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Related Experiment Video

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Delayed recompression for decompression sickness: retrospective analysis.

Amir Hadanny1, Gregori Fishlev2, Yair Bechor2

  • 1The Sagol Center for Hyperbaric Medicine and Research, Assaf Harofeh Medical Center, Zerifin, Israel; Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Plos One
|April 24, 2015
PubMed
Summary

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This summary is machine-generated.

Delayed recompression therapy for decompression sickness (DCS) remains clinically valuable, with 76% of divers achieving full recovery even when treatment begins 48 hours or more after surfacing. US Navy Table 6 protocol may offer improved outcomes.

Area of Science:

  • Diving Medicine
  • Hyperbaric Medicine
  • Emergency Medicine

Background:

  • Decompression sickness (DCS) typically manifests within 24 hours of surfacing.
  • Prompt recompression is crucial to minimize bubble size and tissue damage.
  • Significant delays in hyperbaric treatment are common, with unclear effectiveness thresholds.

Purpose of the Study:

  • To evaluate the efficacy of hyperbaric treatment initiated 48 hours or more after surfacing for DCS.
  • To compare the outcomes of delayed versus early recompression therapy.
  • To assess the effectiveness of different hyperbaric treatment protocols.

Main Methods:

  • Retrospective analysis of 76 divers receiving delayed hyperbaric treatment (≥48 hours) from 2000-2014.
  • Comparison with 128 divers who received early treatment (<48 hours).

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  • Data collected from medical records at the Sagol Center for Hyperbaric Medicine and Research.

    • Main Results:

    • No significant baseline differences were observed between early and delayed treatment groups.
    • Complete recovery rates were similar: 76% for delayed treatment vs. 78% for early treatment.
    • Delayed treatment with US Navy Table 6 showed a trend towards better outcomes (p=0.07).

    Conclusions:

    • Late recompression (≥48 hours) for DCS is clinically effective, achieving complete recovery in 76% of cases.
    • The US Navy Table 6 protocol appears to be a preferred treatment regimen for delayed recompression.
    • Hyperbaric treatment retains significant value even when initiated substantially after symptom onset.