Diving and Subaquatic Medicine, Fourth edition

Edmonds, Carl; Bennett, Michael; Lippmann, John; Mitchell, Simon

doi:10.1201/b15307

Cited by 16 publications

(47 citation statements)

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“…Recreational SCUBA (self-contained underwater breathing apparatus) is defined as diving to a depth of 40 metres without decompression stops. This has become increasingly popular over the last two decades, with around 100 000 individuals in the UK participating in diving (British Thoracic Society, 2003; Edmonds, Lowry, Pennefather & Walker, 2005). This article considers what GPs need to know about contraindications to diving, professional liability associated with documenting fitness to dive and the role of diving medicine specialists.…”

mentioning

confidence: 99%

SCUBA diving: staying in your depth

Modell

Glew

Sornalingam

et al. 2014

InnovAiT: Education and inspiration for general practice

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mentioning

confidence: 99%

SCUBA diving: staying in your depth

Modell

Glew

Sornalingam

et al. 2014

InnovAiT: Education and inspiration for general practice

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“…If air transportation is necessary a fixed wing aircraft must be pressurized to 1 atmosphere absolute (ATA) or a helicopter must fly below 300 m to avoid bubble expansion and clinical deterioration. 20,23 The hyperbaric physician should be involved in transportation arrangements.…”

Section: éLéments Cliniques : Un Bébé De Quatre Mois De Sexe Masculimentioning

confidence: 99%

“…The response to HBOT for iatrogenic CAGE accords with the effectiveness found in the context of diving and submarine escape training. 2,19,20 The usual treatment schedules for CAGE are US Navy tables 6A (maximum depth 165 fsw, 6 ATA) or 6 (maximum depth 60 fsw, 2.8 ATA). 2 These schedules take about five to 11 hr and in order to reduce the incidence of oxygen toxicity "air breaks" are required.…”

Section: éLéments Cliniques : Un Bébé De Quatre Mois De Sexe Masculimentioning

confidence: 99%

“…However, if suspected on clinical grounds HBOT should not be delayed for these investigations 19 since physiologic considerations and clinical experience suggest that delays result in a worse outcome. 2,8,12,19,20 Unstable infants with CCHD are usually cared for in tertiary care centres where HBOT is readily available. If air transportation is necessary a fixed wing aircraft must be pressurized to 1 atmosphere absolute (ATA) or a helicopter must fly below 300 m to avoid bubble expansion and clinical deterioration.…”

Section: éLéments Cliniques : Un Bébé De Quatre Mois De Sexe Masculimentioning

confidence: 99%

“…HBOT is the only specific effective treatment for CAGE and its rationale includes: reduction of bubble size with increased ambient pressure (Boyles Law); 12,[19][20][21] increased dissolved oxygen (Henry's Law) 21 and elimination of inspired nitrogen leading to enhanced diffusion gradients (Fick's Law) 22 to enable oxygenation of ischemic penumbra and accelerated elimination of bubble nitrogen; 12,19 and hyperoxic vasoconstriction resulting in reduced cerebral swelling 12 and decreased cardiac shunt fraction. Infants dependent upon an unstented PDA may not be suitable for HBOT since hyperoxia could stimulate closure.…”

Section: éLéments Cliniques : Un Bébé De Quatre Mois De Sexe Masculimentioning

confidence: 99%

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Hyperbaric treatment of cerebral air embolism in an infant with cyanotic congenital heart disease

LeDez

Zbitnew

2005

Can J Anesth/J Can Anesth

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P Pu ur rp po os se e: : Infants with cyanotic congenital heart disease are at risk for cerebral arterial gas embolism (CAGE) from iv infusion lines. Concern about the hazards and difficulty of caring for such patients inside a hyperbaric chamber may deter referral. We report a complex case in which a small infant was managed successfully using a modified hyperbaric oxygen treatment (HBOT) schedule.C Cl li in ni ic ca al l f fe ea at tu ur re es s: : A four-month-old 6.19 kg male infant with a recent Glenn shunt for double-outlet right ventricle had a seizure and became unstable immediately after an iv drug infusion. The patient was sedated, intubated and ventilated and dobutamine was commenced. A computerized tomography (CT) scan performed ten hours later demonstrated three intracranial air bubbles. About ten hours later the patient was referred for HBOT which commenced soon afterwards in a multiplace chamber. Since the rightto-left shunt would greatly increase the risk of decompression illness from breathing hyperbaric air HBOT was modified by the use of an abbreviated schedule at reduced pressure. Two 90-min HBOT sessions were administered within 24 hr at 38 feet of seawater pressure, equivalent to 2.15 atmospheres absolute without any air break. During treatment the infant was ventilated using an Oxford Penlon ventilator. A subsequent CT scan demonstrated the absence of air. After extubation he appeared neurologically intact except for some weakness of the left arm.C Co on nc cl lu us si io on n: : Hyperbaric oxygen may be utilized to treat CAGE in small infants with right-to-left shunt and should be commenced promptly.

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Diving patterns and decompression sickness among South Korean fishery divers

Byun

Jeon

et al. 2019

Journal of Occupational Health

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Objectives We aimed to report the characteristics of diving practice and the incidence of decompression sickness (DCS) among South Korean fishery divers. Methods We sent out questionnaires to 215 registered boat owners, and 196 of the fishery divers responded. The questionnaire was comprised of demographical characteristics, diving‐related characteristics, and experiences with DCS. DCS was classified into types I and II based on the symptoms. Results Their average length of career in fishery diving was 18.1 ± 8.5 years. They were working for 10.8 ± 1.9 months per year. The average bottom time was 74.7 ± 23.3 minutes, the average depth was 23.6 ± 6.8 m, and the average surface interval time was 20.7 ± 12.5 minutes. The incidence of DCS symptoms among the total participants was 84.7%. The incidence increased as working days per month and dives per day increased ( P < 0.05). An increased average working depth and a short surface interval time tended to reflect an elevated incidence in the DCS symptoms ( P < 0.01). Logistic regression analysis revealed working days per month, dives per day, average bottom time, and rapid ascent as risk factors ( P < 0.05). Conclusions South Korean fishery divers were shown to be susceptible to DCS because of their repetitive dives for financial reasons. However, they are often beyond the scope of the law. The results of this study suggested that it is necessary to establish the registries of fishery divers.

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Diving and Subaquatic Medicine, Fourth edition

Cited by 16 publications

References 0 publications

SCUBA diving: staying in your depth

SCUBA diving: staying in your depth

Hyperbaric treatment of cerebral air embolism in an infant with cyanotic congenital heart disease

Diving patterns and decompression sickness among South Korean fishery divers

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