Guest guest Posted September 16, 2004 Report Share Posted September 16, 2004 In a message dated 9/16/04 2:48:13 PM, smitteesez@... writes: > > 1) proper amount of hours you should wait between hbot sessions on > the same day? > > In our unit it is a minimum of 4 hrs between treatments, but also like to space them as far apart as possible. If they are BID treat first thing in the morning and last treatment in the day. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2004 Report Share Posted September 16, 2004 As a norm, we wait 4-6 hours between dives (6 is preferred over 4 when possible) when doing two a day for the CP or TBI patients. Concerning the wait period.we have found that patients have the greatest success when we work toward what we call the " improvement plateau " . The idea here is to work continually with the dives (up to 80 consecutive) then take 2-4 weeks away from therapy before (and if) beginning again. We try to continue the total quantity of dives until the patient (or caregivers) no longer see any form of improvement (the pint at which the therapy levels out or plateaus) and then do 5 additional dives. Each patient is truly unique and each person's physiology responds to the HBOT differently, so it is nearly impossible to set forth a number of dives (wither minimum or maximum) which each patient needs to complete. Keep in mind that if you are doing two dives a day or diving 7 days a week you might want to take a break at 40 dives for a week or two. Giving the body some relaxation time is important to the overall success of HBOT and there is such a thing as " too much of a good thing " . Jay A Rain, DMT, CHT Director South Coast Hyperbaric Medicine & Woundcare Center 3 Professional Park Drive Webster, Texas 77598 281.554.8848 " He Heals most Successfully those in which he has the most confidence " - Galen Jay A Rain, DMT, CHT Director South Coast Hyperbaric Medicine & Woundcare Center 3 Professional Park Drive Webster, Texas 77598 281.554.8848 " He Heals most Successfully those in which he has the most confidence " - Galen [ ] hbot protocol group, two questions i need help with: 1) proper amount of hours you should wait between hbot sessions on the same day? 2) how long should you wait to start a new forty session hbot treatment after completion of your first forty sessions? thanks for your help. jim smith - new jersey (father of kyle - spastic quad cp) _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. _. Join the International Hyperbaric Medical Association http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html Unrestricted downloads of 50+ pdf files on HBOT efficacy medicaid/files/ , 2/files/ and http://www.drneubauerhbo.com/papers.htm Download your state EPSDT program http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the word " ameliorate " . State Medicaid websites http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm, http://www.netnet.net/mums/hbolistGA-NC.htm, http://www.netnet.net/mums/hbolistOH-WI.htm HBOT can save billions of dollars and millions of heartaches. Subscribe to by sending a blank email to mailto:medicaid-subscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2004 Report Share Posted September 16, 2004 How long have you been in the field Jay? Do you own and operate a center or are you an employee? [ ] hbot protocol > > group, > > two questions i need help with: > > 1) proper amount of hours you should wait between hbot sessions on > the same day? > > 2) how long should you wait to start a new forty session hbot > treatment after completion of your first forty sessions? > > thanks for your help. > > jim smith - new jersey (father of kyle - spastic quad cp) > > > > _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. > _. > Join the International Hyperbaric Medical Association > http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf > > EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html > > Unrestricted downloads of 50+ pdf files on HBOT efficacy > medicaid/files/ , > 2/files/ and > http://www.drneubauerhbo.com/papers.htm > > Download your state EPSDT program > http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the > word " ameliorate " . State Medicaid websites > http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver > programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html > > Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm, > http://www.netnet.net/mums/hbolistGA-NC.htm, > http://www.netnet.net/mums/hbolistOH-WI.htm > > HBOT can save billions of dollars and millions of heartaches. Subscribe > to by sending a blank email to > mailto:medicaid-subscribe > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2004 Report Share Posted September 16, 2004 Dear friend, 1) depends on the condition and on the individual patient. In my experience, for neuro-oxygenation it acts better if done only once a day, and on occasions, even every other day. 2) depends on the condition and on the individual patient´s ability tofurther maintain a high oxygen status, which in turn depends on eventual intercurring conditions and ulterior development, local climate, and on biological age. Best regards, Ignacio Fojgel, M.D. Maimonides University Buenos Aires, Argentina smitteesez wrote: > group, > > two questions i need help with: > > 1) proper amount of hours you should wait between hbot sessions on > the same day? > > 2) how long should you wait to start a new forty session hbot > treatment after completion of your first forty sessions? > > thanks for your help. > > jim smith - new jersey (father of kyle - spastic quad cp) > > > _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. > Join the International Hyperbaric Medical Association http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf > > EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html > > Unrestricted downloads of 50+ pdf files