How Oxygenation Therapy Works
All human cells, tissues, and organs need oxygen
to function. Oxygenation
saturates the body with oxygen through the use of gas, sometimes at
high-pressure (hyperbaric), increasing the total amount of available
oxygen in the body. Insufficient oxygenation
may promote the growth of pathogens, whereas excessive oxygenation
may damage normal tissues. However, oxygenation employed under
strictly controlled conditions can have very positive therapeutic
effects.
Otto Warburg, Director of the Max Planck
Institute for Cell Physiology in Germany and a two-time Nobel
laureate, proposed that a lack of oxygen at the cellular level may
be the prime cause of cancer, and that oxygen therapy could be an
effective treatment for it.
He showed that normal cells in tissue culture, when deprived of
oxygen, become cancer cells, and that oxygen can kill cancer cells
in tissue cultures.
Oxygen therapy may be professionally
administered in many ways: orally, rectally, vaginally, intravenously
(into a vein), intra-arterially
(into an artery), through inhalation, or by absorption through the
skin. High concentrations of oxygen gas can also be given orally
through masks or tubes, via oxygen tents, or within pressurized
hyperbaric chambers. Oxygen may also be injected subcutaneously (beneath
the skin). Ionized oxygen, both positively and negatively charged,
is administered by inhalation or dissolved in drinking or bath water.
Hyperbaric Oxygen Therapy
Hyperbaric oxygen therapy (HBOT) dates back to
the beginning of this century, although its modern use in the United
States dates only to the formation of the Undersea Medical Society
in the United States in 1967. HBOT may be administered in individual
oxygen chambers that consist of acrylic tubes about seven feet long
and twenty-five inches in diameter. The patient lies on a stretcher
which slides into the tube. The entry is sealed and the tube
pressurized at up to two and a half Atmospheres Absolute (two and a
half times the pressure of the atmosphere at sea level) with pure
oxygen for 30 to 120 minutes. The increased pressure makes it
possible to breathe oxygen at a concentration higher than that
allowed by any other means. After treatment, the chamber is
depressurized slowly with the patient resting inside. Most of the
hyperbaric facilities in the United States are either part of, or
affiliated with, American hospitals or the military.
Multiplace chambers which accommodate many
patients at once, and in which oxygen is delivered by mask, are now
used at the University of Maryland, Duke University, the University
of Texas, Scripps Institute, and the Hyperbaric Oxygen Institute in
San Bernardino, California. These chambers allow nurses and
technical personnel to attend to patients during the treatment. An
added advantage of multiplace chambers is that a patient can be
removed immediately if problems arise, whereas in individual
chambers, the patient cannot be removed until the entire chamber is
depressurized.
Early History of Oxygen Therapies
The scientific community has been aware of
oxygen and its characteristics for over two hundred years. Oxygen
was discovered by Englishman Joseph Priestly in 1771. Hydrogen
peroxide was discovered by French chemist Louis Jacques Thenard in
1818, and ozone was discovered by Christian Friedrich Schonbein in
1840. The first hyperbaric operating room was created as early as
1879 by a French physician, Dr. J. A. Fontaine.
Doctors and scientists began treating
diseases and conditions with oxygen over one hundred years ago. Skin
conditions were first treated with ultraviolet light (which
activates oxidation when absorbed by the blood) in the late
nineteenth century by Niels Finsen, and the use of peroxide appears
in the health literature as early as 1884. A. L. Cortelyou of
Marietta, Georgia, successfully treated diphtheria with a peroxide
nasal spray in 1898. In a 1919 influenza epidemic, Drs. T. H. Oliver
and D. U. Murphy administered intravenous hydrogen peroxide which
significantly reduced mortality rates.
Ozone application was used successfully in
World War I to combat battlefield infections, and as early as 1924,
Frederick Koch, M.D., advocated oral hydrogen peroxide for cancer
patients in the United States .
Conditions Benefited by Hyperbaric Oxygen Therapy
Today in the United States, HBOT is primarily
used for traumas such as crash injuries, burns, wounds, gangrene (death
of tissue, usually due to deficient or absent blood supply), carbon
monoxide poisoning, decubitus ulcers (bed sores), stasis (the
stagnation of the normal flow of fluids), radiation
necrosis (death of an area of tissue or bone
surrounded by healthy parts), and recalcitrant skin grafting (skin
grafting that doesn't take). Some microsurgical procedures for the
repair and restoration of severed limbs are made possible only by
the use of HBOT during the surgery.
According to David Hughes, D.Sc., of the
Hyperbaric Oxygen Institute, HBOT postsurgery improves early healing
in about 60 percent of time in most cases, and guarantees there will
be no surgical edema
(retention of excessive amounts of fluid by body tissues).
Dr. Hughes says that in West Germany, HBOT has been used extensively to treat
stroke victims, and government sponsorship of HBOT has reduced
aftercare costs for stroke victims by 71 percent. In France, it is employed for peripheral vascular and
arterial problems, and in Russia, it is used in drug and alcohol
detoxification. In Japan, the medical establishment boasts that no
citizen is ever more than half an hour away from a hyperbaric
chamber. In Great Britain, more than twenty-five thousand
multiple sclerosis patients have benefited from HBOT.
Pulmonary crises such as carbon monoxide
poisoning, low blood volume anemia, and cyanosis
(a bluish discoloration of the skin due to abnormal amounts of
oxygenated hemoglobin
in the blood), have also been treated with HBOT, according to Dr.
Hughes. Much work has been done with HBOT as an adjunct to radiation
therapy for cancer and to minimize the side effects of some
chemotherapy protocols. Dr. Hughes explains that non-cancerous cells are much less
sensitive to radiation when the oxygen concentration in their
vicinity is increased. HBOT before radiation treatment enhances its
effectiveness.
According to Dr. Hughes, HBOT has also
demonstrated its value as an addition to antibiotics
in the treatment of anaerobic
(able to live without oxygen) infections. HBOT has begun to be used
experimentally to treat the symptoms of HIV (human immunodeficiency
virus) infection and its accompanying fatigue.
He recalls an eighteen-year-old boy
involved in a near drowning incident, who was brought to an HBOT
clinic after being in a vegetative coma for nine days. After seventy
treatment sessions, the boy was able to return to school. He
continued with the treatment and made good progress toward a full
recovery.
HBOT also aided a seventy-year-old woman who had
been bedridden from multiple sclerosis. After eighteen HBOT sessions
with Dr. Hughes, she had recovered enough of her motor skills to
drive a car and walk without assistance, and within six months she
was able to resume her original duties at work.
In another case, Dr. Hughes was brought a
twenty-eight-year-old woman suffering from viral encephalitis (inflammation
of the brain), leaving her unable to speak and with right side hemiplegia
(paralysis of only one side of the body). She couldn't walk and had acute
optic neuralgia (severe, sharp pain along the optic nerves). After
thirty sessions, she had improved enough to walk and talk normally,
the optic neuralgia had resolved, and the only persistent symptom
was right arm and hand weakness.