Embed Size (px)
Citation preview
Hyperbaric Oxygen Therapy
Hyperbaric Oxygen Therapy
is often referred to as:
HBOT
Bird Medical Devices
BRIEF HISTORY OF HBOT
1662 - British physician to treat pulmonary disease and help with digestion.
1891 - Doctors in U.S. began using hyperbaric oxygen therapy to treat nervous disorders
1895 - Was found to be effective in treating carbon monoxide poisoning.
1928 - A five story having 60 rooms chamber for $1 million in Ohio by Dr. Cunningham
1934 - A U.S. Naval officer found it to be effective in treating decompression sickness.
1961 - Hyperbaric oxygen therapy was found to be effective in treating gas gangrene.
1963 - The first International Congress on Hyperbaric Medicine convened in USA
1966 - Hyperbaric oxygen therapy was found to be effective in treating stroke patients.
1970 - Hyperbaric oxygen therapy was found to be effective in treating multiple sclerosis.
1988 - The International Society of Hyperbaric Medicine was founded.
2000 -Hyperbaric medicine was approved by the American Board of Medical Specialties as a sub-speciality of emergency and preventative medicine.
Bird Medical Devices
Hyperbaric Oxygen TherapyHumour
“First tried on Human ….
now being successfully used on animals. ”
Bird Medical Devices
HYPERBARICHyper = More or increased
Baric = Related to Pressure
More Pressure
Word “Hyperbaric” is derived from Hebrew word for “More Pressure”
Bird Medical Devices
“Hyperbaric” is More Pressure
Than what pressure ?
Related to which pressure?
Bird Medical Devices
More Pressure Related to Atmospheric Pressure
Atmospheric pressure is the
pressure exerted at sea level.
This pressure is referred to as
One Atmospheric Pressure = 1 ATA
ATA ( Atmospheric Absolute )
Bird Medical Devices
Henry’s Law
Increase in atmospheric pressure allows
more gas to be dissolved into any given liquid.
Increase in more oxygen pressure
allows more oxygen to be dissolved in body fluids.
Bird Medical Devices
What is
Hyperbaric Medicine ?
The medical use of
Oxygen
At
higher pressure
than the atmospheric pressure
Bird Medical Devices
What is
Hyperbaric Oxygen Therapy ?(HBOT)
Intermittant medical treatment with
100 % oxygen at a
pressure greaterthan the normal atmospheric pressure
Bird Medical Devices
MECHANISM OF ACTION
1. Hyper oxygenation:
Breathing room air renders 21% oxygen at 1 ATA.
Hyperbaric chamber provides up to 20 times 100% oxygen to all tissues within the body.
MECHANISM OF EFFECT
2. Direct Pressure to Oxygen Molecules:
Normally only the red blood cells are capable of
transporting oxygen.
During HBOT, Oxygen molecules become more soluble obeying the scientific principles of Henry’s Universal Gas Law.
Oxygen crosses cell membranes and enter all of the body’s fluid systems, including plasma, synovial, lymphatic, interstitial (between cells) and cerebrospinal fluids.
Bird Medical Devices
MECHANISM OF ACTION
3. Mechanical effect:
Any free gas trapped in the body will decrease in volume as the pressure on it increases”
Successfully applied to air embolism and decompression sickness
Bird Medical Devices
MECHANISM OF ACTION:
4. Gas Wash out effect:
The flooding of the body with any one gas tends to "wash out" all others.
Treatment for CO intoxication
and cyanide poisoning
Bird Medical Devices
MECHANISM OF ACTION
5. Vasoconstriction:
Causes vasoconstriction without creatinghypoxia which decreases edema
Useful in burns, crush injuries,interstitial bleeding, Acute brain and
spinal cord injuries
Bird Medical Devices
MECHANISM OF ACTION
6. Bacteriostasis
Organisms that cannot survive in an oxygen rich environment are bacteria, fungi and viruses
White blood cells (leukocytes) become supercharged with Oxygen in the battle against
bacteria responsible for causing infection and illness.
Bird Medical Devices
MECHANISM OF ACTION
7. Superoxide Dismutase (SOD) Stimulation
A Surge of Antioxidant Capabilities:
Hyperbaric Oxygen stimulates superoxides
( SOD production)
Helps the body to rid itself of the byproducts of inflammation and damaging free radicals.
Bird Medical Devices
MECHANISM OF ACTION
8. Angiogenesis
The Formation of New Blood Vessels:
Stimulates the growth of new capillaries (angiogenesis) building a new collateral to serve injured and healthy
tissues alike.
Neovascularization is helpful for reaching tissues and organs that have restricted blood flow to ischemic areas.
Bird Medical Devices
MECHANISM OF ACTION
9. Fibroplast and Collagen Production
Fibroblast, Collagen reproduction and growth are aided by the added availability of increased oxygen provided during hyperbaric conditions.
Plays a critical role in wound healing.
Bird Medical Devices
MECHANISM OF ACTION
10. Osteoblast and Osteoclast Production:
Stimulate and increase production of cells like osteoblasts and osteoclasts
Faster regeneration of bone.
