1.Current Status of Hyperbaric Oxygen Therapy and Its Application.
Gao-Zang LIN ; Chen-Qin LIU ; Hang-Yu LE ; Ji-Lun YE ; Xu ZHANG ; Hao JIN
Chinese Journal of Medical Instrumentation 2022;46(3):302-306
Hyperbaric oxygen therapy is a method of breathing pure oxygen or high-concentration oxygen in a highpressure environment to treat hypoxic diseases and related diseases. According to clinical verification, this therapy has an irreplaceable effect on certain diseases and has gradually become a comprehensive clinical treatment. One of the main methods of certain diseases is widely recognized by the medical field at home and abroad. The development history, treatment principles, key technologies, and future development trends of hyperbaric oxygen are discussed in detail, provide a research direction for the development of hyperbaric oxygen therapy in the future, and at the same time, it has also improved physicians' awareness of hyperbaric oxygen therapy, so as to improving Industry influence.
Hyperbaric Oxygenation
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Oxygen/therapeutic use*
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Research Design
2.Research advances on the role of hemoglobin spray in chronic wounds.
Ting HE ; Li YUAN ; Xiao Ling YANG
Chinese Journal of Burns 2022;38(9):892-896
Oxygen plays an important role in the process of wound healing. Researches have shown that more than 97% of chronic wounds are in a state of hypoxia, which is one of the key factors resulting in refractory wounds. Local oxygen therapy is a treatment method that can directly provide oxygen to wounds without relying on the damaged vascular system. It can effectively promote chronic wounds healing by transmitting sufficient oxygen to wounds through specific devices or preparations. Hemoglobin spray is a new form of local oxygen therapy, which has the advantages of good effect, simple operation, and low cost. This article reviews the development, component, safety, oxygen supply principle, and application methods of hemoglobin spray and its effects in the treatment of chronic wounds, so as to provide a new direction for the treatment of chronic wounds.
Chronic Disease
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Hemoglobins/therapeutic use*
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Humans
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Oxygen
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Wound Healing
4.The changes in delivered oxygen fractions using laerdal resuscitator bag with different types of reservoir.
Soon Ho NAM ; Ki Jun KIM ; Yong Taek NAM ; Jae Kwang SHIM
Yonsei Medical Journal 2001;42(2):242-246
One of the disadvantages of the Laerdal resuscitator bag is that it does not deliver a high concentration of oxygen without a reservoir and an appropriate technique of ventilation. With a specific device that is able to compress a resuscitator bag mechanically at a regular volume, ventilator rate, and speed, we evaluated the effects of various factors (the tidal volume, the ventilator rate, the oxygen flow rate, the type of reservoir) of the Laerdal resuscitator bag during positive pressure ventilation that affect the delivered oxygen fraction (FDO2) and also whether 250 mL and 500 mL corrugated tubes could be used as substitutes for the reservoir bag. The 250 mL corrugated tube increased the FDO2 to over 96% with an oxygen flow rate of 15 L/min. The 500 mL corrugated tube increased the FDO2 to over 96% with an oxygen flow rate of 10 L/min regardless of the ventilator rate at a fixed tidal volume of 500 mL. At the identical fixed tidal volume of 500 mL, the 1,600 mL reservoir bag increased the FDO2 to over 92% with an oxygen flow rate of 5 L/min and to over 96% at 7.5 L/min regardless of the ventilator rate. We concluded that the FDO2 of the Laerdal resuscitator bag depends on various factors such as tidal volume, ventilator rate, oxygen flow rate, and type of reservoir and both the 250 mL and 500 mL corrugated tubes can be used as substitutes.
Equipment Design
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Human
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Oxygen/therapeutic use
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Oxygen/administration & dosage*
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Positive-Pressure Respiration
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Resuscitation/instrumentation*
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Tidal Volume
5.Current aspects in red blood cell substitutes.
Yanfeng WANG ; Jilun PAN ; Yaoting YU
Journal of Biomedical Engineering 2004;21(3):490-494
Red blood cell substitutes are a group of oxygen carriers designed to temporarily replace transfused blood. Current developing products include perfluorocarbon-based and hemoglobin-based oxygen carrier. Each product is unique in its limitations and advantages. A number of products are in advanced clinical trials and nearing market. When they are available for use it is likely that development will accelerate and even better products will substantially alleviate the world-wide shortage of blood for transfusion.
Blood Substitutes
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chemistry
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pharmacology
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therapeutic use
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Fluorocarbons
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chemistry
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pharmacology
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therapeutic use
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Hemoglobins
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chemistry
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pharmacology
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therapeutic use
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Humans
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Oxygen
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metabolism
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Recombinant Proteins
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chemistry
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pharmacology
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therapeutic use
6.Prevention of bronchopulmonary dysplasia: current strategies.
Deepak JAIN ; Eduardo BANCALARI
Chinese Journal of Contemporary Pediatrics 2017;19(8):841-851
Bronchopulmonary dysplasia (BPD) is one of the few diseases affecting premature infants that have continued to evolve since its first description about half a century ago. The current form of BPD, a more benign and protracted respiratory failure in extremely preterm infants, is in contrast to the original presentation of severe respiratory failure with high mortality in larger premature infants. This new BPD is end result of complex interplay of various antenatal and postnatal factors causing lung injury and subsequent abnormal repair leading to altered alveolar and vascular development. The change in clinical and pathologic picture of BPD over time has resulted in new challenges in developing strategies for its prevention and management. While some of these strategies like Vitamin A supplementation, caffeine and volume targeted ventilation have stood the test of time, others like postnatal steroids are being reexamined with great interest in last few years. It is quite clear that BPD is unlikely to be eliminated unless some miraculous strategy cures prematurity. The future of BPD prevention will probably be a combination of antenatal and postnatal strategies acting on multiple pathways to minimize lung injury and abnormal repair as well as promote normal alveolar and vascular development.
Adrenal Cortex Hormones
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therapeutic use
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Animals
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Bronchopulmonary Dysplasia
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prevention & control
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Caffeine
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therapeutic use
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Humans
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Oxygen
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therapeutic use
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Pulmonary Surfactants
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therapeutic use
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Respiration, Artificial
8.Hydrogen Therapy Reduces Oxidative Stress-associated Risks Following Acute and Chronic Exposure to High-altitude Environment.
Qing Hai SHI ; Wei WEI ; Ji Hua RAN ; Si Yuan WANG ; Zheng Xiang LIU ; Di GE ; Ping CHEN ; Jian Feng FU
Biomedical and Environmental Sciences 2015;28(3):239-241
Low pressure, low oxygen concentration, and intense ultraviolet (UV) radiation in high-altitude environments, can cause oxidative stress which can trigger mountain sickness. A recent study demonstrated that hydrogen gas with a good permeability in biological membranes can treat various disorders by exerting its selective anti-oxidation and anti-inflammatory effects, indicating that hydrogen therapy plays a role in scavenging free radicals and in balancing oxidation and anti-oxidation systems of cells. Therefore, we hypothesize that inhaling low-dose hydrogen or drinking hydrogen-saturated water is a novel and simple method to prevent and treat oxidative stress injury caused by low pressure, low oxygen concentration and intense UV radiation in plateaus, thus reducing the risk of mountain sickness.
Altitude
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Environmental Exposure
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Free Radical Scavengers
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therapeutic use
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Humans
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Hydrogen
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therapeutic use
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Oxidative Stress
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Oxygen
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analysis
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Ultraviolet Rays
9.Prevention and therapy of bronchopulmonary dysplasia - evidence and clinical practice.
Wolfgang THOMAS ; Christian P SPEER
Chinese Journal of Contemporary Pediatrics 2007;9(3):264-277
The knowledge on the pathogenetic mechanisms of bronchopulmonary dysplasia (BPD) has increased considerably over recent years. However, the incidence of the disease has not substantially been changed by our therapeutic approaches. This review summarizes the existing evidence for a number of respiratory and medical strategies to prevent or ameliorate the disease and gives recommendations for clinical practice. Oxygen plays an important pathogenetic and therapeutic role for BPD. Targeting infants at lower oxygen saturation levels than traditionally used seems to confer major advantages. There is no sufficient evidence for a routine use of respiratory strategies like permissive hypercapnia or inhaled nitric oxide to prevent BPD. Diuretics can ameliorate lung function transiently. High intramuscular doses of vitamin A can reduce the risk of BPD. Early or prophylactic surfactant might also be advantageous. Postnatal corticosteroids are effective but, due to their severe side effects, should be restricted to the severest cases. Alpha1-proteinase inhibitor and superoxide dismutase have no proven benefits for BPD. The role of erythromycin has not been completely elucidated yet. Innovative strategies like Clara Cell 10 kD protein still have to be assessed in future trials.
Antioxidants
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therapeutic use
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Bronchopulmonary Dysplasia
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prevention & control
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therapy
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Caffeine
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therapeutic use
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Diuretics
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therapeutic use
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Erythromycin
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therapeutic use
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Humans
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Incidence
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Infant, Newborn
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Nitric Oxide
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administration & dosage
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Oxygen
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therapeutic use
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Ureaplasma urealyticum
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drug effects