HYPERBARIC OXYGEN THERAPY

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  • #13996
    tirath
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    Registered On: 31/10/2009
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    Monoplace and Multiplace Chambers
    Hyperbaric oxygen therapy can be conducted in single person chambers, or in chambers that can hold more than a dozen people at a time. During therapy in a monoplace chamber, a single patient is placed in a pressurized clear, acrylic chamber, about seven feet long, while pure oxygen is compressed into the chamber. The chamber is comfortable, with an atmosphere similar to that of an airplane. The patient lies on a padded table that slides into the tube, and is asked to relax and breath normally as the chamber is gradually pressurized with pure oxygen. Chamber pressures typically rise to two-and-a-half times the normal atmospheric pressure. Ear popping or mild discomfort may be experienced, but this generally subsides if the pressure is lowered. The session can last anywhere from thirty minutes to two hours, at the end of which technicians slowly depressurize the chamber.

    Monoplace chambers cost less to operate than multiplace chambers and are relatively portable. Monoplace chambers are also far less expensive than their larger counterparts, a fact that has allowed hospitals to institute HBO programs more cost effectively. The internal environment of a monoplace chamber is maintained at 100% oxygen, so the patient does not need to wear a mask.

    Multiplace chambers are large tanks able to accommodate anywhere from two to fourteen people. These chambers are commonly built to reach pressures up to 6 atmospheres and have a chamber lock entry system that allows medical personnel to pass through without altering the pressure of the inner chamber. This system allows patients to be directly cared for by staff within the chamber. The chamber is filled with compressed air, and patients breathe 100% oxygen through a facemask, head hood, or endotracheal tube.

    #15103
    Drsumitra
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    Registered On: 06/10/2011
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     A literature review conducted by Spiegelberg, et al focused on the use of hyperbaric oxygen (HBO) therapy in the management of radiation-induced in­jury in the head and neck re­gion. A systematic search in PubMed focused on experimental and clinical studies involving the use of HBO therapy in previously irradiated tissue that were conducted from Jan­uary 1990 through June 2009. Radio­ther­apy is used in treating malignant tumors in the head and neck region, and can result in a hypoxic, hypocellular, hy­po­vascular en­vironment which causes injury to surrounding normal tissue. The use of HBO therapy in improving wound healing is based on the principle that delivery of oxygen is an essential process when considering tissue (bone) repair. Al­though HBO therapy is widely applied, its mechanism of action is still poorly understood, and there is controversy over its clinical use. This literature review found that experimental re­search involving HBO therapy is scarce, and there is a lack of randomized controlled clinical trials. The review concludes that more research, both clinical and ex­perimental, is necessary before solid conclusions can be drawn regarding the use of HBO therapy in the management of radiation-induced injury to the head and neck region

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