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Indications, guidelines.

Oxygen is life

Hyperbaric oxygen therapy is the administration of oxygen and / or hyperoxygenated gaseous mixtures at high pressure, beyond the first atmosphere (1 ATM).

Lately the hyperbaric oxygen therapy is often proposed for various more or less serious diseases.
With this article, No More Pain is proposed to provide detailed information on the efficiency of OTI in fibromyalgic syndrome, in neuro-inflammatory diseases and other, for the purpose of indicative appropriateness.
In most of these diseases, we have established a poisoning of the immune system and the tissue damage occurs inside the cell. This damage (inflammation> alteration of the microcirculation> pain) can in the long run be difficult to recover, and therefore irreversible.
The OTI acts in areas where all the mechanisms of recovery and repair, in addition to drug therapy, simply do not arrive because the microcirculation is compromised.
How does it work?
During breathing in ambient air, 98% of the oxygen is transported by blood bound to hemoglobin (red blood cells). Oxygen is essential for tissue regeneration for cardio-respiratory hemodynamics.
Therefore, by increasing the concentration of oxygen that we inhale and increasing the pressure of the air we breathe, we obtain a considerable increase of oxygen dissolved in the plasma (hyperoxia) – Tables 1 and 2 – available to favor the reparative processes of poorly sprayed tissues and damaged cells, with a consequent marked reduction of the inflammatory degenerative process.

Table 1 – O2 content in the blood
The hyperbaric effect on dissolved oxygen:
1. Normobaric Air (21% O2 1 ATA 97% Hb): 0.3ml / dl dissolved oxygen
2. Hyperbaric oxygen (100% 1.5 ATA 100% Hb): 2.4ml / dl dissolved oxygen
– Increases the amount of dissolved oxygen 8 times (independent of hemoglobin)
– O2 is immediate and completely available for cells

Table 2 – Doses of oxygen
The therapeutic effect of hyperoxia is determined by the dose of oxygen, in turn the dose of oxygen depends on:
-% of O2
– Duration of the session
– Frequency of the session
– Total number of sessions
Therapeutic indication
Sessions: generally a minimum of 10/20 sessions are indicated, according to the pathology of each patient.
Duration of the session: the time taken is 60 minutes. In acute patients, 90 minutes sessions are performed up to 2 times a day.
Session cycle: number of sessions to be carried out indicating: total number, daily quantity, weekly periodicity (from 1 to 6) and duration of the session.
Intercyclical period: indicated rest between one cycle and another.

What are the physiological effects of scientifically proven hyperoxia?
• Activation and improvement of the neo-vascularization microcirculation. Angiogenesis
• Activation and improvement of the immune response and inflammatory response
• Activation and improvement of peripheral axonal regeneration and neuronal function
• Activation and improvement of the toxin drainage system (oxidative stress), of the lymphatic circulation
• Osteogenesis and collagen production.

Some indications in the following Tables 3, 4, 5, 6, 7 and 8.

Table 3 – HBOT: indications – neurology
Adjuvant therapy reduces edema, redistributes blood flow and improves cerebral oxygenation, reduces spasticity and tremors, improves cognitive function, neuroprotection and quality of life.
– Parkinson’s disease
– Multiple sclerosis
– Alzheimer’s disease
Pediatric patients:
– Autism
– Cerebral palsy
– Detoxification

Table 4 – HBOT: indications – rheumatology
Adjuvant therapy to accelerate recovery, alleviate pain, reduce inflammation and edema, decrease the risk of infection and improve quality of life.
– Fibromyalgia
– Rheumatic arthritis
– Arthrosis
– Bone edema
– Bone necrosis
– Osteomyelitis

Table 5 – HBOT: indications – wounds
Hyperbaric oxygenation therapy accelerates scarring, promotes angiogenesis, reduces inflammation and edema, stimulates the synthesis of collagen, triggers the immune response and improves perfusion.
– Wounds
– Ulcers – diabetic foot
– Venous ulcers
– Post-operative wounds
– Burns
– Listings and installations

Table 6 – HBOT: indications – traumatology
Adjuvant therapy accelerates recovery and scarring, reduces inflammation and edema, relieves pain, reduces the risk of infection and amputation and improves quality of life.
– Trauma
– Pre and post-operative
– Progressive bacterial cancer
– Acute traumatic ischemia
– Injury to the lagoons
– Osteomyelitis

Table 7 – HBOT: indications – sports medicine
Adjuvant therapy prepares athletes during training, improves energy efficiency, reduces recovery time, prevents fatigue and improves injury rehabilitation.
– Work out
– Muscular and tendon injuries
– Post-exercise recovery
– Chronic fatigue syndrome

Table 8 – HBOT: indications – medical clinic
Adjuvant therapy that reduces inflammation and edema, relieves pain, improves tissue perfusion, energy efficiency and quality of life.
– Fibromyalgia
– Chronic fatigue
– Migraines and cealee
– Tinnitus
– Geriatrics
– Night Apnea
– Crohn’s disease

The experimentations continue, we need to give science time and way to conduct rigorous tests.
See you soon!
Dr. Younes

Ali Younes

Ali Younes

Former medical director, head of simple structure in anesthesia and pain therapy ASL Pescara - P.O. Popoli, was Head of the operating theaters and Pain Therapy Department at the Villa Letizia Hospital in L'Aquila. Qualified expert in: invasive and semi-invasive pain therapy / fibromyalgia / cannabis therapy / regenerative medicine with mesenchymal and stem cells / personalized medicine.

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