Hyperbaric Oxygen Therapy Frequently Asked Questions

1.What is hyperbaric oxygen therapy? The process of patients inhaling pure oxygen at a pressure higher than one atmosphere to treat their disease is called hyperbaric oxygen therapy. 2.What are the possible effects of hyperbaric oxygen therapy? The efficacy of hyperbaric oxygen is that: (1) oxygen can be dissolved in blood rapidly, the partial pressure of oxygen in blood increases, the oxygen content of blood can increase more than 14 times, and penetrate into deep tissue cells to improve the hypoxic state of tissues and organs; (2) improve microcirculation and promote the early establishment of collateral circulation; (3) promote the softening and disappearance of thrombus emboli, make blocked blood vessels reopen, and improve the ischemic state of tissues; (4) reduce (5) improve the sensitivity of tumor cells to radiotherapy and chemotherapy; (6) hyperbaric oxygen is also a broad-spectrum antibacterial agent, which can inhibit the growth of bacteria (especially anaerobic bacteria); (7) hyperbaric oxygen can also compress the gas imprisoned in the body and promote its absorption and elimination, thus treating gas embolism and decompression disease, etc. (8) Health care effect, regularly give the body sufficient oxygen supply, stage correction of tissue cell hypoxia, ischemia, can delay and/or reduce the speed and number of cell death, so as to achieve the purpose of prolonging life. 3.What are the precautions for receiving hyperbaric oxygen therapy? At least the following points should be noted when receiving hyperbaric oxygen therapy: (1) before entering the cabin, you should empty your bowels and urine, and you should not wear chemical fiber clothing; (2) it is prohibited to use hair oil, hair styling fixative, lipstick, face cream, nail polish and other cosmetics containing grease; (3) try not to perform hyperbaric oxygen therapy immediately after a full meal, and do not eat gas-producing food before entering the cabin; (4) it is strictly prohibited to bring in fire and other flammable and explosive substances; (5) you should not bring in (5) Do not bring in pens, watches, bags, beepers, MP3, MP4, cell phones, electric toys and other miscellaneous items; (6) During the process of pressure increase and decrease, do a good job of adjusting the pressure of the Eustachian tube, such as pinching the nose and puffing, swallowing and chewing. If ear pain cannot be eliminated, immediately report to the cabin operator; (7) familiar with the use of oxygen mask and communication devices; (8) report any discomfort during treatment and listen to the disposal of medical personnel; (9) keep the cabin tidy, do not spit and throw miscellaneous objects; (10) do not make noise in the cabin, do not tamper with the cabin equipment to ensure safe treatment; (11) during decompression, it is strictly prohibited to hold your breath. 4.Why does someone feel ear pain when pressurized? How to deal with it? During hyperbaric oxygen therapy, the patient’s environment changes from normal pressure to high pressure, and the body needs to reach a balance with the gradually increasing environmental pressure. The parts of the body that are most sensitive to the pressure increase are the pharyngeal end of the Eustachian tube and the ear drum. In some cases, the pressure in the chamber rises during pressurization, and the pressure at the pharyngeal end of the Eustachian tube does not open easily and the volume of gas in the middle ear drum is compressed, resulting in a relatively negative pressure in the drum chamber, which causes the tympanic membrane to sink and become compressed and tense, resulting in otalgia. In order to prevent otalgia, patients should learn to open the eustachian tube before entering the chamber to adjust the pressure. The main methods of pressure regulation are: (1) chewing; (2) swallowing; (3) pinching the nose and closing the mouth to puff; (4) opening the mouth to yawn. If you feel stuffy and uncomfortable in the ear after pressurization, you should immediately open the eustachian tube to keep the pressure difference between the inner and outer tympanic membrane in balance, and report any ear pain to the medical staff immediately. This ear discomfort or even ear pain is similar to the ear sensation caused by flying in an airplane. Not everyone will experience it, and they will usually adapt after two or three days. 5.Why can’t patients with colds be treated in the cabin? Patients who have a cold are susceptible to discomfort such as ear stuffiness and ear pain due to viral or bacterial invasion of the upper respiratory tract, causing inflammatory changes in the mucous membrane of the upper respiratory tract, especially in the mucous membrane of the nose and throat, and extending to the mouth of the eustachian tube, resulting in mucosal congestion and edema, increased secretions, and poor ventilation of the eustachian tube, which can easily cause ear stuffiness and ear pain when entering the cabin for pressurization and/or decompression. In addition, large pressurized chamber is a group treatment, and patients with colds entering the chamber may easily lead to cross-infection, so patients with colds are generally not admitted to the chamber for treatment. 