Abstract:
:Cerebral arterial gas embolism (CAGE) from breath-holding or inadequate exhalation during ascent is a well-recognised complication of scuba diving. It does not usually occur with breath-hold (BH) diving in those with normal lungs, as the volume of gas in the lungs on surfacing cannot exceed what it was on leaving the surface. However, a BH diver who breathes from a compressed gas supply at depth essentially becomes a scuba diver and is at risk of pulmonary barotrauma (PBt) and CAGE on ascent. In this case, a 26-year-old male experienced BH diver breathed from a scuba set at approximately 10 metres' sea water depth and ascended, sustaining massive PBt and CAGE with a fatal outcome. BH and scuba divers, especially those with less experience, need to be well-informed about this potential risk.
journal_name
Diving Hyperb Medjournal_title
Diving and hyperbaric medicineauthors
Banham ND,Lippmann Jdoi
10.28920/dhm49.4.304-305subject
Has Abstractpub_date
2019-12-20 00:00:00pages
304-305issue
4eissn
1833-3516issn
2209-1491journal_volume
49pub_type
abstract::Divers from many countries travel to explore various diving sites worldwide. In 2005, the Divers Alert Network (DAN) wrote guidelines for recreational diving and diabetes mellitus, but there is no up-to-date consensus or adoption of international guidelines on diabetes and diving. There are also large differences betw...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2012-12-01 00:00:00
abstract::A case of a 24-year-old gentleman who had pulmonary barotrauma (PBT) after diving is reported. He presented with chest pain after the second of two uneventful shallow SCUBA dives. Computerized tomography (CT) scan confirmed the diagnosis and he was treated conservatively. Relevant radiology and a discussion of PBT are...
journal_title:Diving and hyperbaric medicine
pub_type:
doi:10.28920/dhm50.1.66-69
更新日期:2020-03-31 00:00:00
abstract::Vomiting and aspiration of gastric contents into the airways and lungs is a common and well-known clinicopathological entity. This phenomenon might also occur in underwater diving, where it can lead to life-threatening or fatal situations. This article presents two incidents involving diving-related vomiting with asso...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:10.28920/dhm48.1.36-39
更新日期:2018-03-31 00:00:00
abstract::It has been shown that a single bout of exercise performed 20 hours prior to hyperbaric exposure reduces bubble formation and increases survival in rats. Heat shock proteins (HSPs) are stress proteins expressed in cells that are exposed to different stressors. HSPs are known to protect cells, by binding to proteins an...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2008-12-01 00:00:00
abstract:INTRODUCTION:Decompression sickness (DCS) results from a decrease in ambient pressure leading to supersaturation of tissues with inert gas and bubble formation. Perfluorocarbons (PFCs) are able to dissolve vast amounts of non-polar gases. Intravenous (IV) PFC emulsions reduce both morbidity and mortality associated wit...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2012-03-01 00:00:00
abstract:INTRODUCTION:Decompression illness (DCI) is associated with a right-to-left shunt, such as persistent foramen ovale (PFO), atrial septal defect (ASD) and pulmonary arteriovenous malformations. About one-quarter of the population have a PFO, but considerably less than one-quarter of divers suffer DCI. Our aim was to det...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2015-06-01 00:00:00
abstract::Exposure to hyperoxia is associated with oxidative stress and is known to cause inflammation in the lung and the airways. Exhaled nitric oxide concentration (FENO) is a marker of some inflammatory processes in the lung and airways, and is reduced immediately after a single session of hyperbaric oxygen (HBO) exposure. ...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2009-06-01 00:00:00
abstract::Decompression illness (DCI) is a syndrome with diverse clinical manifestations but in which cardiac symptoms are rare. In the presence of cardiac symptoms, the necessity to rule out an acute coronary syndrome (ACS) which requires prompt treatment may result in delay to appropriate recompression treatment. We describe ...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract::We present a case of cerebral venous gas embolism. Our patient made a complete neurological recovery after hyperbaric oxygen therapy (HBOT). The principles of HBOT, compressing and eliminating air bubbles and decreasing Β-2 integrin function, thus improving microcirculation, can only be beneficial in a situation where...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2012-06-01 00:00:00
abstract::Livedoid vasculopathy is a painful, ulcerating condition of the lower legs, ankles and feet with the typical histological feature of hyalinising vascular change of dermal blood vessels with minimal inflammation. Therapeutic interventions have been diverse and varyingly successful. We report a biopsy-proven case in a 2...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2013-03-01 00:00:00
abstract:INTRODUCTION:We have previously shown that hyperbaric oxygen treatment (HBOT) increased insulin sensitivity in men who were obese or overweight, both with and without type 2 diabetes. The aim of this study was to test whether this insulin-sensitising effect is seen in hyperbaric air (HA). METHODS:Men with type 2 diabe...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章,随机对照试验
doi:10.28920/dhm50.4.386-390
更新日期:2020-12-20 00:00:00
abstract::Dear Editor, By focussing on the details of the Watson case, I believe Bryan Walpole has missed the thrust of my earlier letter. I agree this was a complex case, which is why I deliberately avoided the murky specifics in order to consider the 'big-picture' ramifications of the judgement. My concerns relate to the pote...
