[abstract] RAPIDLY PROGRESSED DYSBARISM WITH MULTIPLE ORGAN FAILURE SOON AFTER RECOMPRESSION THERAPY.

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[abstract] RAPIDLY PROGRESSED DYSBARISM WITH MULTIPLE ORGAN FAILURE SOON AFTER RECOMPRESSION THERAPY.

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Title: [abstract] RAPIDLY PROGRESSED DYSBARISM WITH MULTIPLE ORGAN FAILURE SOON AFTER RECOMPRESSION THERAPY.
Author: Yamamoto, I; Harunari, N; Yamashita, N; Sawada, Y
Abstract: A 46-year-old male diver noticed knee joint pain just after surfacing and consulted to our hospital after two hours. He was diagnosed as decompression sickness, Type I, and received HBO. He dived 18 times within five hours, including dive to 30m for 60 minutes. After the first recompression therapy (US Navy Table 5), he showed progressive multiple organ failure (MOF; Le., acute renal and circulatory failure, ARDS and DIC) and died 22 hours after surfacing. These progressive MOF are sometimes recognized in a patient with fat embolism result from multiple trauma, especially after pelvic fracture. A chest X-ray film showed no evidence of pulmonary barotrauma and there was no chance that air would be mixed via arterial or venous route. ECG and PCG were both normal. As the same mechanism in severe fat embolism, we suspected MOF, in this case, derived from acute severe air embolism. We conclude that, in this case, progressive MOF was resulted from both fat embolism, originating in bone marrow, and air embolism, due to the prevalence of right-to-left intra-atrial shunts (probe patency). Probe patency is seldom diagnosed in normal heart, in examination of cardiac angiography and echocardiography in accident on the way of Valsulva maneuver, which is used by divers to equalize middle ear pressure. During HBO therapy, by this maneuver, right-to-left shunt was opened and aggravated MOF. We'd better to call much attention for the risk of dysbarism after recompression therapy.
Description: Abstract of the Undersea and Hyperbaric Medical Society, Inc. Joint Annual Scientific Meeting with the International Congress for Hyperbaric Medicine and the European Undersea Biomedical Society held 11-18 August 1990. Okura Hotel, Amsterdam, The Netherlands (http://www.uhms.org)
URI: http://archive.rubicon-foundation.org/7148
Date: 1990

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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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