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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 www.completemedicalequipments.in
- 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 % www.completemedicalequipments.in www.completemedicalequipments.in
- 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. www.completemedicalequipments.in www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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… www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 13. HBOT— Contraindications Claustrophobia Hypothermia Pneumothorax Heredity spherocytosis Chronic obstructive pulmonary disease Optic neuritis Seizure disorders Malignant tumors Pregnancy Acidosis Upper Respiratory Infection DRUGS Alcohol Cis-platinum Aromatic hydrocarbons Doxorubicin Disulfiram Bleomycin Nicotine Steroids www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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. www.completemedicalequipments.in
- 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. www.completemedicalequipments.in
- 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. www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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) www.completemedicalequipments.in
- 20. Observations After Hyperbaric Therapy Better Vocabulary and Speech Less Emotional Outbursts More Contact/ More Affectionate Learning Quicker Better Sleep www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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. www.completemedicalequipments.in
- 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. www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 27. Vascular Density Increase No HBO Start HBO www.completemedicalequipments.in 18 Tx 24 Tx
- 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 www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 31. Non-Healing Post Amputation 46 Y.O. Diabetic Male Initial Visit After 10 Tx After 16 Tx After 34 Tx www.completemedicalequipments.in
- 32. Achilles Tendon repair Site After 10 tx’s After 25 tx’s www.completemedicalequipments.in
- 33. Problem Wound Non healing Transmetatarsal Amputation Non-healing suture line Healing after 25 HBO TX 3 months post Medial View www.completemedicalequipments.in
- 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 www.completemedicalequipments.in New skin over bone
- 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 www.completemedicalequipments.in
- 36. Radiation necrosis with incision dehiscence 51 yo female/ neck dissection 12 TX 21 TX Three weeks post tx 36 TX www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 38. Graft Placement post Radiation Necrosis 2 months post-surgery After 20 HBO TX 10 days after spilt thickness graft www.completemedicalequipments.in
- 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. www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 42. Failed Flap — Left Dorsal Foot 50 Y.O. Female/ Degloving Accident Tx 1 Tx 12---2 Weeks Tx 18---3 Weeks Tx 30---5 Weeks Follow-Up 3 WeeksFinal Follow-Up www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 46. Side Effects of HBO • Claustrophobia/ Confinement anxiety • Barotrauma • Reversible myopia www.completemedicalequipments.in
- 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 www.completemedicalequipments.in
- 48. •Imaging •Radiology •Critical care •Oxygen therapy ™ ™ www.completemedicalequipments.in Info@completemedicalequipments.in B-110, Sector-6, NOIDA-201301, INDIA Call us +911203958359, 24/7 ;- +9990056364