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What is Hyperbaric Oxygenation Therapy (HBOT)?
Hyperbaric oxygenation
therapy is a prescribed medical treatment in which a patient breathes pure oxygen at a greater than normal atmospheric pressure.
This treatment allows an increased amount of oxygen to circulate in the body.
The word “hyperbaric” is from the Greek root "hyper" meaning "over, above" and "baro" meaning "weight." Therefore, hyperbaric
is "above the (normal) weight" of the atmosphere.
How is a treatment given?
A patient sits or lies in a sealed chamber while
its atmospheric pressure is increased to a therapeutic level. In a monoplace (single-person) chamber, the vessel is pressurized
with pure oxygen; in a multiplace (many persons) chamber, its interior is pressurized with room air and oxygen masks or hoods
are distributed to patients for their therapy.
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How Does More Oxygen Get into the Body?
The quick answer is that
when a person is in a hyperbaric oxygen chamber, the increased pressure surrounding them forces the oxygen that is breathed
in to be dissolved into the plasma portion of the bloodstream.
It helps to understand the
basic components of the bloodstream and their function:
The major components of
the bloodstream are red blood cells, white blood cells, platelets, and plasma.
Under normal conditions,
when a person breathes oxygen into the lungs, red blood cells in the bloodstream pick up and carry
oxygen molecules, making them available to all parts of the body. Generally, about 95 percent of the red blood cells
(hemoglobin) are carrying oxygen molecules at any one time.
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White blood cells (leukocytes) are part of the body’s immune system and help
keep foreign bodies (allergens, bacteria, viruses, etc.) under control, or help to clean up dead cells or waste by-products
produced by our cells.
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Platelets help the blood to clot, springing into action when we have a cut or injury. They help staunch the flow of blood leaking out of broken or torn blood vessels.
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Plasma is the watery
fluid that constitutes over half of the volume of our blood. Dissolved
in it are nutrients and vitamins, electrolytes, hormones, clotting factors, proteins, fats, sugars, metabolic wastes and other
substances. The other blood cells (red, white and platelets) float in the plasma
as it is circulated through the body. Unlike the red blood cells, the plasma seeps from the blood vessels into spaces between cells,
carrying nutrients with it, and picks up waste by-products for later disposal. Plasma
is the clear fluid that seeps out when someone has a minor skin scrape or brush burn.
The red blood cells are
the most common cell type in the bloodstream, but the plasma has the most volume.
When a person
is in a hyperbaric oxygen chamber:
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Oxygen
molecules are dissolved into the plasma.
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Oxygen levels are increased only slightly in the hemoglobin (RBC), which is already
working at about 95 percent capacity.
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The bloodstream
can carry as much as six times more oxygen than while breathing room air outside of the chamber.
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The plasma is infused with enough oxygen to sustain life without any hemoglobin.
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This oxygen-saturated plasma moves from the circulatory system into tissue spaces, seeping into areas where there
is no blood flow, or where blood flow is diminished or compromised and carries oxygen molecules with it. More oxygen is delivered to more cells than can be delivered by the circulatory system.
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There is less energy transfer involved when a cell receives an oxygen molecule.
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Other body fluids, such as the cerebrospinal fluid, are also infused with molecular oxygen.
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The total effect is that the body has become hyperoxygenated and thus, the process is known as hyperbaric oxygenation.
Breathing 100 percent oxygen
under pressure enhances a body’s ability to heal itself naturally.
(For
more information on the physics involved when a gas (oxygen) and fluids (the bloodstream) are put under pressure in a sealed
chamber, refer to Henry’s Law and Boyle’s Law. Other related gas laws are Dalton’s,
Charles', Gay-Lussac’s, and Pascal’s Principle.)
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Copyright © 2008 The Robert M. Lombard Hyperbaric Oxygenation Medical Center, Inc. All
Rights Reserved
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