on HBOT efficacy medicaid/files/ , 2/files/ and http://www.drneubauerhbo.com/papers.htm > > Download your state EPSDT program http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the word " ameliorate " . State Medicaid websites http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html > > Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm, http://www.netnet.net/mums/hbolistGA-NC.htm, http://www.netnet.net/mums/hbolistOH-WI.htm > > HBOT can save billions of dollars and millions of heartaches. Subscribe to by sending a blank email to mailto:medicaid-subscribe > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2004 Report Share Posted September 16, 2004 Answer to question #1 is 2 to 4 hours. Answer to question #2 is 2 to 4 hours. The time between sessions is not a real problem. There is no danger of oxygen toxicity. The main problem arises with the patient in terms of how much is too much. Normally 3 or 4 hours allows sufficient time for the patient (and caregiver) to rest for the next session. The importance is on the patient being relaxed and getting better results than if they are stressed out. The time between a series of treatments can be whatever suits you. Some patients, however, do not react well to continuing without a few days break between sessions. I do want to point out that you will continue to see results after a series of 40 sessions for 3 or 4 months and they sometimes continue for several more months. This is the reason many wait for at least 3 months before the second 40. Is this better than doing 2 series of treatments close together. That is very debatable. It could be that doing them closer together after a few days rest may continue the improvements and even boost the results. On the other hand, it could be possible that the second series would be better if done at least 3 months later. We have done both with great results. I think it would probably be more closely related to convenience for the caregivers and comfort and stress for the patients. This is a call which probably needs to be made by the parent or, in the case of adults, the patient. There is no set rule, only suggestions and speculation. Hartsoe www.miraclemountain.org > group, > > two questions i need help with: > > 1) proper amount of hours you should wait between hbot > sessions on the same day? > > 2) how long should you wait to start a new forty session > hbot treatment after completion of your first forty > sessions? > > thanks for your help. > > jim smith - new jersey (father of kyle - spastic quad cp) > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 16, 2004 Report Share Posted September 16, 2004 I should have added that I am assuming we are treating at 1.5 to 1.75 ATA. Treating at 2 ATA and above is a different ballgame subject to toxicity, etc. > In a message dated 9/16/04 2:48:13 PM, > smitteesez@... writes: > > > > > > 1) proper amount of hours you should wait between hbot > > sessions on the same day? > > > > > > In our unit it is a minimum of 4 hrs between treatments, > but also like to space them as far apart as possible. If > they are BID treat first thing in the morning and last > treatment in the day. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2004 Report Share Posted October 11, 2004 Howdy - Last we spoke, you mentioned that you might have a chamber for sale ?! Is this correct ? If you do, I am interested. Can you send me some info on what you have. Thanks -Jay Jay A Rain, DMT, CHT Director South Coast Hyperbaric Medicine & Wound Care Center 3 Professional Park Drive Webster, Texas 77598 281.554.8848 " He Heals most Successfully those in which he has the most confidence " - Galen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2005 Report Share Posted April 19, 2005 Unfortunately many persons working at an HBOT facility base their decisions on repetitive dive tables designed around scuba and technical diving. Even if this is not where her position of " one hour is sufficient " came from she is definitely making a statement in contrast to the accepted standard. We would never allow a patient to return to pressure any sooner than 4 hours following their previous dive. Anyone who has been in the industry (hyperbaric medicine) long enough will tell you that the tables designed for the water diving world just aren't quite the same. Jay A Rain, DMT, CHT Director South Coast Hyperbaric Medicine & Wound Care Center 3 Professional Park Drive Webster, Texas 77598 281.554.8848 " He Heals most Successfully those in which he has the most confidence " - Galen [ ] HBOT protocol Group, >From what I have read traditional HBOT brain injury protocol has children taking a four hour break between dives on the same day. The doctor at the HBOT center feels an hour break between dives is sufficient. She says that due to the low ATA pressure we do not need to worry about oxygen toxicity. Any thoughts on this issue? Should we have other concerns? Thanks, Jim " For as the body without the spirit is dead, so faith without works is dead also. " [ 2:26] _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. _. Join the International Hyperbaric Medical Association http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html Unrestricted downloads of 50+ pdf files on HBOT efficacy medicaid/files/ , 2/files/ and http://www.drneubauerhbo.com/papers.htm Download your state EPSDT program http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the word " ameliorate " . State Medicaid websites http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm, http://www.netnet.net/mums/hbolistGA-NC.htm, http://www.netnet.net/mums/hbolistOH-WI.htm HBOT can save billions of dollars and millions of heartaches. Subscribe to by sending a blank email to mailto:medicaid-subscribe Quote Link to comment Share on other sites More sharing options...
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