6.Why is it better to treat sudden deafness with hyperbaric oxygen as soon as possible? Hyperbaric oxygen can rapidly increase the physical dissolved amount of oxygen in the blood and improve the oxygen tension, oxygen diffusion speed and diffusion distance. The greater the partial pressure difference of gas, the faster the diffusion speed and the longer the diffusion distance, so the more oxygen is diffused to the site of hypoxia under hyperbaric oxygen, the more oxygen is diffused to that site. The pathophysiological basis of sudden deafness is inner ear hypoxia, so early and effective supply of sufficient oxygen can rapidly improve the temporary damage of inner ear hair cells caused by hypoxia and promote the restoration of function of damaged and reversible hair cells. 7.What kind of deafness is hyperbaric oxygen effective for? Hyperbaric oxygen is effective in the early treatment of sudden deafness. If you receive hyperbaric oxygen treatment within one week after the onset of the disease, the efficiency is up to 75-95%, within two weeks, the efficiency is 50-76%, and after one month, the efficiency is less than 50%. For sensorineural deafness, the efficacy varies depending on the cause and duration of the disease; for congenital deafness and conductive deafness (not damage to the auditory nerve), hyperbaric oxygen therapy is not effective. 8.Why do people feel fatigue during hyperbaric oxygen therapy? As the patient receives hyperbaric oxygen, the metabolism of the body is vigorous, the oxidation process in the body is accelerated, and the consumption of oxygen increases. Therefore, individual patients may feel fatigue during hyperbaric oxygen therapy. In addition, in the high pressure environment, the gas density increases, the respiratory resistance increases, and the respiratory movement amplitude increases after inhaling hyperbaric oxygen, the respiratory muscle is easily fatigued, especially in some old and weak people, the fatigue may be more obvious. This phenomenon can disappear within 1-2 weeks after leaving hyperbaric oxygen therapy. 9.Why are you not allowed to bring lighters, matches, watches and other items into the chamber? The oxygen concentration in the chamber may be increased during hyperbaric oxygen therapy. Oxygen is flammable. Once it meets the ignition source and combustible material, it can lead to combustion and the consequences are unimaginable. Therefore, it is strictly forbidden for patients to bring lighters, matches and other fires into the chamber to ensure the safety of treatment; cell phones, beepers, MP3, MP4 and electric toys may also generate sparks and become ignition sources. In addition, the change of air pressure, gas density, temperature and humidity in the hyperbaric chamber may cause damage to the hairspring of the watch, and the ink in the pen will spill out when the pen is depressurized, so the above items cannot be brought into the chamber. 10.Why do I need to take a break when wearing a mask to absorb oxygen? In order to prevent the occurrence of oxygen poisoning, besides strictly controlling the pressure of hyperbaric oxygen therapy to prevent the pressure from being too high and the dwell time from being too long, the method of intermittent oxygen administration is usually used to prevent the occurrence of oxygen poisoning, so after a period of continuous oxygen inhalation, the oxygen supply mask should be removed to rest for a period of time to breathe the compressed air in the chamber, and then the oxygen supply mask should be worn again for oxygen inhalation. General clinical treatment usually adopts 20-40 minutes of oxygen inhalation each time, change to air inhalation for 5-10 minutes and then oxygen inhalation again, the total duration of oxygen inhalation is 60-80 minutes. 