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[Decompression sickness after diving and following flying].

S B Laursen1, W Grønfeldt, E Jacobsen

  • 1H:S Rigshospitalet, Respirationscenter Ost.

Ugeskrift for Laeger
|August 10, 1999
PubMed
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Delayed symptoms of decompression sickness (DCS) occurred in a diver after flying 16 hours post-SCUBA diving. Hyperbaric oxygen therapy successfully treated the type 2 DCS, and prevention guidelines were provided.

Area of Science:

  • Diving Medicine
  • Aerospace Medicine
  • Hyperbaric Medicine

Background:

  • Recreational diving carries a risk of decompression sickness (DCS).
  • Air travel shortly after diving can increase DCS risk due to reduced ambient pressure.
  • Delayed onset of DCS symptoms is a recognized, though less common, presentation.

Observation:

  • A SCUBA diver experienced delayed symptoms consistent with type 2 DCS.
  • Symptoms manifested 16 hours after the dive, coinciding with air travel.
  • The patient presented with classical neurological and vestibular signs of severe DCS.

Findings:

  • The case highlights the potential for significant DCS after a seemingly safe surface interval before flying.
  • Prompt treatment with hyperbaric oxygen (HBO) in a recompression chamber led to a successful recovery.

Related Experiment Videos

  • The severity of DCS suggests that even longer surface intervals may not eliminate risk for all individuals.

    • Implications:

    • Reinforces the need for conservative surface interval guidelines before flying after diving.
    • Suggests that individual susceptibility to DCS may vary, necessitating personalized risk assessment.
    • Emphasizes the critical role of timely HBO treatment in managing severe DCS cases.