Compressed air tunneling and caisson work decompression procedures: development, problems, and solutions

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Compressed air tunneling and caisson work decompression procedures: development, problems, and solutions

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dc.contributor.author Kindwall, EP en_US
dc.date.accessioned 2006-08-23T01:11:00Z
dc.date.available 2006-08-23T01:11:00Z
dc.date.issued 1997 en_US
dc.identifier.citation Undersea Hyperb Med. 1997 Winter;24(4):337-45. Review. en_US
dc.identifier.other Undersea Hyperb Med en_US
dc.identifier.uri PMID: 9444066 en_US
dc.identifier.uri http://archive.rubicon-foundation.org/2267
dc.description Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org ) en_US
dc.description.abstract Multinational experience over many years indicates that all current air decompression schedules for caisson and compressed air tunnel workers are inadequate. All of them, including the Occupational Safety and Health Administration tables, produce dysbaric osteonecrosis. The problem is compounded because decompression sickness (DCS) tends to be underreported. Permanent damage in the form of central nervous system or brain damage may occur in compressed air tunnel workers, as seen on magnetic resonance imaging, in addition to dysbaric osteonecrosis. Oxygen decompression seems to be the only viable method for safely decompressing tunnel workers. Oxygen decompression of tunnel workers has been successfully used in Germany, France, and Brazil. In Germany, only oxygen decompression of compressed air workers is permitted. In our experience, U.S. Navy tables 5 and 6 usually prove adequate to treat DCS in caisson workers despite extremely long exposure times, allowing patients to return to work following treatment for DCS. Tables based on empirical data and not on mathematical formulas seem to be reasonably safe. U.S. Navy Exceptional Exposure Air Decompression tables are compared with caisson tables from the United States and Great Britain. en_US
dc.format.extent 2788167 bytes
dc.format.mimetype application/pdf
dc.language.iso en_US
dc.rights Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org ) en_US
dc.source.uri null en_US
dc.subject decompression en_US
dc.subject commercial en_US
dc.subject air en_US
dc.subject.mesh Decompression/methods* Decompression Sickness/complications Decompression Sickness/etiology Decompression Sickness/therapy* Diving*/physiology Humans Hyperbaric Oxygenation/methods Male Naval Medicine Occupational Diseases/complications Occupational Diseases/etiology Occupational Diseases/therapy* Osteonecrosis/etiology Osteonecrosis/therapy United States United States Occupational Safety and Health Administration en_US
dc.title Compressed air tunneling and caisson work decompression procedures: development, problems, and solutions en_US

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