Is decompression illness possible during hyperbaric therapy? A case report

2017 ◽  
Vol 44 (3) ◽  
pp. 283-285
Author(s):  
C. Gariel ◽  
◽  
B. Delwarde ◽  
S. Beroud ◽  
R. Soldner ◽  
...  
Keyword(s):  
Case Report ◽  
Decompression Illness ◽  
Hyperbaric Therapy

Abdominal decompression illness following repetitive diving: a case report and review of the literature

2019 ◽  
pp. 211-215
Author(s):  
Peter Beale ◽  
Levi Kitchen ◽  
W.R. Graf ◽  
M.E. Fenton ◽  
Keyword(s):  
Case Report ◽  
The Body ◽  
Decompression Illness ◽  
Review Of The Literature ◽  
Hyperbaric Chamber ◽  
Foreign National ◽  
Biochemical Effects ◽  
Elapsed Time ◽  
Nitrogen Bubbles ◽  
Abdominal Decompression

The complete pathophysiology of decompression illness is not yet fully understood. What is known is that the longer a diver breathes pressurized air at depth, the more likely nitrogen bubbles are to form once the diver returns to surface [1]. These bubbles have varying mechanical, embolic and biochemical effects on the body. The symptoms produced can be as mild as joint pain or as significant as severe neurologic dysfunction, cardiopulmonary collapse or death. Once clinically diagnosed, decompression illness must be treated rapidly with recompression therapy in a hyperbaric chamber. This case report involves a middle-aged male foreign national who completed three dives, all of which incurred significant bottom time (defined as: “the total elapsed time from the time the diver leaves the surface to the time he/she leaves the bottom)” [2]. The patient began to develop severe abdominal and back pain within 15 minutes of surfacing from his final dive. This case is unique, as his presentation was very concerning for other medical catastrophes that had to be quickly ruled out, prior to establishing the diagnosis of severe decompression illness. After emergency department resuscitation, labs and imaging were obtained; abdominal decompression illness was confirmed by CT, revealing a significant abdominal venous gas burden.

High-Altitude Decompression Sickness Treated with Hyperbaric Therapy and Extracorporeal Oxygenation

2020 ◽  
Vol 91 (2) ◽  
pp. 106-109
Author(s):  
Jacek Siewiera ◽  
Przemysław Szałański ◽  
Dariusz Tomaszewski ◽  
Jacek Kot
Keyword(s):  
Case Report ◽  
High Altitude ◽  
Decompression Sickness ◽  
Endothelial Damage ◽  
Neurological Deficits ◽  
Institute Of Medicine ◽  
First Case ◽  
Hyperbaric Therapy ◽  
Extracorporeal Oxygenation ◽  
Vv Ecmo

BACKGROUND: High-altitude decompression sickness (HADCS) is a rare condition that has been associated with aircraft accidents. To the best of our knowledge, the present paper is the first case report of a patient treated for severe HADCS using recompression therapy and veno-venous extracorporeal oxygenation (VV-ECMO) with a complete recovery.CASE REPORT: After depressurization of a cabin, the 51-yr-old jet pilot was admitted to the Military Institute of Medicine with a life-threatening HADCS approximately 6 h after landing from a high-altitude flight, in a dynamically deteriorating condition, with progressing dyspnea and edema, reporting increasing limb paresthesia, fluctuating consciousness, and right-sided paresis. Hyperbaric oxygen therapy in the intensive care mode was initiated. A therapeutic recompression with U.S. Navy Treatment Table 6 was performed with neurological improvement. Due to cardiovascular collapse, sedation, mechanical ventilation, and significant doses of catecholamines were started, followed by continuous veno-venous hemodialysis. In the face of disturbances in oxygenation, during the second day of treatment the patient was commenced on veno-venous extracorporeal oxygenation. Over the next 6 d, the patient’s condition slowly improved. On day 7, VV-ECMO was discontinued. On day 19, the patient was discharged with no neurological deficits.DISCUSSION: We observed two distinct stages during the acute phase of the disease. During the first stage, signs of hypoperfusion, neurological symptoms, and marbled skin were observed. During the second stage, multiple organ dysfunction dominated, including heart failure, pulmonary edema, acute kidney injury, and fluid overload, all of which can be attributed to extensive endothelial damage.Siewiera J, Szałański P, Tomaszewski D, Kot J. High-altitude decompression sickness treated with hyperbaric therapy and extracorporeal oxygenation. Aerosp Med Hum Perform. 2020; 91(2):106–109.

scholarly journals Neurological decompression illness in a Japanese breath-hold diver: a case report

2012 ◽  
Vol 52 (10) ◽  
pp. 757-761
Author(s):  
Ryu Matsuo ◽  
Shuji Arakawa ◽  
Yoshihiko Furuta ◽  
Yuka Kanazawa ◽  
Masahiro Kamouchi ◽  
...  
Keyword(s):  
Case Report ◽  
Breath Hold ◽  
Decompression Illness

scholarly journals Decompression illness with hypovolemic shock and neurological failure symptoms after two risky dives: a case report

