Chapter-1 / Physiological Foundations - WHNLive Public Library

CII'Cli8LC outl)ut VAr;lllil i e re-QUired acc:orcllina exe t'on. cme,asureulen'ts 0 the co e of, an in erval ofe e d of t e proceduree for measurement._ nt given were carriedon he me ( y the right) arm. In pat'n ith single ided exertions or treatment,me urement from the vena cubitalis of theo her arm should also be undertaken, in orderto ta e into account the "vegetative asymmetry",to which A. Pischinger [53], in particular,has drawn attention. Findings of this typeshow that the energetic (i.e. 02 sensitive) controlof the switching process of the bloodmicrocirculation is to be seen as standing ininterplay with vegetative-nerval and vegetativehumoralregulating mechanisms of the peripheralcirculation. This viewpoint could explainthe effect of various stressful factors, such aspsychic factors, on the size of the arteriovenousO 2 saturation difference 11.The procedure success is objectified frommeasurements after the implementation of theO 2 multistep procedure, the result being recordednumerically both with reference to theincrease in the resting PO Z - art (successful regenerationin the field of the lung-heart system)and to the reduction in the resting POz_ven (improvementin the O2 utilization of the otherbody tissue). The patient record shown in Fig.o ­e ae teredotimeseve:rely re fevent, e e y a inf4~ctiO, ope a ·0etc., it can be q anrta ·ve y j dged ether arepetition 01 the O"MT procedure . to beadvised or not. Furthermore, ch measurementsmake possible a statemen as to ethergood P0 2 levels can be brought about naturallyby a change in lifestyle (e.g. transition tophases with daily heavy physical exertion).The measurement of the resting P02-art alone isoften sufficient as a basis of the decisions to bemade, or for controls, because the inversechanges in the resting P0 2 - ven are triggered bythe same capillary switching mechanism. Theirdynamics are therefore an approximate mirrorimage of those of the resting P0 2 -art" Fig. 17shows an example of the implementation ofafavorable lifestyle over a longer time span withreference to the Poz-tUt by means of interplaybetween measurements of P0 2 - artand countermeasures.The opportunity to record quantitativelymomentary energy reserves, indications,therapy results and cure successes is a fascinatingadvantage of oxygen multistep therapy.Figure 18 shows an example with arterial andvenous Po z values before and after 02MT,dependent on age. The improvements in thevalue of 71 are to be taken for this example fromFig. 19. The example refers to cure patients inneed of therapy, for the objectively and sub-f:'b 1 -f11807S10'Iilo.~, ~1\ 1/ 73'\..J," I ""J ~J1\12"- '{ I\. \ 1/"'JV1-77•'"~O~M~~~~~80~~~wm~~~~.~~_1--.....FI . 17 Example of the reactivity of the lung-heart sy tem, and of healthy Po.,_rt_Contr~1I d Iiof ch of the a"erlal restingPo 2In a 72-y.ar~ld man treated with the"'2MT, Vlrlant Gx t (I,) or I common cold Infection (c) folloMd by re neration me ure (b, d, f, )kPtz