - $400
osteomyelitis
crush injury/compartment syndrome
* Most ailments require
2.5 ATA oxygen X 90 minutes 30-40 sessions
nonclostridial gas gangrene
necrotizing infections
osteomyelitis
radiation tissue injury
3.0 ATA oxygen X 90 minutes
carbon monoxide poisoning
clostridial gas gangrene
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14. HBOT— Oxygen Toxicity
severe hyperoxia caused by breathing oxygen at elevated partial pressures
precise mechanism(s) of the damage are not known
CNS oxygen toxicity
nausea and vomiting anxiety
seizures tinnitis
sweating hallucinations
pallor vertigo
muscle twitching hiccups
shortness of breath
Pulmonary oxygen toxicity
pulmonary edema/fibrosis
dry cough
substernal chest pain
bronchitis
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15. What is Hyperbaric Oxygen Therapy?
Hyperbaric Oxygen Therapy (HBOT) is a procedure in
which a person is exposed to increased pressure,
allowing greater absorption of oxygen throughout the
body’s tissues.
This increased pressure allows more oxygen to reach the
cells within the body therefore contributing to the many
healing and therapeutic benefits.
The concept of hyperbaric oxygenation has been in
existence as early as 1662 but has only gained
recognition in conventional medicine over
the past 40 years.
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16. Oxygen is essential to our existence, as
evidenced in the numerous conditions caused
by oxygen deficiencies in our bodies.
This lack of oxygen results in a dysfunction of organ systems,
causing numerous chronic health conditions.
When utilizing HBOT, oxygen is diluted into the tissues, organs,
brain and fluids throughout the body through the pressurization of
the hyperbaric chamber.
Merely breathing oxygen alone will not substantially increase
oxygen levels in the tissues without the added pressure of
hyperbaric.
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17. What Are The Benefits of Hyperbaric Oxygen
Therapy?
Oxygen floods areas that are oxygen starved to stimulate cell
growth and regeneration.
Hyperbaric oxygen acts as an anti-viral and anti-bacterial, as
“bad” bacteria and viruses typically cannot tolerate oxygen.
Hyperbaric oxygen is an immune modulator, supporting the
immune system to bring T and B cells within normal function.
Oxygen reduces tumor growth in cancer patients.
Hyperbaric oxygen increases neural brain function due to
oxygen saturation.
Oxygen displaces toxins and other impurities to assist in
detoxification of your system.
Hyperbaric oxygen provides many other condition specific
benefits.
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18. Conditions Treated With Hyperbaric Therapy:
FDA Approved Conditions
Actinomycosis Crush Injury and other Acute Osteomyelitis (Refractory)
Air or Gas Embolism Traumatic Ischemias Radiation Tissue Damage
Carbon Monoxide Poisoning Decompression Sickness Severe Anemia
and Smoke Inhalation Diabetic Wounds Skin Grafts and Flaps
Gas Gangrene Necrotizing Soft Tissue (Compromised)
Cyanide poisoning Infections Thermal Burns
Off Label Conditions
ADD/ADHD General Wellness/ Prevention Reflex Sympathetic Dystrophy
ALS Heart Disease Retinitis Pigmentosa
Alzheimer’s Infections Rheumatoid Arthritis
Anoxic Brain Injury Immune Dysfunction Severed Limbs
Autism Lyme Disease Sickle Cell Crisis
Bell’s Palsy Macula Degeneration Spinal Cord Injury
Cancer Meniere’s Disease Sports Injuries
Cerebral Palsy Migraines Stroke
Chronic Fatigue Mitochondrial Disorders Surgery Pre and Post
Chronic Inflammatory Disease Multiple Sclerosis Traumatic Brain Injury
Crohn's disease Near Drowning Trigeminal Neuralgia
Decreased Immune Function Peripheral Neuropathy Vascular Disease
Diabetes Post Electrocution Venomous Bites
Fibromyalgia Raynaud's Phenomenon
and other conditions
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19. Treating Autism with Hyperbaric
Sammy, a 4 year old with Autism
Diagnosis:
Autism as of approximately age 18 months
Treatment (before HBO):
Avoidance diet (dairy products, wheat, soy)
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20. Observations After Hyperbaric Therapy
Better Vocabulary and Speech
Less Emotional Outbursts
More Contact/ More Affectionate
Learning Quicker
Better Sleep
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21. SPECT Scans- Single Photon Emission Computed Tomography
Scans-
(SPECT) scan is a type of nuclear imaging test that shows how
blood flows to tissues and organs.
Sammy, Age 4
Before Hyperbaric After Hyperbaric
Blue and Purple Areas Reflect White, Pink and Red Reflect
Low Blood Flow High Blood Flow
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22. SPECT, TOVA, and a number of memory and cognitive
functions as well as behavior show significant
improvement after only ten treatments with hyperbaric
for toxic encephalopathy, cerebral palsy, autism, ADD,
and many other conditions
Normal Brain Scan
Pre Treatment Scan After 40 HBO Sessions After 80 HBO Sessions
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23. Treating Cerebral Palsy with Hyperbaric
John, an 8 year old with Cerebral Palsy
1st Scan Pre Hyperbaric- showed prominent abnormalities
in temporal lobes, especially on left side
2nd Scan Post Hyperbaric- showed improvement in blood
flow with greater amount of yellow of the slices on the far
right picture. Improved blood flow to both temporal lobes
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24. Cerebral Palsy and Severe Seizure Disorder
A 7 year old female suffering from Cerebral Palsy with:
Severe loss of muscle control, inability to sit up
Inability to acknowledge the presence of others
Seizures occurring on a daily basis lasting 30 minutes on average.
