[net.med] Hyperbaric chambers

wargo@sdcsla.UUCP (Dave Wargo) (07/08/85)

I would like to know if anyone has any info on hyperbaric chambers
and there healing properties ?

I have heard some vague results from wounds being treated in 100%
O2.

I wonder if an inriched O2 environment, at 14 lbs. per square inch,
would be effictive, or would two atmospheres be better?

Thanks for your help.

Good Health

Dave Wargo

ucbvax!sdcsvax!sdcsla:wargo

ron@brl-tgr.ARPA (Ron Natalie <ron>) (07/12/85)

> 
> I would like to know if anyone has any info on hyperbaric chambers
> and there healing properties ?
> 
> I have heard some vague results from wounds being treated in 100%
> O2.
> 
> I wonder if an inriched O2 environment, at 14 lbs. per square inch,
> would be effictive, or would two atmospheres be better?
> 
The Maryland Institute for Emergency Medicine Systems Services maintains
a hyperbaric chamber at their SHOCK-TRAUMA unit at University Hospital in
Baltimore.  They dive for a number of problems including gas gangrene,
smoke and toxic gas inhalation/poisoning, and diving accidents.  They are
also part of a network of these chambers along the east coast.  As far as
the smoke and gas poisoning goes, there seems to be some argument between
the people at ShockTrauma and the Burn Unit at Francis Scott Key Hospital
(a loose relative to Johns Hopkins), the people at the burn unit believe that
the chamber is ineffective and that just using 100% oxygen at normal pressures
is the optimum treatment.

I'm not overly sure of all the details, but I'll talk to one of my friends
down there and get some details if you are still interested.

-Ron

axelrod@regina.DEC (07/12/85)

Hyperbaric Chambers are used to treat gangrene. Gangrene is an anaerobic
bacterium, so extra O2 perfused into the tissues saves limbs and lives.
When I was working at Children's Hospital, Boston, 15 years ago, they
quarantined their hyperbaric facility and set up an intensive care bed
right next to the chamber. Someone from Maine was brought in for several
days of treatment of a few hours each. Another application, at that time,
was for pediatric cardiac surgery. They had a complete operating room,
with explosion-proof (non-arcing) monitors and everything, inside the
chamber. An attached, smaller chamber contained bloodgas analysis and
other routine chemistry test equipment. I didn't learn how they comp-
ensated for the results under pressure. Everyone in the chamber had
to wear a mask with hoses to give them the right breathing mixture.

Glenn Axelrod
Maynard, Mass

ayers@convexs.UUCP (07/16/85)

/* ---------- "Hyperbaric chambers" ---------- */

I wonder if an inriched O2 environment, at 14 lbs. per square inch,
would be effictive, or would two atmospheres be better?

/* End of text from convexs:net.med */



Call your local dive shop and ask them this question -- the answer will
just kill you...

				blues, II

	(If a little is good, a lot MUST be better!!!!!)

brianm@bigtuna.UUCP (Brian Martin) (08/21/85)

The problem with hyperbaric oxygen is that the high concentration of superoxide
radicals can do lots of damage to your body.  However, hyperbaric oxygen is
being used experimentally in spinal cord trauma patients.  Basically, the
approach is to use hyperbaric oxygen to raise the tissue oxygen level to 5%, 
which is high enough to keep neural tissue alive when the vascular suppply of
oxygen has been compromised.

For example, an acute spinal cord patient enters the hyperbaric chamber
essentially paralyzed due to loss of the blood supply to a certain region
of his spinal cord, but he is able to walk again when he leaves the chamber.
Later that evening, as he starts to lose function in his legs, where the
level of function correllates to tissue oxygen levels, he goes back to the
hyperbaric chamber for another treatment.  This goes on until the blood
supply to the hypoxic region of his spinal cord is reestablished.

Brian Martin
University of Hawaii School of Medicine