What is HBOT and What it does
Definition
Hyperbaric Oxygen Therapy involves intermittent inhalation of 100% Oxygen under a pressure exceeding that of the atmosphere
Committee on Hyperbaric Medicine (1976 )
Undersea & Hyperbaric Medical Society, USA.
Definition needs changing.
rHBOT (regular HBOT using high pressure, 100% oxygen) may be preferred over mHBAT (mild HBOT using 1.3 ATA pressure and compressed room air at about 21%) for many of the severe established hypoxic / anoxic indications like severe buirn, severe crush injury, bomb blast injury, carbon-monoxide injury, non-healing wounds, diabetic foot injuries, etc..
But the Lancet paper by Collet et al and our own experience in >150 Children suggests that where cognitive improvement is a more important criteria, with some motor recovery also desired (e.g. CP and possibly Autism also), 1.3 ATA mHBAT with room air compression may be preferred over rHBOT.
What effects can it deliver?
- Enhanced anti-edema effect due arterial vasoconstriction
- Enhanced anti-inflammatory effect due to its effects on various types of pro-inflammatory cytokines
- Enhanced oxygen delivery by diffusion
- Enhanced Neo-vascularisation
- Enhanced Stem-Cell activity
- Enhanced Neuro-plasticity
All of them lead to
- Restoration of blood and nutrient supply
- Reactivation of stunned cells
- Recruitment of dormant cells
- New neuron formation
Final outcome: recovery close to the maximum clinically & statistically significant extent possible.
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