HBOT presentation

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Information about HBOT presentation
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Published on February 12, 2009

Author: pharmapresentation

Source: authorstream.com

Slide 1: AN ADJUVANT IN TREATMENT OF DIABETIC FOOT HYPERBARIC OXYGEN THERAPY 1 Presenter: Arpit Patwari HBOT (arpitpatwari27@gmail.com) Slide 2: What is Hyperbaric Oxygen Therapy? Hyperbaric Oxygen Therapy (HBOT) - prescribed treatment approved by the FDA and AMA. A person breathes 100% medical grade oxygen under increased pressure which is almost 15 times of normal oxygen inhaled. Treatment is given within a multi-place (multiple occupancy) or mono-place (single occupancy) hyperbaric oxygen chamber. During treatment, one can relax by watching a movie, reading, or just rest. 2 HBOT Slide 3: Description of HBOT and its Benefits Oxygen Saturation Fights Infection Increased Oxygen Levels Mass Action of Gases Vasoconstriction Neovascularization Neurological Function 3 HBOT Slide 4: The Equipment Mono-Place Chamber Multi-Place Chamber 4 HBOT Slide 5: Mono-place chamber allows us to also offer private treatments. Relax and watch your favorite movie or select one from library. Chamber meets or exceeds the latest guidelines governing hyperbaric chamber manufacturing. 5 Mono-Place Chamber HBOT Slide 6: Mono-Place Chamber 6 HBOT Slide 7: Large multi-place chamber has an interior diameter of five (5) feet and is thirteen and a half (13 ½ ) feet in interior length. The chamber can comfortably seat six (6) people on two bench seats and allows them to easily view the entertainment system, read, or relax. 7 Face Hood Face Mask Multi-Place Chamber HBOT Slide 8: How does HBOT work Normal Blood Flow Restricted Blood Flow Hyperbaric Oxygenation Blood Vessel Regeneration 8 HBOT Slide 9: Normal Blood Flow 9 HBOT Slide 10: Restricted Blood Flow 10 HBOT Slide 11: Hyperbaric Oxygenation 11 HBOT Slide 12: Blood Vessel Regeneration 12 HBOT Slide 13: Currently there are 16 Medicare approved conditions for which HBOT is indicated, these include: Diabetic Wounds Acute Cyanide Poisoning Acute Peripheral Arterial Insufficiency Intravascular Gas Embolism Carbon Monoxide Poisoning Clostridial Myonecrosis Compromised Skin Decompression Illness Osteoradionecrosis Progressive Necrotizing Infection (Meleney's ulcer) Burns Chronic Refractory Osteomyelitis Soft Tissue Radiation Necrosis Actinomycosis Exceptional Blood Loss Anemia Intracranial Abscess 13 What Conditions Are Treated By HBOT? HBOT Slide 14: Reversible myopia Symptomatic otic barotrauma Pulmonary barotrauma Pulmonary oxygen toxicity Seizures Decompression sickness Tinnitus Side effects 14 HBOT Slide 15: Diabetes mellitus is the most common of the serious metabolic disorders . Disorder due to deficiency of insulin secretion from B-cells of islet of langherhans or due to reduced sensitivity of body to insulin. Characterized by- Diabetic mellitus High plasma sugar level Neuropathy Nephropathy Retinopathy Cardiac disease Diabetic foot Diabetic angiopathy leads to chronic foot lesions and has a higher risk of amputation than non-diabetics due to poor control of infection. 15 HBOT Slide 16: Causes of Diabetic Foot Problems 16 HBOT Slide 17: 17 HBOT Slide 18: Progression of decubitis ulcer 18 HBOT Slide 19: Grade O - foot has no open lesions, but is the ‘at risk’ foot. Grade 1 - lesions consist of a superficial ulcer, but with full thickness skin loss. Grade 2 - lesion is deep and often penetrates subcutaneous fat down to tendon or ligaments, but without abscess formation or bony infection. 19 Wagner`s Classification of the Lesion HBOT Slide 20: Grade 3 - have deep infection with cellulites or abscess formation, often with underlying 2 foot is that in grade 3 foot, surgery is usually needed. Grade 4 -Gangrene, which may be localized to a toe, a small area of the heel or involve more of the distal foot. Grade 5 - lesions are characterized by extensive gangrene of the foot and need urgent hospital admission, control of diabetes and infection and usually a major amputation. 20 HBOT Slide 21: Grade 0 Grade 2 Grade 1 21 HBOT Slide 22: Grade 4 Grade 5 Grade 3 22 HBOT Slide 23: Locally, with Eusof (1.25% w/v boric acid and 1.25% w/v of bleaching powder) In those patients in whom the gangrene/infection ascended above the ankle, amputation was performed to limit the spread of infection. Antibiotics were administered along with metronidazole for 3 days. Antibiotics commonly used were cephalosporins and amino glycosides and were changed according to sensitivity patterns. Diabetic control was achieved by crystalline insulin given subcutaneously daily in 3 doses. 23 Normal treatment of Diabetic foot HBOT Slide 24: Patients were given treatment at 3 atmospheric pressure everyday for about 45 minutes. Therapy continued for about 2 weeks. To study the effects of HBOT the following parameters were evaluated: Wound cultures-before and after each sitting . 2) Assessment of local wound daily. 3) In case of amputations, skin flaps were assessed. 24 Treatment with HBOT HBOT Slide 25: 25 HBOT Slide 26: 26 INITIAL AFTER 27 HBOT SESSIONS INITIAL AFTER 32 HBOT SESSIONS HBOT Slide 27: From about 30 patients under study, 28 recovered quickly from diabetic foot as compared to control group. They were given 10-15 sessions of HBOT. Radical healing and decrease in the lesions were seen. Grades 1,2,3 feet far better with 92.3% of the study group having benefitted. The overall outcome was better in the study group with 86.6% of patients showing complete healing or marked improvement as compared to 46.7% in controls (P < 0.01). 27 Results HBOT Slide 28: Conclusion HBOT works for all grade of diabetic foot. Such promising results obtained for treatment of diabetic foot by HBOT, shows how effectively such serious diseases can be treated with shorter duration of action. Moreover doses of drug can be decreased for the treatment and thereby a possible way to decrease drug side effects and toxicities. 28 HBOT Slide 29: 29 List of references www.hbot.com wikipedia.org www.omnimd.com www.hhi-kc.com www.drcranton.com www.hbot4u.com www.hyperbaricmedicalassociation.org www.podiatrytoday.com www.springerlink.com HBOT Slide 30: Thanking You 30

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