Chapter-1 / Physiological Foundations - WHNLive Public Library

hi v d in h arrangement shown aboveby th u of a flow sen or covering the rangefr m 0.12 to 20 1/ . In addition, the flow channelswere designed with an inner diameter ofmore than 20 mm in order to keep the flowresistance sufficiently low, even in flow peaks.1.1.&.Determining the lung function parametersPn umologists (Petro, Daum) were, as quoted Case I:in (17), of the opinion that the oxygen multiteptherapy procedures could not bring abouta lasting improvement of the parameters of lungfunction [59): 'None of these partial functionsof respiration can be changed in any way by theexogenous supply of oxygen'. This standpointwas opposed by the author's expectation that,by means of the high-charging of the bloodmicrocirculation in the lung area also, and thelasting improvement in the energetic status (anincrease in the performance capacity of therespiratory musculature), a long-term improvementin the parameters of lung function does orcan occur. In order to settle this question apilot study was performed, at first by DrGabriele Caspers and finally by us. For this aSpiroton-2 device from the Dragerwerk, LUbeck,FRG, was used, made available by the courtesyof the Erwin Braun Institute of PreventiveMedicine, Engelberg, Switzerland. This instrumentdetermines from a single expiratorybreath, which can be repeated twice after anadequate interval, the parameters exemplifiedin the two following cases. The parameters areretrieved from a memory and are evaluated insidethe instrument. The results are presentedby a plotter as flow and volume/time curves. Inthis way the following results were documented,showing that lasting improvements in lung parametersdue to oxygen multistep therapy reallycan be objectified (see column, right).In 15 patients from our group we found an increaseof 6.5 % in the vital capacity and of15.4 % in the peak flow (PF) after 02MT.Peak flow[1. S-I]FVC [1]FEV 1 [1]24-year-old male patient with functionalvegetative complaints. Treatment:two 15 min O:zMT quick proceduresDifferenceParameter before after abso. relativeO:zMT lutePeak flow[I'S-l]FVC [1]FEVI [1]Case 2:8.215.274.284.683.391.8710.506.044.265.813.602.08Explanation of the abbreviations:+ 2.29+ 0.77- 0.02+ 28%+ 15%0%54-year-old male patient with obstructiveventilation disorder. Treatment:36 h 18 day O:zMT procedureDifferenceParameter before after abso:- relative02MT lute+ 1.13 + 24%+ 0.21+ 0.21+ 6%+ 11%- Peak flow = maximum expiratory flow- FVC = forced vital capacity (in maximumexpiration)= l-second forced expiratory volume;Tiffeneau testDr Gabriele Caspers also produced similarlypositive findings with improvement in these andfurther lung parameters on 171 patients in theKlinik fiir Naturheilverfahren, Bad FUssing,FRG [60, 400a].1.1.6.7 Determining the resting CO 2 production as a characteristic value of the oxygen utilized bythe organismIn order to be able to differentiate the metabolicpathways of the (additionally) absorbedoxygen in the organism, it is also necessary todetermine quantitatively the C02 emission ofth lung. igure 23 show a schematic pictureof the e pathways. The ab orbed oxygen i u edfor energy production (biological oxidation)in the re piratory chain of the mitochondria ofall cell . Part of the energy gained is requiredfor imrnun proce es, detoxification reaction ,in hormone syntheses and in protein metabolism.The C02 production per unit of time O' min -1)can be determined by measurement of thabsolute CO2 content of the expiration air.Information about the oxygen actually convertedin the organism can thu b obtained bmea uring the O2 mi ion. Th ignifi anof this paramet r i ubj ct to thre limit ti nhow ver: