2PM EST April 4, 2011 on Rockers In Recovery our Guest Laura H. Betts – ANDI IT, HCO, CHT of HyperbaricsRx specializes Hyperbaric Oxygen Therapy or (HBOT).
We will be talking about how Hyperbaric Oxygen Therapy helps addicts to recover along with working the 12 steps and other holistic therapeutic alternative approaches.
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What can Hyperbaric Oxygen Therapy (HBOT) do?
HBOT is an indicated therapy in a large and increasing number of recognized conditions like addiction. A list of currently accepted acute and adjunctive indications is indicated below.
It is however important to differentiate between HBOT as a primary and adjunctive therapy. In modern medicine, HBOT is accepted as the primary therapy in these conditions only: Decompression Illness, Gas Embolism, and Acute Anoxia, as for example in Carbon Monoxide poisoning. In other conditions, it does not replace existing forms of treatment but is an adjunctive therapy.
One of the more widespread clinical applications for HBO is that of wound healing. Current practice reserves HBO Therapy for conditions which have failed to respond to normal management techniques and it is considered unnecessary in simple well perfused wounds. Hypoxic and or ischemic wounds such as diabetic wounds, failing grafts and flaps, radiation necrosis, necrotizing soft tissue infections and refractory osteo-myelitis have all been shown to respond well to HBO Therapy. Indolent wounds, persisting and long-term surgical and medical protocols, have been resolved when HBOT has been used as an adjunctive therapy.
Used pre-surgically, HBOT is effective in establishing a vascular granulation base for grafting. It promotes neo-vascularization in order to define a clear demarcation line, maximizing limb salvage in prospective amputees.
To further support the validity of the therapy, current procedures involve measuring transcutaneous tissue Oxygen concentrations and laser doppler perfusion analysis.
In thermal burns, comparative analyses of HBOT vs. Non HBOT treated patients indicate significant increases in survivor rates due to the ability to control fluid losses and reductions in hospitalization times are achieved with the HBO group. The value of HBOT in dealing with Carbon Dioxide and Cyanide intoxication is well established, with evidence proporting to its efficacy in mitigating the effects of subacute and chronic sequelae# that follow exposure.
It is a cost effective means of dealing with difficult or persistent problems by reducing direct hospitalization costs, permitting greater utilization of patient facilities and minimizing the degree of disfigurement and disablement.
HBO is a vasoconstrictor, it therefore reduces edema: In all HBO treatments, raised arterial PO2 causes vaso-constriction, reducing blood flow and edema, while paradoxically improving Oxygen delivery to the tissues.
HBO promotes neovascularization: In compromised and ischemic wounds, impairment of the micro-circulation causes hypoxia. In hypoxic areas the Oxygen partial pressure could be as low as 2 mmhg, some fibroblasts can survive though inactive at this low PO2 level. However when the PO2 is elevated, by means of HBO to 20-30 mmhg fibroblasts divide producing collagen and new cappillaries (neovascularisation).
HBO enhances the killing power of Leukocytes: Leukocytes when deprived of Oxygen exhibit diminished activity and are unable to kill the organisms they normally ingest. Their activity and killing ability are greatly enhanced when blood Oxygen levels are elevated with HBO.
HBO Kills anaerobic bacteria: In certain circumstances HBO has a use in combating certain infections such as gas gangrene, by acting directly against anaerobic bacteria. Other types of infections have shown to be responsive to HBOT. Physicians must determine the type of infection (aerobic or anaerobic) prior to prescribing HBOT as a protocol.
-Excerpts taken from Hyperbaric Chamber Operator, Training and Reference Manual,
© January 2003, ANDI International
Contact Laura H. Betts at: 954.749.9998 or http://www.hyperbaricsrx.com/
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