What is the relationship between the pressure of treatment and the medical results? Can a dose / response curve be established depending on the treatment pressure and the exposure time? To answer these questions, Dr. Gustavo Javier Breitbart introduces the concept of efficiency and its differences regarding effectiveness.
In summary, the effectiveness of a treatment is to achieve the objectives proposed in absolute terms. For the concept of efficiency, effectiveness is a necessary but not sufficient condition, since it includes other concepts such as adverse effects, short, medium and long-term disorders, sensations of the patient in relation to his illness and treatment, etc.
Assuming that the greater the amount of O2 dissolved in blood the higher the pressure, it is logical to expect better clinical results. This can be adjusted to reality in specific treatments such as gas poisoning and the presence of Clostridium. In these clinical conditions, a high concentration of O2 is undoubtedly necessary either to displace another gas or to inhibit the bacterial production of toxins (according to the literature, when the O2 pressure is 250 mmHg, toxin production is inhibited). For other pathologies, the issue is not so important.
Few works compare the clinical results of treatments at different pressures with basic research support. An evaluation of a dose-response curve for a given effect would be very useful to be able to face this issue with greater certainty. In relation to the adverse effects and toxicity of O2, these are directly related to the pressure to which the patient was exposed, so that they are virtually non-existent at pressures of less than 1.5 or 1.8 ATA.
“The totality of the physicians I have relieved who use cameras at pressures of 1.4 to 1.5 ATA coincide in highlighting the excellent clinical results obtained with their patients, in particular in the treatment of wounds and neurological conditions such as PC and Parkinson’s. Undoubtedly, the low pressure single-seat cameras are more pleasant, more “habitable” and the patient is much more comfortable and relaxed, the treatment pressures are reached more quickly and the treatment obtained is 1 hour net. That is 1 hour under pressure of 1.4 ATA”, says Breitbart.
It is in this context where the concept of efficiency becomes relevant. The low pressure cameras have a lower cost, are more “friendly” and habitable for patients. They are portable and allows a greater net time of treatment. All patients surveyed reported feeling very comfortable.
Like all medical treatment, the success of the same depends on many factors, such as the appropriate indication and the set of actions that the doctor must apply in each pathology. The excellent clinical results observed using low pressure chambers assure that efficiency has been gained reducing the cost / efficiency ratio.
HBOT does not cure itself. It is a tool that the doctor must use as a coadjuvant, adding to the usual treatment of his specialty greater therapeutic efficiency through the strong hyperoxia provided by the hyperbaric chambers. HBOT has shown high effectiveness in a large number of pathologies, breaking the myth that HBOT is only useful for gas poisonings such as CO, gangrene and wound healing only in patients with DBT. Its application is simple and non-invasive and uses O2 as a “drug”, with almost no adverse effects.
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