[abstract] TREATMENT OF DECOMPRESSION ILLNESS WITH SHORT OXYGEN TABLES: A FIVE YEAR EXPERIENCE

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[abstract] TREATMENT OF DECOMPRESSION ILLNESS WITH SHORT OXYGEN TABLES: A FIVE YEAR EXPERIENCE

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Title: [abstract] TREATMENT OF DECOMPRESSION ILLNESS WITH SHORT OXYGEN TABLES: A FIVE YEAR EXPERIENCE
Author: Shapshak, D; Cianci, PE
Abstract: BACKGROUND: Decompression Illness (DCI) is known to be a potentially serious complication in sport and commercial diving. St. Francis Memorial Hospital has a community based hyperbaric unit, functioning since 2000, and is a Diver's Alert Network (DAN) referral center. Our center uses Short Oxygen tables as described by Hart and Kindwall for initial treatment of DCI. This protocol includes 30 minutes at 2.8 Atmospheres absolute (ATA), a 15 minute ascent to 2.0 ATA, 60 minutes at 2.0 ATA and concludes with a 30 minute ascent to 1.0 ATMATERIALS AND METHODS: Retrospective chart review demonstrated 51 consultations of potential DCI. Forty-two were deemed to have symptoms that met criteria for hyperbaric oxygen treatmentRESULTS: Forty-two patients were treated with an average age of 37 (range 14 63). Mean time to onset of DCI symptoms was 8 hours (range 0 48; median 3). Mean time to recompression was 108 hours (range 6 1200; median 68). Four of the 42 patients had been treated initially at other facilities with Navy Table 6 but presented to our facility after recurrence of their symptoms. Nine patients (21percent) had symptoms of mental aberration, 33 (79percent) had symptoms involving the upper extremities, 15 (36percent) had lower extremity symptoms and 30 (71percent) had paresthesias as part of their constellation of symptoms. The average total treatment time duration was 252 minutes (Range 110-913; median 160) and the average number of treatments was 2 (range 1 8; median 1). Twenty patients (48percent) had a return to baseline, 15 (36percent) were improved and 5 (12percent) exhibited no change. Two cases did not have sufficient documentation to determine outcomCONCLUSIONS: The Short Oxygen tables as described by Hart and Kindwall are an effective treatment for DCI (85percent resolution or improvement) in this group of divers, many with long delays to treatment.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/3678
Date: 2006

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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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