11.What should I pay attention to when wearing the mask for oxygen inhalation? Since the oxygen chamber is pressurized by air, the mask should be in good contact with the cheek when wearing the mask to prevent the air from leaking into the mask, so as not to reduce the concentration of oxygen inhalation and thus affect the effect of hyperbaric oxygen therapy. Try to maintain a quiet and resting state when inhaling oxygen, and reduce all kinds of unnecessary physical activities. 12.When wearing an oxygen supply mask in the chamber, is it better to use the mouth or the nose to inhale oxygen? In general, it is better to breathe through the nose, because it can avoid the direct stimulation of oxygen to the trachea and bronchus, and play the role of humidification; for patients with small lung capacity, they can breathe through the mouth to increase the inspiratory pressure. 13.When inhaling oxygen in the cabin, is the more breaths the better? The patient should keep the original breathing rate in the cabin, and deepen the breathing but do not speed up the breathing rate. Because the gas in the physiological dead space cannot be discharged effectively, the carbon dioxide accumulation in the body will further increase on the one hand, and the oxygen concentration in the physiological dead space will relatively decrease on the other hand, which is not conducive to the formation of hyperbaric effect. Therefore, the statement that more breaths are better is unfounded, and on the contrary, excessive ventilation will have adverse effects on the organism. 14.Why does the decompression process sometimes produce fog? It is a normal physical phenomenon that when the temperature reaches the fogging point, fogging will appear in the cabin due to heat absorption by air expansion during decompression. 15.What should the patient pay attention to during decompression? When decompression, due to air expansion and heat absorption, the cabin temperature decreases, so wear good clothes to prevent cold and keep warm, and try to reduce the exposed parts. And it is strictly prohibited to walk around and movement in the cabin, do not lean any part of the body on the metal cabin wall, so as to avoid local skin cold and vasoconstriction, which affects the desaturation of nitrogen, resulting in local skin itching or muscle, joint pain and other symptoms, serious decompression sickness will result. 16.Why can’t I hold my breath during decompression? In the process of decompression should be natural breathing, absolutely not allowed to hold the breath, because when holding the breath, the lung expansion of gas can not be eliminated through the respiratory tract, once the intrapulmonary pressure rises above the external environmental pressure of 80-100 mmHg, the lung tissue is susceptible to damage, serious cases even occur pneumothorax or pulmonary air pressure injury, so decompression absolutely can not hold the breath. 17.What should I pay attention to when caring for patients with catheters under hyperbaric oxygen? When a patient is admitted with a catheter, attention should be paid to keep the pipeline open and the catheter properly fixed in the cabin. Chaperones should be familiar with the direction and role of the catheter, and pay attention to the nature, color and amount of drainage to prevent reflux. When decompression starts, open all drains and aspirate the secretions in time to keep the drainage unobstructed, so as to avoid pressure damage to soft tissues or even necrosis caused by air expansion during decompression. 18.What is the importance of oxygen in life activities? Oxygen is an indispensable substance in human life activities, and oxygen intake is the key link for the human body to obtain life energy. People can go for days without eating, but if they do not breathe air (oxygen), they will die in just a few minutes. The existence of life must be constantly metabolized, and humans need oxygen for aerobic metabolism in order to obtain energy. A problem with aerobic metabolism in any part of the body can lead to disease. The human body is hypoxic if it cannot take in enough oxygen needed for its own physiological and pathological reasons. Under the condition of oxygen deficiency, the intermediate process of cellular energy metabolism slows down, and the activity of biological enzymes is also inhibited, resulting in less efficient energy production and less generation, causing metabolic disorders and finally leading to a series of pathological changes in tissues and organs, and even threatening life. 19.What causes can lead to systemic hypoxia? (1) Ventilation disorder hypoxia Drowning, self-hanging, electric shock, plateau maladaptation disorder, deep pit or