2017 ◽  
Vol 5 (6) ◽  
pp. e13094 ◽  
Author(s):  
Sebastian Klapa ◽  
Johannes Meyne ◽  
Wataru Kähler ◽  
Frauke Tillmans ◽  
Henning Werr ◽  
...  
Keyword(s):  
Case Report ◽  
Hypovolemic Shock ◽  
Decompression Illness

Acute Ischemia of the Glans Penis after Circumcision Treated with Hyperbaric Therapy and Pentoxifylline: Case Report and Revision of the Literature

2016 ◽  
Vol 100 (3) ◽  
pp. 361-363 ◽  
Author(s):  
Filippo Migliorini ◽  
Francesco Bianconi ◽  
Leonardo Bizzotto ◽  
Antonio Benito Porcaro ◽  
Walter Artibani
Keyword(s):  
Case Report ◽  
Glans Penis ◽  
Acute Ischemia ◽  
Hyperbaric Therapy

scholarly journals P0693 / #324: THERAPEUTIC HYPOTHERMIA AND HYPERBARIC THERAPY AFTER CARDIAC ARREST: CASE REPORT WITH SUCCESSFUL RESULT

2021 ◽  
Vol 22 (Supplement 1 3S) ◽  
pp. 334-334
Author(s):  
D. Garay Carmona ◽  
A. Duarte Carranza ◽  
S. Garza Morales ◽  
R. González Morán ◽  
A. Blanco-Montero ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Case Report ◽  
Therapeutic Hypothermia ◽  
Successful Result ◽  
Hyperbaric Therapy

Chronic decompression illness cognitive dysfunction improved with hyperbaric oxygen: a case report

2020 ◽  
pp. 131-137
Author(s):  
Kimberly R. Bradley ◽  
◽  
Jamie L. Krassow ◽  
Michael F. Richards ◽  
Devin P. Beckstrand ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Case Report ◽  
Brain Injury ◽  
Hyperbaric Oxygen ◽  
Pressure Effect ◽  
Cognitive Tests ◽  
Decompression Illness ◽  
Automated Neuropsychological Assessment Metrics ◽  
Assessment Metrics ◽  
Improved Outcome

Introduction: Altitude chamber exposures are used for training to allow aircrew to experience their hypoxia and pressure effect symptoms. Decompression illness (DCI) can occur subsequent to altitude chamber training or in operational aircraft when the cabin altitude is at least 18,000 feet. Definitive emergent treatment is hyperbaric oxygen (HBO2) to decrease bubble size, dissipate excess nitrogen hyperoxygenate tissue and reduce inflammation. Case report: A 27-year-old female underwent altitude chamber training to 25,000 feet. She developed tingling in both legs and left arm, headache, dizziness, malaise, then difficulty talking. She underwent two HBO2 treatments. Over the next 12 months she had paresthesia, decreased memory and cognitive function similar to symptoms seen following traumatic brain injury. She was referred 14 months after the event for evaluation. Using pre-deployment Automated Neuropsychological Assessment Metrics (ANAM) and serial tests over 58 HBO2 treatments, the patient demonstrated near-return to her pre-deployment test scores. Discussion: The reason for HBO2 treatment was based on previous experience with chronic traumatic brain injury subjects where HBO2 improved outcome. The patient’s chronic neurological symptoms mimicked chronic TBI. The patient was unique in that baseline cognitive tests existed that could be used to monitor her changes during the treatment series.

scholarly journals Case report: Physiological changes due to a rapid ascent from 55 metres underwater

2019 ◽  
pp. 175114371989278 ◽  
Author(s):  
Michele Homsy ◽  
Catherine Bounds ◽  
Mark Glover ◽  
Benjamin Castledine ◽  
Timothy Martindale
Keyword(s):  
Critical Care ◽  
Lower Limb ◽  
Physiological Changes ◽  
Decompression Illness ◽  
Fluid Shifts ◽  
Bilateral Lower Limb ◽  
Rapid Ascent ◽  
Massive Fluid ◽  
Hyperbaric Therapy ◽  
Therapy Sessions

We present the case of a diver who experienced an uncontrolled ascent from 55 m and presented with a severe decompression illness. She was clinically shocked and in multi organ failure due to massive fluid shifts. She demonstrated bilateral lower limb loss of power and sensation and required multiple hyperbaric therapy sessions. With joint critical care, hyperbaric and physical therapy involvement, she was discharged some five weeks after her presentation with an independent level of function.

Posterior vitreal detachment in decompression illness—case report and discussion

2012 ◽  
Vol 30 (4) ◽  
pp. 637.e5-637.e6 ◽  
Author(s):  
Eric Dan-Goor ◽  
Riaz Asaria ◽  
Bill Borthwick ◽  
Oliver Firth ◽  
Ian Hughes ◽  
...  
Keyword(s):  
Case Report ◽  
Decompression Illness
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