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Oxygen multistep therapy
- Titel
- Oxygen multistep therapy
- Untertitel
- physiological and technical foundations : 50 Tables
- Einheitssachtitel
- Sauerstoff-Mehrschritt-Therapie
- Autor
- Ardenne, Manfred von
- Verleger
- Georg Thieme Verlag
- Thieme Medical Publishers, Inc.
- Erscheinungsort
- New York
- Stuttgart
- Erscheinungsdatum
- 1990
- Umfang
- 9 ungezählte Seiten, 402 Seiten
- Sprache
- Englisch
- Deutsch
- Signatur
- 2006 8 063760
- Vorlage
- SLUB Dresden
- Digitalisat
- SLUB Dresden
- Lizenz-/Rechtehinweis
- Urheberrechtsschutz 1.0
- Nutzungshinweis
- Freier Zugang - Rechte vorbehalten 1.0
- URN
- urn:nbn:de:bsz:14-db-id18424987382
- PURL
- http://digital.slub-dresden.de/id1842498738
- OAI-Identifier
- oai:de:slub-dresden:db:id-1842498738
- SLUB-Katalog (PPN)
- 1842498738
- Sammlungen
- LDP: SLUB
- Varia
- Strukturtyp
- Monographie
- Parlamentsperiode
- -
- Wahlperiode
- -
- Titel
- 4. Variants of the oxygen multistep therapy
- Digitalisat
- SLUB Dresden
- Strukturtyp
- Kapitel
- Parlamentsperiode
- -
- Wahlperiode
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Inhaltsverzeichnis
- MonographieOxygen multistep therapy -
- EinbandEinband -
- TitelblattTitelblatt -
- KapitelWidmung -
- KapitelPreface -
- KapitelAcknowledgements -
- InhaltsverzeichnisContents -
- KapitelIntroduction 1
- Kapitel1. Physiological foundations 6
- Kapitel2. Basis of the main therapy steps 122
- Kapitel3. Technical foundations 162
- Kapitel4. Variants of the oxygen multistep therapy 216
- Kapitel5. Areas of oxygen multistep therapy application 249
- KapitelSupplement 318
- LiteraturverzeichnisReferences 382
- SachregisterIndex 394
- EinbandEinband -
- Titel
- Oxygen multistep therapy
- Autor
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216 4. Variants of the oxygen multistep therapy 4.1 Overview and common aspects At present there already exist numerous proce dural variants of the O^MT. It is the aim and effect of nearly all variants that the blood microcirculation is “highly charged" over a period of months up to years. They are there fore designed, on the basis of measurements on many hundreds of volunteers, in terms of type, administration and timing of the steps, in such a way that the probability is high that in the individual patient case the bioenergetic triggering of the discovered cellular capillary wall switching mechanism with dilation of the narrowest capillary cross-sections will take place. The procedural variants differ from one another mainly in the type, in the administra tion and in the timing of the 3rd step, which determines the strength of the circulation, especially the cardiac output (COP). Quick procedures or short procedures result when the COP is temporarily increased by physical exer tion or by stimulating drugs, as explained in Paragraph 1.1.10. However, these variants can not usually replace the 36 h O2MT (standard) procedure. Some variants allow for the combi nation of procedures and combination with ad ditional steps (e.g. with the HOT*-UVR meth od) to intensify the effect. This great variety enables the medical practitioner to adapt the therapy to the individual patient to a large extent. This important role of the doctor re quires him to have an overview of the scientific foundations of all measures and combination of measures used in the O2MT. The physiological and technical details have been presented in the previous chapters of this book in order to help here. For the same reason Table 23 gives an overview of the different procedural variants of the O2MT and the oxygen multistep immuno stimulation See Appendix for the most recent 5x20 min O2MT short procedure, GK 3-1. The relation to the strength of the effect, i.e. to the certain crossing of the switching threshold of the capillary switching mechanism, explained in Paragraph 1.1.1.2, applies to all procedural variants. It is absolutely essential for the resto ration of a good O2 supply to the endothelial cells at the venous capillary end by means of diffusion, that as high a level of the Po 2 . ve n as possible is brought about during therapy. This is achieved by the generation of a high PO2-art (high O2 offer adjusted to the respiratory minute volume, RMV), and by a high capillary blood-flow Q (high COP, physical exertion, no implementation of the procedure during periods of circulatory weakness except in special emer gency variants). The absolute level of the Po2.ven and, when the procedure is fraction ated, the time relation K of the procedure time (sum of the treatment hours) to the total dura tion of the procedure, determine the total dura tion of treatment required. For example, K = 36 h/432 h = 0.0833 for the 36 h 18 day (= 432 h) O2MT procedure GK 4, and for the O2MT quick procedure GK 2, without frac tionation K = 15 min/15 min = 1.0. Since the value K considerably influences the amount of time and O2 required for the respective variant, the notion of time efficiency and, in Paragraph 1.1.1.2, the notion of efficiency exponent was introduced. The influence of the time relation K can be explained by the fact that, in the usually considerable pauses between the indivi dual sessions of treatment, the endothelial cells in the deficient zone at the venous capillary end swell up again slightly. The negative influence of longer pauses between the sessions (e.g. no treatments at weekends) was also reflected in measurements of the Po2 at rest. The timing of the procedure should theoretically be so designed that as little time as possible remains for a retumescence of the endothelial cells (especially in the first phase of treatment be fore the switching threshold has been reached). This instruction can only be followed up to a certain extent, however, because other con siderations (physical disablement, no stress capacity) force a compromise in the question of “time efficiency”. The recommended programming of the differ ent variants is given in this section of the book in the framework of a unified basic scheme, with details of the type, administration and temporal organization of the individual steps.
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