CH Sufferers Guide to O2

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Open file O2_CH_Abortive_v2r7_Final.pdf
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Description The following Supplemental User’s Guide and Information Paper on the use of Medical O2 as a Cluster Headache Abortive were developed for cluster headache sufferers by fellow cluster headache sufferers experienced in its use.
Abstract Abstract
The material provided in this document is provided for information purposes only and
does not necessarily represent endorsement by or an official position of its authors
or sponsors. Advice on the treatment or care of an individual patient should be
obtained through consultation with a licensed physician who has examined that patient
and is familiar with that patient's medical history.
v
The following Supplemental User’s Guide and Information
Paper on the use of Medical O2 as a Cluster Headache
Abortive were developed for cluster headache sufferers by
fellow cluster headache sufferers experienced in its use.
Too often, a prescription for medical O2 is the only
guidance a cluster headache sufferer receives. Most
sufferers found a prescription by itself to be inadequate
as it lacked the necessary “how to ” procedures and
information needed in inspecting, assembling, and using
medical O2 equipment. Accordingly, we have developed the
Supplemental User’s Guide and accompanying Information
Paper to meet these needs. They are provided for
information purposes only. As such, cluster headache
sufferers should use these two documents in concert with,
and supplemental to, guidance provided by the sufferer’s
physician who has examined the sufferer and is familiar
with his or her medical history.
In gathering and analyzing the background information used
to develop these two documents, it became clear from the
overwhelming body of evidence including clinical studies,
that if administered properly, 100% medical O2 is the most
efficient and cost effective cluster headache abortive
available to sufferers today. We also found the frequently
prescribed flow rate of 7 liters/min was insufficient to
achieve the desired abortive effect for a significant
number of cluster headache sufferers and that flow rates of
12 to 15 liters/min proved far more effective. Our
analysis of available data concluded that there are two
mechanisms in play when using 100% medical O2 to abort
cluster headache attacks. The first mechanism was obvious
in that a higher partial pressure of O2 in the alveoli and
bloodstream serves as a vasoconstrictor, shrinking the
vascular structures surrounding the trigeminal nerve and
aborting the cluster headache attack. The second
mechanism, respiratory alkalosis, achieved by
hyperventilating on medical O2 at flow rates between 12 and
15 liters/min, also serves as a vasoconstrictor.
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