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| Title: | FLYING AFTER DCI IN PATIENTS DIVING IN REMOTE LOCATIONS: A FOLLOW-UP PROJECT |
| Authors: | Torp, KD
Schaper, B |
| Keywords: | HBO
decompression
flying after treatment
hyperbaric |
| Issue Date: | 2006 |
| Abstract: | BACKGROUND: Treating decompression illness (DCI) in remote locations has many logistical challenges including long haul flights home after treatment. Recommendations for flying after treatment for DCI vary from 24 hrs to 42 days. Few studies have been performed to address this issueMATERIALS AND METHODS: We have performed a chart review of 93 consecutive European divers from 2003-Aug 2005, who were referred for treatment of DCI to the hyperbaric chambers of SSS in Thailand. Within 48 hours after return to their home countries the patients were interviewed by an R.N. who filled out a questionnaire regarding their treatment, symptoms before during and after the flight. Those who complained of symptoms were offered referral to a local hyperbaric facility for follow-uRESULTS: 89 patients were contacted. The mean flying time was 10 hours. 83percent were discharged without residuals and 17percent were left with residuals after completion of the treatment for DCI. 62percent of patients flew home within 2 weeks. 16 patients complained of symptoms after the flight. 8 of them were discharged with residual symptoms (50percent of patients discharged with residual symptoms). The other 8 patients had no residuals after HBO treatment (10percent of those discharged with complete recovery). 2 patients were retreated with HBO in their home countrCONCLUSIONS: Time to flying home after DCI treatment will have significant impact on the patient in terms of length and cost of the vacation, return to work, cost of a relapse in an airplane and cost of re-treatment at home. Recommendations for an optimal time interval vary considerably. In our pilot study, patient discharged with residuals were more likely to experience symptoms during and after the flight than those discharged without residuals. None of the symptoms were severe. Most patients flew home within 2 weeks. Larger studies with matched controls are necessary. |
| Description: | Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org ) |
| URI: | http://archive.rubicon-foundation.org/3690 |
| Appears in Collections: | UHMS Meeting Abstracts
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