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Cluster Headache Help and Support >> Medications,  Treatments,  Therapies >> question about oxygen
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Message started by gsxraddict on May 20th, 2010 at 8:00pm

Title: question about oxygen
Post by gsxraddict on May 20th, 2010 at 8:00pm
I normally run 8lpm for 15 min, is it safe for me to run for 30-45 min if the headache is a little more stubborn?

Title: Re: question about oxygen
Post by Skyhawk5 on May 20th, 2010 at 8:16pm
No danger I've ever heard of. To best abort you should start at 15lpm or you highest setting then work you way down when the pain leaves.

If you haven't already, read the "oxygen info" at the link below.

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Don

Title: Re: question about oxygen
Post by Batch on May 20th, 2010 at 10:38pm
gsxraddict,

Two comments...  The best information on maximum exposure to 100% oxygen says we can breath it without any breaks breathing air for 10 to 12 hours.  After that, the symptoms of pulmonary oxygen toxicity start.  They're much like pneumonia due to the edema or swelling and fluid build up in the lungs.  As such, these symptoms make it very painful to continue breathing 100% oxygen. 

Fortunately, this condition clears in a matter of minutes without any lasting effects if the user stops breathing 100% oxygen and resumes breathing room air at the first sign of breathing difficulty.

I can speak from experience as a Navy pilot with over 3000 hours flying fighters on and off aircraft carriers breathing 100% oxygen from takeoff to landing on every flight. Most lasted over two hours and several missions lasted over 7 hours.   I might also add I was breathing the 100% oxygen at flow rates well over 25 liters/minute and at times over 45 liters/minute for extended periods.

The second point is an oxygen flow rate of 8 liters/minute may work if you are very fast starting the therapy and catch the CH as it's just starting while the pain level is very low. 

Unfortunately, once the pain level climbs over Kip-4 or Kip-5, you're going to be in for some heavy sledding and a along for the ride with very long abort times... if an abort is even possible.

We've plenty of data and lots of experience that tells us a flow rate of 15 liters/minute is the absolute minimum and even then, that flow rate is only good up to a Kip-6 to Kip-7.  Even then there will still be a lengthy abort time.

If you really want fast aborts of your CH attacks, a flow rate of 25 liters/minute is needed. If you want the fastest aborts possible, you'll need much higher flow rates. 

It takes an oxygen flow rate minimum of 25 liters/minute to start hyperventilating.  Higher flow rates make it even easier to hyperventilate and that pushes your system into respiratory alkalosis with an elevated arterial pH.  Both of these conditions are safe and very effective in stimulating vasoconstriction, one of the major components of the CH abort mechanism.  Moreover, flow rates this high will result in average abort times of 7 minutes without the side effects associated with triptans.

Shoot me a PM and I be happy to send more information on this method of oxygen therapy.

Take care,

V/R, Batch

Title: Re: question about oxygen
Post by davidj35 on May 20th, 2010 at 11:58pm
Batch,

I have had problems just getting my hands on regulators that go to 15, where the heck do you find ones that go higher? I use an e tank at work and an M 60 at home.

Thanks
David

Title: Re: question about oxygen
Post by Guiseppi on May 21st, 2010 at 9:47am
E-Bay! My wife just scored me one that goes to 25 LPM just so I'd have a spare and it was like $20.

And Addict, listen to Batch...the man knows 02! ;)

Joe

Title: Re: question about oxygen
Post by anthony g on May 21st, 2010 at 10:59am
I agree with guiseppe "listen to batch he knows his 02"!!!!!
all the best!
anthony

Title: Re: question about oxygen
Post by davidj35 on May 21st, 2010 at 11:02am
Guiseppe,

Thank you, I need a spare as well as I just got one for my e and one for my m from lincare but they go to 15 which USUALLY works for me so I am going to try e bay and get one that goes to 25. Thanks again.

Title: Re: question about oxygen
Post by Batch on May 21st, 2010 at 11:40am
David,

You should have the names, nums and POC info for a high flow rate oxygen regulator by now.

Let me know if you have any problems.

Take care,

V/R, Batch

Title: Re: question about oxygen
Post by davidj35 on May 21st, 2010 at 11:55am
Got it and replied back Thank you!

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