hbot and autism - dr amgad ahmed gamaleldin

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WHAT HBOT CAN DO TO YOUR AUTISTIC CHILD HBOT and Autism

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Oxygen Therapy and Autism - Slides from Mada Autism Confernce - April 2014

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Page 1: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

WHAT HBOT CAN DO TO YOUR AUTISTIC CHILD

HBOT and Autism

Page 2: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

What is HBOT (Hyperbaric Oxygen Therapy)

Hyperbaric oxygen is a mode of therapy in which the patient breaths 100% oxygen at pressures greater than normal atmospheric pressure for therapeutic purposes.

Page 3: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

1 atmospheric pressure

= pressure exerted on 1 cubic cm by the weight of the air column from the sea level up to

the end of atmosphere = 760mmHg = 10 meters sea water

We are now at 10 meter under sea

water surface.

2 ATA

Page 4: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

Physics of HBOT

Boyle's LawAt a constant temperature, a

given volume of gas is inversely proportional to its pressure. Therefore, if the pressure is doubled, the volume of the gas is halfed.

Henrey's LawThe amount of gas that will be

dissolved in a given volume of solvent at a given temperature is directly proportional to the pressure of the gas with which the solvent is in equilibrium.

HBO therapy is based on 2 physical factors from the ideal gas law

P

increased pressure

Page 5: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

HYPEROXIA

LEADS TO INCREASE IN THE DIFFUSING DISTANCE OF OXYGEN FROM FUNCTIONING CAPILLARIES PROVIDING IMMEDIATE SUPPORT TO POORLY PERFUSED TISSUE IN AREAS OF COMPROMISED BLOOD FLOW.

Page 6: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

TYPES OF HYPERBARIC CHAMBERS

MONO PLACE MULTI PLACE

Page 7: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

MONOPLACE

Page 8: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

MULTIPLACE

Page 9: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

The following indications are approved uses of hyperbaric oxygen therapy as defined by the Hyperbaric Oxygen Therapy Committee. The Committee Report can be purchased directly through the UHMS.

1 .Air or Gas Embolism

2 .Carbon Monoxide Poisoning

Carbon Monoxide Poisoning Complicated by Cyanide Poisoning

3 .Clostridal Myositis and Myonecrosis (Gas Gangrene)

4 .Crush Injury, Compartment Syndrome, and other Acute Traumatic Ischemias

5 .Decompression Sickness

6 .Enhancement of Healing in Selected Problem Wounds

7 .Exceptional Blood Loss (Anemia)

8 .Intracranial Abscess

9 .Necrotizing Soft Tissue Infections

10 .Osteomyelitis (Refractory)

11 .Delayed Radiation Injury (Soft Tissue and Bony Necrosis)

12 .Skin Grafts & Flaps (Compromised)

13 .Thermal Burns

14 .Idiopathic Sudden Sensorineural Hearing Loss

Indications

Page 10: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

Pneumothorax Upper Respiratory Infections

Emphysema C.O.P.D .

Congestive heart failure

Contraindication

Page 11: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

SIDE EFFECTS

OXYGEN TOXICITY

BAROTRAUMAS OF MIDDLE EAR & NASAL

SINSUS CLAUSTROPHOBI

A

Page 12: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

Role of HBOT in enhanching

autistic behaviour

MOST RECENT RESEARCHES

Page 13: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

RECENT RESEARCHES

THE TREATMENT OF AUTISM SPECTRUM

DISORDER WITH HYPERBARIC OXYGEN

THERAPY

Page 14: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

CONCLUSION

Page 15: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

RECENT RESEARCHES

HYPERBARIC TREATMENT FOR CHILDREN WITH

AUTISM: A MULTICENTER, RANDOMIZED,

DOUBLE-BLIND, CONTROLLED TRIAL

Page 16: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

CONCLUSION

Given the positive findings of this study, and the shortage of proven treatments for individuals with autism, parents who pursue hyperbaric treatment for their child with autism can be assured that it is a safe treatment modality at the pressure used in this study (1.3 atm), and that it may improve certain autistic behaviors. Further studies are needed by other investigators to confirm these findings; we are aware of several other planned or ongoing studies of hyperbaric treatment in children with autism. However , in light of the positive results of this study and those of several previous studies, the use of hyperbaric treatment appears to be a promising treatment for children with autism.

Page 17: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

RECENT RESEARCHES

STUDY THE EFFECT OF HYPERBARIC

OXYGEN THERAPY IN EGYPTIAN AUTISTIC

CHILDREN: A CLINICAL TRIAL

Page 18: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

CONCLUSION

HBOT is a treatment that has recently become quite popular in the autism spectrum disorder (ASD) community. Its benefits cross a wide range of autistic traits as: improved language, increased awareness, behavior and socialization by affecting the pathophysiological findings in autism.

Page 19: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

YOUR AUTISTIC CHILD CAN BECOME LIKE THEM

FAMOUS HISTORICAL GENIUSES WITH AUTISM, BY ENCOURAGEMENT AND SUPPORT YOUR CHILD

CAN LEAVE HIS PRINT IN THIS WORLD

Page 20: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

Wolfgang Amadeus Mozart: Mozart was a remarkable composer of his times and probably the greatest musician the world has ever known.

He was genius as a child and focused only on music since the age of five years. There are a number of reports that linked Mozart’s

behaviour with multiple neurological disorders including Tourette’s syndrome and Asperger’s syndrome. His obsession with his thoughts and inanimate objects, repetition of certain movements, unusual facial expressions and erratic mood swings typically indicated that he could

have been autistic.

Albert Einstein: Although scientists are yet to understand the complete neurological pathways and the underlying mechanism of

autism, researches at Cambridge University suggest that Noble Laureate Albert Einstein could have suffered Asperger’s

syndrome. Ioan James in the article ‘Singular Scientists’ that was published in the Journal of the Royal Society of Medicine,

mentions that Einstein displayed a lot of signs of autism. He has been described a lonely and dreamy child who had difficulty in

making friends. He lacked social skills, was obsessed and forgetful when he was young.

Page 21: HBOT and Autism - DR AMGAD AHMED GAMALELDIN

Issac Newton: Baron-Cohen, the head of the autism research centre at Cambridge, suggested that along with Einstein, Sir Issac Newton also showed signs of autism. Newton barely spoke, was sensitive to criticism, rarely made intimate friends and was extremely jealous. Researchers believe that such people are very impatient with others who have a slow intellectual and grasping power, which is why they choose to be isolated.

Michelangelo di Ludovico Buonarroti: He was one of the greatest artists of the ancient era, whose versatility

and creativity was evident through his sculptures, paintings and poems. A study by Arshad M and Fitzgerald M presented evidence that Michelangelo indeed showed

symptoms of Asperger’s syndrome. He was a loner because of his poor social interests and lack of

communication skills. He worked single-mindedly and was totally obsessed with his masterpieces. The study also

mentions that his obsessive nature was completely unaffected by his medical problems .