deep mine work, anesthesia accident, pulmonary encephalopathy, infection toxic respiratory disorder, etc. (2) Circulatory blocking hypoxia Various kinds of shock, cardiac arrest caused by various reasons, acute terminal circulation failure, electrolyte and acid-base balance disorders, heart failure, congenital heart disease, tetralogy of Fallou, arteriovenous catheterization, atrial and ventricular septal defects, myocardial infarction, cardiomyopathy. (3) Tissue toxic anoxia Cyanide, hydrogen sulfide, nitrite, carbon tetrachloride, phosgene, organophosphorus, alcohol, methanol poisoning. (Common for people working in toxic environments: installation of gas pipelines, production and use of harmful paints, glues and lacquers, etc.) (4) Anemia or abnormal blood component hypoxia Acute massive blood loss, various types of severe anemia, carbon monoxide poisoning, nitrobenzene poisoning, aniline poisoning, certain drugs causing degenerative hemoglobinemia, acute dehydration and alkaline poisoning. 20.What causes can cause local hypoxia? (1) Various vascular diseases: vasculitis, phlebitis, arteritis, Raynaud’s disease, etc. (2) Cerebrovascular disease: cerebral blood supply deficiency, cerebral vascular spasm, cerebral infarction, cerebral hemorrhage, cerebral arteriosclerosis, etc. (3) Craniocerebral trauma: cerebral contusion, brainstem injury, cerebral hematoma. (4) Ischemic ulcers (diabetic gangrene), decubitus ulcers, wound infections, etc. (5) Diseases of the five senses: sudden deafness, Meniere’s disease, vertigo, ischemic eye disease, periodontal disease. (6) Local trauma: non-healing wounds, crush injuries, postoperative microcirculatory disorders, replantation of severed limbs (toes, fingers), skin flap transplantation, local burns, frostbite. (7) Infectious diseases: gangrene of the limb, poisoning, allergic vascular disease. 21.Is it harmful for normal people to inhale hyperbaric oxygen? As long as the treatment plan is properly selected, hyperbaric oxygen is not harmful to people. In clinical work, there are often doctors and family members entering the chamber to accompany the patient. Although some patients’ families do not inhale oxygen, under high pressure, the chronic diseases of some accompanying guests are relieved and even cured unknowingly. The reason for this is related to the fact that the partial pressure of oxygen in the air inside the oxygen chamber is usually more than twice as high as that outside the chamber. 22.Is there any similarity between hyperbaric oxygen and blood-strengthening drug treatment? As we all know, activating blood circulation, expanding blood vessels and reducing blood viscosity are the common clinical treatment methods, and usually Danshen, Chuanxiong and Nimodipine are used to achieve the therapeutic effect. Ultimately, the goal is to get more and more fluid blood supply to the lesion, and the main function of blood is to transport oxygen, so the ultimate goal is to solve the problem of oxygen supply. Hyperbaric oxygen supplies oxygen directly to tissues, avoiding the chemical reactions brought about by drugs to activate blood and oxygenation, and is the best way to supply oxygen that cannot be replaced by other means. Therefore, the application of hyperbaric oxygen should have a broad prospect. 23.What is oxygen therapy and oxygen health care? Generally speaking, it is called oxygen therapy when it is used to correct pathological hypoxia and as an auxiliary treatment for diseases. Among them, those used for critically ill patients and accident victims are called emergency oxygen infusion; those used to supplement the physiological hypoxia of heavy brain workers, the elderly, pregnant women and patients recovering from chronic diseases, as well as those supplementing various environmental hypoxia, as prevention of hypoxia, are called oxygen health care. Oxygen therapy and oxygen health care should be the basis for various other therapeutic and health care measures. Hyperbaric oxygen therapy is a special oxygen therapy means that must be implemented with the help of large special equipment. Oxygen can rapidly relieve acute and chronic ischemic and hypoxic diseases and secondary injuries caused by hypoxia in various clinical departments, and play a role in treating diseases and restoring health. Appropriate oxygen inhalation also has the effect of improving the microcirculatory condition and reducing the respiratory load and myocardial load. Therefore, oxygen therapy and oxygen health care have an irreplaceable and important role and a broad development prospect. Questions and