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Twenty years of treating decompression sickness.

R D Green, D R Leitch

    Aviation, Space, and Environmental Medicine
    |April 1, 1987
    PubMed
    Summary

    Serious decompression sickness (DCS) treatment records show spinal cord DCS is most common. Oxygen tables are effective, but certain treatments like RN 61 lead to high relapse rates.

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    Area of Science:

    • Diving Medicine
    • Hyperbaric Medicine
    • Emergency Medicine

    Background:

    • Decompression sickness (DCS) is a significant risk in diving activities.
    • Spinal cord DCS is a frequent and serious manifestation.
    • Optimal treatment protocols are crucial for patient outcomes.

    Purpose of the Study:

    • To evaluate the efficacy of different treatment tables for serious DCS.
    • To identify effective and ineffective treatment practices.
    • To analyze long-term outcomes of DCS treatment.

    Main Methods:

    • Retrospective analysis of twenty years of DCS treatment records.
    • Comparison of various treatment tables, including oxygen and air tables.
    • Assessment of treatment efficacy based on presentation time and patient recovery.

    Main Results:

    • Spinal cord DCS was the most common serious presentation.
    • Oxygen tables demonstrated efficacy comparable to long air tables for early presentations (within 12h).
    • Oxygen tables were superior to air tables for later presentations; RN 61 treatment led to high relapse rates.

    Conclusions:

    • Oxygen treatment tables are effective for serious DCS, particularly for delayed presentations.
    • Inappropriate treatments like RN 61, in-water air, and neglecting spontaneous recovery increase relapse and deterioration risks.
    • Standardized and evidence-based treatment protocols are essential for managing serious DCS.

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