The medicine hyperbare approaches pathologies and therapeutic related to a use of Dioxygène when the patient is put under a Pression higher than the atmospheric Pression.
Two mediums with high pressure exist: the subaqueous environment whose pressure is proportional to the depth, and the boxes hyperbares which reproduce these conditions artificially. These units of medicine hyperbare are often under the responsibility of the hospital service of Urgencies and Reanimation.
Use of oxygen treatment hyperbare
Several uses of oxygen in hyperbare medium are considered:- the increase in the Pression is used in certain cases, in particular during the treatment of the consecutive Accident of decompression to a Accident of diving;
- In other cases, the increase partial of the Pression, combined with the use of Dioxygène to more or less great concentration can be used to facilitate certain treatments, in particular Peau.
The advantage of the use of Dioxygène under environment hyperbare appears for the transport of this Gaz by the Sang:
- with the atmospheric Pressure, this transport capacity is limited by the capacity of fixing of the Dioxygène on the red globules, the transport of the Gaz by the plasma being very restricted
- on the other hand, when one augment this surrounding Pression, the transport capacity of oxygen by plasma is increased.
Pathologies requiring a use
Oxygen treatment hyperbare is particularly indicated at the time of:- certain wounds (post-surgical treatment or of the diabetes)
- intoxication with the Carbon monoxide
- Accident of decompression
- certain accidents of the sport
- gas Embolism: accident of decompression in deep-sea diving, for example
- Infections necrosing with anaerobic or mixed germs (myonécroses, Cellulitis S,…)
- Ostéoradionécrose
- Preventive medication of the lesions occurring after dental extraction
- Lesions of radionécrose of soft fabrics
- Badly acute of the mountains
Useful treatment
In this case, the use of the box hyperbare can prevent certain complications:-
Clerc's Offices with compromised vascularization
- Crushings of member
- abrupt Deafnesses
- Ischaemia critical chronicle among the diabetics and patients arteriosclerotic
- Osteomyelitis S
Optional treatment
- http://www.hyperbare.ca/fr/dossiers/autisme.html
- cerebral http://www.hyperbare.ca/fr/articles_etudes.html
- in plates http://www.hyperbare.ca/fr/dossiers/sclerose_plaques.html
- AVC
- Reimplantations of segments of members
- cerebral Anoxia
Let us specify however that in January 2007, the Agency of evaluation of technologies and modes of intervention in health in Quebec (AETMIS) published a report according to which, to date, the effectiveness of oxygen treatment hyperbare (OHB) in the assumption of responsibility of the cerebral paralysis was not shown scientifically. However, the Agency recognizes that uncertainty persists. To dissipate this uncertainty, the AETMIS recommends to support in Quebec the realization of additional research on the various aspects of this question.
“ But the two reports/ratios of the AETMIS (2000 and 2007) show well that there is collusion of the medical Establishment to camouflage the true conclusions of the study of 1999, just as all the other studies carried out since. It is completely false to claim that its effectiveness was not scientifically shown and that there is uncertainty . These two reports/ratios of the AETMIS are only obvious attempts at a handle of doctors and bureaucrats not-qualified to camouflage the details of the fraud surrounding the study of 1999 just as the real benefits as it brings to the children affected by the cerebral paralysis. The last report/ratio of January 31st was highly disputed by the specialists in Quebec who oppose the abusive conclusions of these cans reports which were ordered by the Ministry for the Health of Quebec to refuse refunding of it. Moreover, 14 of the 18 people who took part in the drafting of this report/ratio are opposed to the cover by the state of this treatment which however showed more effectiveness than all the treatments refunded by the Ministry for the Health of Quebec. ” These assertions which come from a company which makes the promotion of oxygen treatment hyperbare and sells equipment do not rest on any scientific criticism of the report/ratio of the AETMIS which, contrary to the allegations, was not refuted by the scientists.
(These comments which were added by persons in charge of the AETMIS show eagerness well to camouflage the facts. There are two groups of scientists who have sights completely opposed on the question. How is this possible in science? Who are the scientists who deny the effectiveness and which are their competences? An Internet search exposes clearly that several senior officials and politicians of Quebec are implied in a true attack against the ill children. The truth already was right of impostors since they must come to patinate on Wikipédia!)
Oxygen treatment hyperbare and the accidents of diving
Initially, this therapeutic was developed within the framework of the treatment of the accidents of decompression with penetration of gas bubbles in the fabrics.The treatments in Caisson of recompression can proceed several manners:
-
the increase in the Pression in the box reduces the size of the bubbles, thus enabling them to pass by again in the ventilatory circuit
- the high concentration in Oxygène breathed makes it possible to feed the fabrics correctly Human body
Treatment for the accidents of diving
With the Canada and the the United States, the Tables of decompression of the US Navy are used to determine the duration, the pressure and the breathed Gaz. The tables most frequently used are tables 5 and 6. In Great Britain, the tables of the Royal Navy number 62 and 67 are used. In France one has readily recourse to the historical tables of Comex (e.g. Comex 12, Comex 18, Comex 30)
Complications
The risks related to this therapy are same as those related to the plunged:- the variations of Pression can be sources of Barotraumatisme S on the level of the internal cavities of the body containing of the air (lungs, ears, teeth, etc)
- the breathing of Oxygène over long periods can be toxic
Situation in France
In France, medicine hyperbare is a competence acquired through a university formation complementary to one one year duration accessible to the doctors: the inter-University diploma of medicine hyperbare.Situation in Great Britain
In Great Britain, the majority of the Caisson of recompression are financed the National Health Service but certain treatment units are activated by non-profit making companies, like the Multiple sclerosis therapy centers . http://www.ms-selfhelp.org
Internal bonds
- Plunged
- Decompression
External bonds
- Company of medicine hyperbare and subaqueous of Quebec
- International Hyperbarics Association
- International Medical Hyperbaric Association
- French company of medicine subaqueous and hyperbare
- European Conférence of consensus
- HyperbaricMedicine.ca
- Canadian Association off Hyperbarics
- Undersea and Hyperbaric Medical Society
- Diving Diseases Research Centers
- Diving Medicine Online
- HBO obviousness
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