answers about the treatment of untreated diseases 1.What is “untreated diseases”? The term “undiseased” means that the disease has not yet developed. In common parlance, it refers to diseases that may occur in the future. It is the state of the human body in which the cause of disease exists in the body but has not yet caused disease, and is the pre-disease stage. However, with the development of TCM theory, combined with the clinical practice, the concept of undisease has been expanded to include the period of no disease, the period of desire for disease, the period of “both disease and prevention of change”, and the period of prevention of recovery after healing, all of which are called the state of “undisease”. In other words, “not yet sick” is a relative concept, and not all are not sick. 2. What is “treating the undiseased”? To cure the untreated disease is to strengthen one’s resistance to disease by treating and nourishing the body, so that doctors can help you find ways to be less sick and not to get sick. As the old saying goes, “Instead of seeking treatment after a disease, it is better to take care of it before there is no disease”. 3.What are the common body types in Chinese medicine? According to the different strengths and weaknesses of yin and yang of qi and blood in various groups of people, the reaction to pathogenic factors and the same threshold of morbidity, the common physical constitution is divided into nine types: calm and peaceful, qi deficiency, yang deficiency, yin deficiency, blood stasis, phlegm-damp, damp-heat, qi-yu, and special endowment. 4.Why should we carry out the work of “treating the untreated disease”? What are the benefits of “treating the untreated”? The purpose of medicine is not only to treat diseases, but also to keep you from getting sick. The original purpose of “treating the disease before it happens” is to help you maintain your body in a better and healthier state by showing you how not to get sick and how to get less sick through individualized guidance from professionals. 5.What is the concept of “treating the disease before it happens”? The specific content of the concept of “treating the disease before it occurs” includes four aspects: (1) to maintain health before it occurs and to prevent it before it occurs: prevention before it occurs and avoiding the occurrence of diseases is fundamental; (2) to prevent the disease before it occurs and to prevent it gradually: measures should be taken before the disease has no obvious symptoms to treat the disease at the beginning and to avoid more and more symptoms; (3) to treat the disease early and to prevent its transmission: it means The disease already exists, to treat early, to prevent it from the superficial into the deep, or the occurrence of internal organs of the transmission; (4) after the disease to regulate, to prevent its recurrence: refers to the first healing of the disease is still deficient, the evil Qi stay, the body is in an unstable state, the body function has not yet fully recovered, so to strengthen the regulation, to prevent the recurrence of disease. 6.Who needs to “treat the untreated disease”? In the classic work of Chinese medicine “Yellow Emperor’s Classic of Internal Medicine”, “treating the untreated disease” is also referred to as personal preventive health care as emphasized by modern medicine. In fact, health is a strong desire of everyone, and a good body needs to be maintained continuously and scientifically. 7.Do healthy people also need to “cure the disease before it happens”? Yes, only about 5% of the world’s population can meet the World Health Organization’s health standards; they also need constant health care to maintain their health status. 8.Who are the people most in need of “treatment before illness”? If you don’t take care of your health in time and intervene to control the disease, then you can mend the problem after it has formed. 9. Is sub-health the main group of people to be treated? Sub-healthy people account for about seventy percent (75%) of the global population. These people often have some discomfort, but no disease can be detected. If they continue to develop, they are likely to develop into diseases. It is important to “treat the disease before it happens” and try to stop the development of the disease. 