Wednesday, June 29, 2016

FAQ's on Hyperbaric Oxygen Therapy, Indraprastha Apollo Hospitals Delhi, India

Q- What is hyperbaric oxygen therapy?

Ans- Hyperbaric Oxygen Therapy (HBOT) is a medical treatment in which the patient is enclosed in a pressure chamber breathing 100% pure oxygen (O2) at greater than one atmosphere pressure. There have been anecdotal reports showing dramatic relief of sickle cell crisis with hyperbaric oxygen. Original work done at Duke University showed that sickle cell forms of the erythrocyte were markedly reduced under hyperbaric conditions. However, there has been no large-scale study to confirm its overall usefulness clinically.

Q- How does hyperbaric oxygen therapy help?

Ans- During HBO due to higher pressure the Oxygen dissolves more in the liquid part of blood (plasma) and its level increases 10-20 times of normal level. This oxygen reaches all areas of the body –those places also where it was not reaching earlier due to inadequate blood supply or less haemoglobin.

Q- What is the purpose of treatment?

Ans- In most instances HBOT is "adjunctive therapy" that is, it is used as part of a total treatment plan to improve outcomes. HBOT is not a "cure all" but a part of your total medical or surgical care.

Q- Are any tests needed before my treatments?

Ans- A doctor trained in hyperbaric medicine will examine you before your treatments begin. You may need to have a few tests to make sure it is safe to expose you to oxygen under pressure. These tests include:
1.     Check of ears for ability to equalize pressure
2.     Check of lungs i.e. chest x-ray and / or pulmonary function tests
3.     Blood tests
4.     An eye examination (if you will be receiving a long series of treatments.
5.     Any other tests depending on your general state of health eg. ECG.

Q- How do I prepare for my treatment?

Ans- Please follow these guidelines:
·         Do not drink alcohol for at least 8 hours before your treatment.
·         Do not use skin products that have alcohol or petroleum in them (hair spray, most cosmetics, oils, creams). You can apply these after the treatment session.
·         You can wear only 100% cotton (including undergarments) when inside the chamber.
·         Check with your doctor if you are to stop any of your medication.
·         Remove your Watch, Dentures, Hearing aid, Jewellery, Contact lens, Other prostheses
·         The hospital will provide lockers for your belongings. Do not bring any valuables.
·         Bring a book with you.

These Items are not allowed inside the treatment area:
·         Synthetic garments, nylon, rayon, etc.
·         Vaseline or oil based products like lipsticks, hair oil, hair spray, make-up, some skin lotion, or glycerine.
·         Cigarettes, lighters, or matches
·         Newspaper or loose leaf paper
·         Hearing aids and other electronic devices
·         Cellular phones or battery operated items

You May Take In:
·         One book or a magazine.
·         If you have doubt about what can be carried in to the chamber, please ask.


Q- What about my medications?

Ans-There is no need to disrupt your medication routine because of HBOT treatments. Bring your medications with you when you come. If you have to have shots or IV medications our nursing staff can help you.
You Need To Know This About Smoking....
·         The purpose of HBOT is to deliver high doses of oxygen to your body through your blood. Smoking inhibits this oxygen delivery in the following ways. We strongly advise you to stop smoking during the entire period of hyperbaric therapy, continuing to smoke during your treatment period will make your therapy less effective.
·         The smoke inhibits oxygen uptake in the Lungs.
·         Most important, the nicotine in cigarettes narrows the diameter of the blood vessels. This greatly reduces the amount of blood that can reach your tissues.
·         Smoking increases lung congestion and risk of complications.
·         Smoking decreases the amount of oxygen that your blood carries.

Do not smoke while receiving hyperbaric oxygen treatment. Smoking is not permitted in the Hyperbaric Unit.

We need to know if…
·         You get a cold, the flu, nasal or chest congestion
·         There is any possibility you may be pregnant
·         You develop diarrhoea
·         You develop nausea or vomiting
·         You develop an ear or sinus infection
·         You change medications
·         You have not eaten breakfast
·         You are diabetic and didn't take your insulin
·         Anytime you have a concern
You develop an ear or sinus infection

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