[abstract]DECOMPRESSION ILLNESS: A REPORT OF 5,278 CASES

Rubicon Research Repository/Manakin Repository

[abstract]DECOMPRESSION ILLNESS: A REPORT OF 5,278 CASES

Show full item record


Title: [abstract]DECOMPRESSION ILLNESS: A REPORT OF 5,278 CASES
Author: Xu WG; Xu WB; Liu WW; Huang GY; Zou ZJ; Cai ZY
Abstract: Introduction/Background: Decompression illness (DCI) is a major concern in pressure-related activities. Due to the specific occurrence conditions, DCI is rare in contrast with other illnesses. In a fishery area in northern China, in the past decade, tens of thousands of divers engaged in seafood harvesting, and thousands of them suffered from DCI. We established a hyperbaric facility there and treated the majority of the cases. Materials and methods: All the diver patients admitted in our facility from February 2000 through December 2010 were treated using our recompression table, which includes four schedules. The treatment depth is 30, 40, 50 and 70 meters, respectively. The recompression medium is air. Oxygen breathing begins when decompressing to 18 meters for 20- to 30-minute periods separated by five- to 10-minute air breaks, and was repeated at each stop of 18 -2 m (every 2 m a stop). The demographic and clinical characteristics were recorded and summarized. Results: A total of 5,278 DCI cases were treated. Cutaneous abnormalities, joint and muscular pain and neurological manifestations were the three most common symptoms. In 98.9 percent of cases, the initial symptom occurred within six hours after surfacing, with a median latency of 62 minutes. The shorter the latency, the more severe the symptoms. Nine cases died before recompression and 5,269 cases were treated using four recompression schedules, with an overall effectiveness rate of 99.3 percent. 24 patients died during recompression treatments. The full recovery rate decreased with the increase of the delay from the onset of symptoms to the treatment. Summary/Conclusions: Nearly all DCI symptoms occurred within six hours after surfacing. Recompression should be administered as soon as possible but never be abandoned despite how long the delay was. Our recompression schedules are effective, flexible and suitable for treating a variety of types of DCI. In our abstract, treatment table refers to a table that includes several schedules. In Method, we stated “four schedules,” and in the Conclusion, we stated “recompression table.” The table is below. In this, the No. 4 schedule is the former Soviet treatment schedule III.
Description: Undersea and Hyperbaric Medicine : Journal of the Undersea and Hyperbaric Medical Society, Inc.
URI: http://archive.rubicon-foundation.org/10566
Date: 2012

Files in this item

Files Size Format View
abstract.txt 258bytes Text file View/Open

This item appears in the following Collection(s)

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

Show full item record

Browse

My Account