[abstract] DELAYED TREATMENT OF DECOMPRESSION SICKNESS WITH SHORT OXYGEN TABLES

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[abstract] DELAYED TREATMENT OF DECOMPRESSION SICKNESS WITH SHORT OXYGEN TABLES

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Title: [abstract] DELAYED TREATMENT OF DECOMPRESSION SICKNESS WITH SHORT OXYGEN TABLES
Author: Cianci, PE; Slade, JB
Abstract: INTRODUCTION: Our group has previously reported a series of divers suffering from decompression sickness treated at a community hospital which is a major referral center for DAN. We now bring this data up to the present. BACKGROUND: One hundred forty patients were referred to our hyperbaric unit for treatment of signs and symptoms of decompression sickness between January 1983 and December 2002. Patients were interviewed and examined, and it was determined that 130 were felt to have history and/or findings consistent with decompression sickness. The average age of the patient was 35 years; the average time from appearance of symptoms to recompression was 87.7 hours; symptoms included patchy numbness, joint or muscle pain, muscular weakness, frank neuropathies, gait disturbances, spinal or CNS disorders. Mental aberration was present in 40percent of our patients. METHODS: Patients were treated in a Sechrist monoplace chamber pressurized to depth with 100percent oxygen utilizing the protocols described by Hart and Kindwall - descent to 26 psi (2.8 ATA) on 100percent oxygen as fast as possible, maintain at 26 psi for 1/2 hour; ascent to 14.7 psi (2 ATA) over 30 minutes, maintain at 14.7 psi for 1 hour; ascent to surface over 30 minutes; total elapsed time = 150 minutes. Reevaluation was performed at the conclusion of each treatment with a view to determining outcome. RESULTS: One hundred eleven patients made a complete recovery (86percent). The average number of treatments was 1.99. This, however, included 12 patients more severely injured who had received a total of 119 treatments (average 9.9). Of the remaining group of 118 patients, 235 treatments were rendered, averaging 1.76 treatments per patient (range: 1-5). The average cost of therapy in the latter group was $1295. CONCLUSION: Treatment of delayed referral of decompression sickness to our facility resulted in an 86percent cure rate and an average charge of $1295. These findings are both medically effective and cost effective when compared to national data. decompression sickness, monoplace chamber, protocols
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1268
Date: 2003

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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