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[Clinical aspects, pathophysiology and therapy of decompression sickness]
1Schiffahrtmedizinisches Institut der Marine, Fachabteilung Schiffahrtmedizin, Kronshagen, Deutschland.
Therapeutische Umschau. Revue Therapeutique
|April 1, 1993
Summary
Immediate recompression therapy with hyperbaric oxygen is crucial for decompression illnesses. Supportive care, including 100% oxygen and fluids, is vital before hyperbaric oxygen therapy, especially with treatment delays.
Area of Science:
- Hyperbaric medicine
- Emergency medicine
- Diving medicine
Context:
- Decompression illnesses, including arterial gas embolism and decompression sickness, pose significant risks.
- Prompt treatment is essential for managing these serious conditions.
Purpose:
- To outline the critical initial management strategies for decompression illnesses.
- To emphasize the importance of supportive care preceding definitive hyperbaric oxygen therapy.
Summary:
- The primary treatment for decompression illnesses is recompression therapy with hyperbaric oxygen.
- Before hyperbaric oxygen therapy, especially if delayed, supportive measures are mandatory. These include 100% normobaric oxygen, intravenous fluids, a flat position, and transport to a hyperbaric facility.
- While corticosteroids and anticoagulants are debated, initial steroids and aspirin may benefit cerebral and spinal cord trauma from decompression accidents.
Impact:
- This guidance ensures timely and appropriate care for patients with decompression illnesses.
- Optimizing pre-hyperbaric supportive therapy can improve patient outcomes and prognosis.