10.What are the symptoms of subhealth? The symptoms of subhealth include dry eyes, body pain, tinnitus, dizziness, headache, nocturnal urination, scanty stool, constipation, reduced diet, abdominal distension, dry throat, spontaneous sweating, night sweating, forgetfulness, palpitations and insomnia, premenstrual breast distension, menstrual disorders, excessive amount of hypochondrium, itchy skin, drowsiness, fear of cold, loose teeth, weakness of lower limbs, etc. 11.After being cured of a major illness, should we also “treat the untreated”? After being discharged from the hospital, you are usually weak, so you should pay more attention to the treatment of the untreated diseases. Under the guidance of a specialist, you should take care of yourself to prevent old illnesses from recurring and new ones from being contracted. 12.How do doctors “treat the disease before it happens”? The word “cure” in the treatment of the untreated disease means to treat, nurture, intervene and maintain health. With the relative lack of health knowledge and the fact that very few people have a personal health care doctor, let the “Center for the Cure” help you develop and implement a health management plan specifically for you. 14.What are the main angles of interventions for “treating the disease before it happens”? It mainly includes the prevention of risk factors, emotional and mental health, diet, living, exercise, Chinese herbal medicine and non-pharmaceutical therapy. 15.Do I need to be hospitalized and take medication for “treating the disease”? No, it is not necessary. Under the guidance and assistance of a doctor, you should take care of your own health and health care. Your health, you make the decision. 16.What is oxygen therapy for treating untreated diseases? We call it oxygen therapy to treat the untreated diseases by applying oxygen therapy in a reasonable and standardized way to improve the different degrees of oxygen deficiency in the subhealthy people, to “prevent the untreated diseases before they occur” and to maintain health and wellness. Saturated oxygen therapy questions and answers 1.What is saturated oxygen therapy? Saturated oxygen is the way of oxygen inhalation in which the patient receives a high flow of pure oxygen with the help of a closed oxygen mask and a special breathing line. The distinctive feature of saturated oxygen is that it has the qualities of oxygen absorption and oxygen supply in the hyperbaric chamber. The amount of physical dissolved oxygen in the patient’s body is significantly higher with saturated oxygen than with regular nasal plug or nasal cannula oxygen. There is a broad and narrow definition of saturation oxygenation. In a broad sense, saturated oxygen can be divided into atmospheric saturated oxygen and hyperbaric saturated oxygen depending on the environment in which the oxygen is administered, the latter being “hyperbaric oxygen”. The saturated oxygen absorption we usually refer to refers to atmospheric saturated oxygen absorption, in the “narrow sense”. 2.What is saturated oxygen needle method? The saturated oxygen absorption acupuncture method is a new clinical treatment method created by me, which is a superimposed fusion of Chinese and Western medicine treatment methods and has the characteristics of integrated innovation. The sequential and combined treatment method of saturated oxygen absorption within half an hour after acupuncture or at the same time as acupuncture treatment is called saturated oxygen absorption acupuncture therapy (referred to as oxygen acupuncture therapy). 3.What are the characteristics of saturated oxygen needling? The most important feature of saturated oxygen therapy is that it focuses on the sequential superposition of acupuncture and oxygen therapy. The needle is applied before entering the chamber, and the patient enters the chamber with a sense of the needle, or receives acupuncture treatment at the same time as saturated oxygen, which can make a good synergy and amplification effect of hyperbaric/normal pressure saturated oxygen and acupuncture on the adjustment treatment of the organism. On the basis of the oxygen therapy effect should be maximized, the meridian adjustment effect of acupuncture is enhanced; and the meridian qi stimulation of acupuncture promotes the full utilization of oxygen by the organism. The two complement each other, the effect is amplified, 1 + 1 > 2. 4.What diseases can be treated by saturated oxygen absorption acupuncture method? Patients and diseases that are suitable for general acupuncture therapy treatment and have no contraindication to high-flow pure oxygen inhalation can be considered and receive saturated oxygen acupuncture treatment. The advantages of saturated oxygen inhalation acupuncture therapy are particularly prominent in the treatment of diseases closely related to ischemia and hypoxia.