Bird Medical Devices
14 Approved Indications by Undersea Hyperbaric medicine Society (UHMS)
1. Air or Gas Embolism2. Carbon Monoxide Poisoning • Carbon Monoxide Poisoning Complicated
By Cyanide Poisoning3. Clostridial Myositis and Myonecrosis (Gas Gangrene)4. Crush Injury, Compartment Syndrome and Other Acute Traumatic
Ischemias5. Decompression Sickness6. Arterial Insufficiencies: Central Retinal Artery Occlusion, •
Enhancement of Healing In Selected Problem Wounds7. Severe Anemia8. Intracranial Abscess9. Necrotizing Soft Tissue Infections10. Osteomyelitis (Refractory)11. Delayed Radiation Injury (Soft Tissue and Bony Necrosis)12. Compromised Grafts and Flaps13. Acute Thermal Burn Injury14. Idiopathic Sudden Sensorineural Hearing Loss
Bird Medical Devices
OFF LABEL INDICATIONS
NEUROSURGERY
Gas Gangrene
Non Healing Wounds, Ulcers, Diabetic Foot
*Burns *Air and Gas Embolism *Blast Injuries *Deep Vein Thrombosis *Frostbite *Peripheral Vascular Ulcers-Arterial (Atherosclerosis), Decubitus (Bed Sores), Neuropathy Related (Diabetes), Various (DVT) *Burgers Disease
NEUROLOGY
Acute and chronic stroke *Vegetative Coma following closed head injury *Cerebral edema due brain tumours * Trauma and toxic encephalopathy * Multiple Scelorosis * Migraine * Cluster Headache *Cranial Nerve syndromes like Trigeminal Neuralgia, Optic Neuritis, Sudden Deafness *Brain stem syndrome *Retinal Artery occlusion
OFF LABEL INDICATIONS
ORTHOPAEDICS*Crush Injuries *Compartment (Clostridial) *Myonecrosis (Clostridial) *Acute and Chronic Osteomyelitis,*Acute Necrotizing Fascitis*Bone Grafting *Tendon and ligament injuries *Amputation Stump infections etc*Fracture /Non Union *Oedema Under Cast
MEDICINEPoisioning-Carbon Monoxide, Hydrogen Sulphide, Peyote & Cyanide*Near Drowning, hanging,
Electrocution *Ileus * Exceptional blood loss-anaemia*Decompression Sickness *Pseudomembranous Colitis *Rheumatoid Arthritis (Acute) *Sickle Cell Crisis and Haematuria*Myocardial infarction *Post Cardiotomy Low Output Failure *Immune System Enhancement *Peptic Ulcers
OFF LABEL INDICATIONS
OPTHALMOLOGY*Diabetic Retinopathy *Retinal Vein Thrombosis *Retinitis Pigmentosa*Retina Artery Occlusion *Toxic Amblyopia *Corneal Disorders *Glaucoma *Neovascularisation of Retina *Vascular Insufficiency
PLASTIC SURGERY*Compromised Skin Flaps and Grafts *Speed Healing With Less ScarENTSudden Deafness * Acoustic Trauma *Meneire’s Desease* Chronic LyringitisSKIN*Toxic Epidermal Necrolysis(Lyells Syndrome) * Lepromatous Leprosy * Refractory Mycose
Hyperbaric Oxygen Therapy
How
Hyperbaric Oxygen Therapy
Is Administered ?
* Oxygen as a drug
* Hyperbaric chamber as a device
Bird Medical Devices
Types of Hyperbaric Oxygen Therapy Chambers
1) Portable Hyperbaric Chambers
2) Monoplace Hyperbaric Chambers
3) Multiplace Hyperbaric Chambers
Bird Medical Devices
Portable Hyperbaric Chamber
Child receiving treatment Attributes:
Made of inflatable Bags with zippers
Maximum pressure upto 1.3/1.5 ATA
1 Adult & 1 Child
Allows self and home treatment.
Portable, can be carried if needed.
Oxygen is supplied by oxygen concentrator
Low costs and limited application
Bird Medical Devices
Monoplace HBOT Chamber
Patient receiving treatment Attributes
Accommodates only a single person at a time.
Pressurized to upto 3 ATA with 100% oxygen
Access to patient through intercom communication.
Patient entertainment systems -TV / Video is mounted on top
Patient monitoring systems can be hooked
Lower cost
Mobile
Bird Medical Devices
Monoplace HBOT chamber
Chamber shown with the Door open and Trolley
Patient being slided with the top of the trolley
Monoplace Hyperbaric Chamber
Multiplace HBOT Chamber
Accommodates patients / healthcare personnel from 4 – 20 in numbers.
Pressurised with medical breathing air upto 6 ATA
Breath 100% oxygen through head tent or face mask
Patient monitors and ventilators can be interfaced for the Critically ill
Medicines can be passed through special openings during treatment
Intercom communication, Internal Entertainment system like TV / video
Needs larger space & fixed systems High cost
Bird Medical Devices
MULTIPLACE HYPERBARIC CHAMBER
Internal view of patients receiving treatment with medical attendants inside the chamber
MONO & MULTIPLACE CHAMBERILLUSTRATED PICTURES
Monoplace Chamber Multiplace Chamber
HBOT1.) HBO therapy follows Physiological Principles and the
Laws of physics
2.) HBO is Currently indicated for 14 diseases and
supported by the literature
3.) Used for many off label indications internationally based
on clinical research.
4.) Evidence includes testimonial, case reports and studies.
Bird Medical Devices
HBOT TRAINING
We arrange training to your Technician Nurse & Physician at our center in India.
Training will be imparted by Internationally certified
Hyperbaric Physician and Technician.
Ask us for further details:
Bird Medical DevicesCell: 9769 484 123 / 9769 006 123 Telf : 91-22-65 655 123Email: [email protected] / [email protected]
www.indiahbot.com www.indiahbot.blogspot.com
Bombay, India
BIRD MEDICAL DEVICES
Thanks.Dedicated to promoting
AffordableHyperbaric Oxygen Therapy chambers In
India.Cell: 9769 484 123 / 9769 006 123
Telf : 91-22-65 655 123Email: [email protected] / [email protected]
www.indiahbot.com www.hyperbaricoxygentherapychamber.com
Bombay, India