Natalie received hyperbaric oxygen therapy for 90
minutes a day. Results after only two weeks:
Seizures dramatically lessened to only 5 minutes in duration.
Remained seizure free for more than 9 days at a time.
Regained muscle control in hands and arms and
able to sit up.
Improved circulation- feet staying warm and a
normal color.
Now acknowledging her family members, keeping
eye contact for several minutes at a time.
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25. Brain Injury Due to Hypoxia & Hyperbaric
A normal brain reads primarily yellow on SPECT scan. Blue, purple
and green indicate less blood flow and oxygen.
A study of 10 patients
with Brain Injury
resulting in memory
dysfunction, loss of
coordination and severe
learning disabilities.
Patients received only
10 treatments of 1.3
ATA hyperbaric.
All 10 patients showed
improvement in
symptomology
Before Hyperbaric After 10 Treatments
confirmed via pre and
of 1.3 ATA Hyperbaric
post SPECT scans.
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26. Vascular Density in Response to
Hyperbaric O2
Response to 20 x 1ATA 100% Response to 20 x 2.4ATA 100% O2
O2 8 x increase in vascular density
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28. Diabetic Wound with Recalcitrant Osteomyelitis
78 Y.O Male/ 2 Wks Resection Bone /
Continued Drainage
Pre-Hyperbaric Partial Wound Closure Complication
20 HBO2 TX---4 Weeks Resolved
Full Healing
35 HBO2 TX
7 Weeks
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29. Problem Wound w/Skin Graft Failure
58 Y.O. Female/ Diabetic/ 6mo. Non-healing /one failed graft
u
After 25 Tx---5 Split thickness
Weeks---beefy, red, graft placed---
healthy granulation 100% take
tissue
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30. Tissue Necrosis in Diabetic Foot
69 Y.O. Diabetic Female/ w Exposed Tendon
Required incision, After 15 Tx—2 Week
drainage, and debridement Granulation tissue
After 20 Tx---3 Week After 30 Tx---4 Week
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31. Non-Healing Post Amputation
46 Y.O. Diabetic Male
Initial Visit After 10 Tx
After 16 Tx After 34 Tx
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32. Achilles Tendon repair Site
After 10 tx’s
After 25 tx’s
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33. Problem Wound
Non healing Transmetatarsal Amputation
Non-healing suture line Healing after 25 HBO TX
3 months post
Medial View
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34. Left Mandibular Osteoradionecrosis
45 Y.O. Male/ Radical neck dissection/ radiation/ Exposed Bone
Initial Visit—Bone Exposed Tx 12—2 Weeks
Tx 25---5 Weeks Medial View Tx 39---8 Weeks
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35. Radiation Soft Tissue Necrosis
52 Y.O. Male/ Post Radical Neck Reconstruction/ Wound
Dehiscence and Flap Compromise
After 8 Tx—2 Weeks
After 18 Tx---4 Weeks After 36 Tx---7 Weeks
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36. Radiation necrosis with
incision dehiscence
51 yo female/ neck dissection
12 TX 21 TX
Three weeks post tx
36 TX
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37. Soft Tissue Radiation Necrosis
40 Y.O. Male post T-cell Lymphoma—Rt. hand
Initial Visit Tx 7---1 Week
Tx 24---5 Weeks Tx 50---10 Weeks, No need for graft
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38. Graft Placement post Radiation Necrosis
2 months post-surgery After 20 HBO TX
10 days after spilt thickness graft
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39. Traumatic Ischemia—of a Replanted Leg
4 Y.O. Mid-Calf Amputation from Lawnmower
Microvascular reattachment of 3 days after surgery—and 6 Tx,
nerves and arteries Then 4 more Tx over 3 days
After 12 weeks, sensate leg---
can walk and run with the
aid of brace.
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40. Crush Injury
Avulsion of the Palmar Skin
• decreased perfusion or hypoxia
• » HBO at
3 Tx in first 24hrs. Then total of 20 over a period of 4 weeks.
11 Weeks after Surgery---Full Range of Motion
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41. Healing Compromised Flap of Tibia Fracture
54 Y.O. Male with Tibia Fracture and Internal Fixation
Necrosis and After 10 Tx--- After 20 Tx---3 Week—
breakdown of 1 Week---compromised 100% flap survival
tissue over plate portion of flap is now
and bone viable
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43. Healing Burns
23 YO Female w/facial burns from flaming gasoline
A B
C D
A-12 hrs after injury B-24 hrs and 2 HBO tx’s
D-Shortly before discharge
C-72 hrs later and 6 tx’s
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44. Failed Flap – Right Knee
62 Y.O. Female/ Failed flap post total knee replacement
Initial Visit Tx 9—Two Weeks
A-12 hrs after injury B-24 hrs and 2 HBO tx’s
D-Shortly before discharge
C-72 hrs later and 6 tx’s
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45. Lip Reimplantation
10 Y.O. Female/ Full thickness lesion from dog bite
After 10Tx
Re-attached. Wound looked ischemic and swollen. Patient started
hyperbarics and antibiotics.
Follow-up:
Happy Smile
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46. Side Effects of HBO
• Claustrophobia/ Confinement anxiety
• Barotrauma
• Reversible myopia
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47. Contraindications
Absolute:
• Untreated pneumothorax
• Cis-Platin; Doxorubicin; Disulfiram
• Emphysema w/air trapping
Relative:
• Emphysema with CO2 retension
• Pulmonary lesion in CXR
• Uncontrolled high fever
• Claustrophobia
• Seizure disorder
• Malignant disease
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48. •Imaging
•Radiology
•Critical care
•Oxygen therapy
™ ™
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