Oxygen therapy venous stasis ulcers and devitalised tissues in the lower limbs District Madeyski Hyperbaric Chamber 2003

Oxygen therapy

venous stasis ulcers and devitalised tissues in the lower limbs

District Madeyski Hyperbaric Chamber 2003

Oxygen therapy

We can say that oxygen therapy has been the evolution of

Hyperbaric therapy used in the last 30 years to treat

different pathologies related to deficiencies of circulation

and infection.


Principles on which hyperbaric oxygen therapy is based

The Oxygen works by contact and because dissolved in the blood ( a modest increase is linked to the haemoglobin but a considerable

increase is dissolved in the plasma)


Principles on which hyperbaric oxygen therapy is based

Remember that in the Hyperbaric Chamber the atmospheric pressure is increased while the

partial pressure of the oxygen remains invariable


ULCERS AND DEVITALISED TISSUES

IN THE LOWER LIMBS

1) Venous stasis ulcers

2) Arterial ulcers

3) Traumatic ulcers

4) Collagenopatic ulcers

5) Diabetic ulcers


THE THERAPIES

1) Medical therapy 2) Surgical therapy 3) Plastic surgery 4) Hyperbaric Chamber Therapy


Advantages Disadvantages

increase oxygen dissolved in the plasma

-Not for all people

-Cardiac,vestibular or cochlear tract, psychological problems

-Limited availably

-Problems with travelling distances

-No Availably of bed places

-Social and public costs

Hyperbaric Chamber


so called since resembling the Hyperbaric Chamber used by most

important Medical Centres.

The Madeyski District Hyperbaric Chamber District Normobaric Chamber


Advantages Disadvantages

increased oxygen in contact with the lesion

Minor increase by oxygen dissolved in the plasma

Rilevant Advantage:

No local or general contraindication.

The Madeyski District Hyperbaric Chamber District Normobaric Chamber

Advantages:1) Patient satisfaction

2) Simple use and appreciation by paramedic staff

3) The lack of general contraindications.

4) The lack of local contraindications

5) Its reduced dimensions and easiness of transport

6) Its agreeable shape

7) Easily availability

8) The low cost of the device and its maintenance

9) Staff's quick training

10) Documented effectiveness

The Madeyski District Hyperbaric chamber District Normobaric Chamber

General hyperbaric chamber District hyperbaric chamber

The Oxygen concentration reaches 22%

The Oxygen concentration reaches 95%

Oxygen dissolved in the plasma Vol 6 %

Oxygen dissolved in the plasma Vol 2%

DIFFERENCES BETWEEN

THE HYPERBARIC CHAMBER AND

THE DISTRICT HYPERBARIC CHAMBER


Differences between the hyperbaric chamber and the district hyperbaric chamber


Whilst in the hyperbaric chamber the treatment is through contact and dissolved oxygen in the plasma, in the district normobaric chamber the increase of dissolved oxygen in the plasma is lost

This missing effect is compensated by the increased oxygen concentration in the district normobaric chamberThe concentration, in fact, reaches 95% or a set value which therefore corresponds to 4 times the value found in the hyperbaric chamber.

Differences between the hyperbaric chamber and the district hyperbaric chamber


But if an associated breathing in an oxygen mask is performed , the

dissolved oxygen quota in the plasma increases without reaching the values due to hyperbarism.

2% Vol against 6% Vol

Times of application of District hyperbaric chamber

Are different according to the pathology and the local situation

Similarly the number of days in which the therapy is applied is variable and linked to the pathology and to others

contingent factors


Times of application of District hyperbaric chamber

The average therapy is applied for the duration of one hour, twice a day

Similarly the number of days in which the therapy is applied is variable and linked to the pathology and to others

contingent factors


Past case histories

141 patients treated with chamber in an experimental period

During this period the chamber was not the definitive one


Present experience

196 patients so divided:

1) 150 venous stasis ulcers

2) 12 Arterial ulcers

3) 5 Traumatic ulcers

4) 3 Collagenopatic ulcers

5) 22 Diabetic ulcers

6) 1 oncocarbide Ulcers

7) 13 patients with epidermic transplants


Results Considerations for a correct evaluation

Since we are dealing with a chronic syndrome one can't reach a definitive recovery if the ethiology is not corrected identified.

District Madeyski Hyperbaric chamber 2003

Results Considerations for a correct evaluation

Sometimes,in subjects affected by peculiar

pathology, a definitive recovery can not be reached.

District Madeyski Hyperbaric cCamber 2003

Results1) Decrease of the secretions

2) Improvement of subjective sinthomatolgy

3) Improvement of objective sinthomatology

4) Cleaning of the lesions

5) Reduction of the diameters

6) Evidence of the granulation tissues since the third day of application

7) A positive result of the transplants expecially if Reverdin method is used


The future …

1)Portable device of contained cost for the house therapy

2) Nebulising for introduction of drugs:

- vaso dilatators –- healing

- for diabetic ulcers 3) Platelets concentrated


Conclusions The use of the Hyperbaric Chamber

with a partial increased oxygen pressure is a very useful tool, at a

low-cost and without contraindications for a large number of subjects with a

large amount of devitalised or not very vital tissues ,due to local or

general causes in the inferior limbs


Documents

Oxygen therapy venous stasis ulcers and devitalised tissues in the lower limbs District Madeyski Hyperbaric Chamber 2003