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Related Experiment Videos

Altitude decompression sickness: hyperbaric therapy results in 145 cases

J C Davis, P J Sheffield, L Schuknecht

    Aviation, Space, and Environmental Medicine
    |August 1, 1977
    PubMed
    Summary

    Altitude-induced decompression sickness unresponsive to descent can be effectively treated with hyperbaric therapy. Current protocols involve immediate compression and intermittent oxygen/air breathing, confirming established recommendations.

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    Area of Science:

    • Aerospace Medicine
    • Hyperbaric Medicine
    • Physiology

    Background:

    • Altitude-induced decompression sickness (DCS) poses significant challenges in military aerospace medicine.
    • Historically, cases unresponsive to descent presented difficult management problems.
    • Hyperbaric therapy has become a critical intervention for severe DCS.

    Observation:

    • The U.S. Navy Diving School first utilized hyperbaric therapy for altitude-induced DCS in 1941.
    • Over 145 cases of altitude-induced DCS have since been treated with hyperbaric therapy.
    • Early treatments using compressed air showed variable success.

    Findings:

    • Current management mandates immediate compression to 2.8 ATA (60 FSW).
    • Intermittent oxygen and air breathing periods during slow decompression are essential.

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  • This approach confirms treatment recommendations from Behnke, Downey, and Goodman (1964).

    • Implications:

    • The study validates established hyperbaric treatment protocols for altitude-induced DCS.
    • Effective management relies on precise pressure and breathing regimens.
    • This reaffirms hyperbaric therapy as the standard of care for refractory altitude DCS.