journal_title:Diving and hyperbaric medicine
pub_type: 信件
doi:
更新日期:2011-12-01 00:00:00
abstract:INTRODUCTION:The Diver Emergency Service (DES) in Australia provides specialised medical advice on diving incidents 24 hours a day to divers, dive operators, families and health professionals. It is operated from the Hyperbaric Medicine Unit of the Royal Adelaide Hospital where the physician-on-call also carries the DE...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2012-09-01 00:00:00
abstract::It is increasingly common for recreational scuba divers to use breathing mixtures enriched with additional oxygen ('nitrox' or 'enriched air nitrogen') and for technical divers to be exposed to elevated partial pressures of oxygen for prolonged periods of time. The National Oceanic and Atmospheric Administration oxyge...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2008-06-01 00:00:00
abstract:INTRODUCTION:In-water resuscitation has recently been proposed in the European resuscitation guidelines. Initiation of mechanical ventilation underwater might be considered when an immediate ascent to the surface is impossible or dangerous. The present study evaluated the feasibility of such ventilation underwater. ME...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2013-06-01 00:00:00
abstract:INTRODUCTION:Running out of air, buoyancy problems and rapid ascents are known risk factors for diving morbidity and mortality. The effects of the diving environment and equipment and the influence of individual diver characteristics on these risks were studied. METHODS:Between 1995 and 2004, Project Dive Exploration ...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2009-12-01 00:00:00
abstract::Inner-ear decompression sickness (DCS) is an incompletely understood and increasingly recognized condition in compressed-air divers. Previous reports show a high association of inner-ear DCS with persistent foramen ovale (PFO), suggesting that a moderate-to-severe right-to-left shunt might represent a major predisposi...
journal_title:Diving and hyperbaric medicine
pub_type: 信件
doi:
更新日期:2015-06-01 00:00:00
abstract:INTRODUCTION:Scuba diving is a big part of the tourism sector in Malta, and all the cases of decompression illness (DCI)are treated within the single hyperbaric referral centre in the country. METHODS:This retrospective analysis reviews all the medical records of divers with DCI in Malta within the 30-year period betw...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:10.28920/dhm49.3.161-166
更新日期:2019-09-30 00:00:00
abstract:INTRODUCTION:In studies of decompression procedures, ultrasonically detected venous gas emboli (VGE) are commonly used as a surrogate outcome if decompression sickness (DCS) is unlikely to be observed. There is substantial variability in observed VGE grades, and studies should be designed with sufficient power to detec...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2014-03-01 00:00:00
abstract:INTRODUCTION:An individual case review of diving-related deaths reported as occurring in Australia in 2006 was conducted as part of the Divers Alert Network Asia-Pacific (DAN AP) dive fatality reporting project. METHOD:The case studies were compiled using reports from witnesses, the police and coroners. In each case, ...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2011-06-01 00:00:00
abstract::Sphenoid sinus mucocele is a rare cystic lesion. It grows gradually and causes visual disturbances, ocular motility abnormalities and headache due to cavernous sinus compression. Sudden change in sinus cavity volume by a barotrauma may compress a mucocele and precipitate symptoms that may easily be confused with decom...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:10.28920/dhm50.2.168-172
更新日期:2020-06-30 00:00:00
abstract::Gas micronuclei are gas-filled voids in liquids from which bubbles can form at low gas supersaturation. If water is depleted of gas micronuclei, high gas supersaturation is required for bubble formation. This high gas supersaturation is required in part to overcome the Laplace pressure at the point of transition from ...
journal_title:Diving and hyperbaric medicine
pub_type: 信件
doi:10.28920/dhm49.1.64
更新日期:2019-03-31 00:00:00
abstract:INTRODUCTION:During a hyperbaric oxygen therapy (HBOT) session, every medical device that is used within the hyperbaric chamber is exposed to several hazards, including an increased ambient pressure and partial pressure of oxygen. In Europe, all medical devices marketed and/or sold for use in hyperbaric conditions must...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:10.28920/dhm49.2.137-140
更新日期:2019-06-30 00:00:00
abstract::Divers suspected of suffering decompression illness (DCI) in locations remote from a recompression chamber are sometimes treated with in-water recompression (IWR). There are no data that establish the benefits of IWR compared to conventional first aid with surface oxygen and transport to the nearest chamber. However, ...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章,评审
doi:10.28920/dhm48.2.84-95
更新日期:2018-06-30 00:00:00
abstract::Basic life support (BLS) in a diving bell (DB) or deck decompression chamber (DDC) is difficult due to the confined space and limited equipment. Retrieval of the unconscious diver into the DB requires the use of a pulley system. Once inside the bell, space limitations dictate that any resuscitative efforts are attempt...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2008-06-01 00:00:00
abstract:INTRODUCTION:When a standard water-seal pleural drain unit (PDU) is used under hyperbaric conditions there are scenarios where excessive negative intrapleural pressure (IPP) and/or fluid reflux can be induced, risking significant morbidity. We developed and tested a pleural vacuum relief (PVR) device which automaticall...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:10.28920/dhm47.3.191-197
更新日期:2017-09-01 00:00:00
abstract:INTRODUCTION:The adverse effects of hyperbaric oxygen (HBO) on cardiac physiology are considered a potential hazard during the treatment of some patients. The haemodynamic effects of HBO are poorly understood and the incompatibility of electrical equipment inside the chamber has made assessment difficult. At Fremantle ...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2014-09-01 00:00:00
abstract:INTRODUCTION:Various prescribed and over-the-counter medications may theoretically be incompatible with the diving environment. Anecdotally, it is known divers regularly take medications around the time of their diving activities for different health conditions, possibly ignoring the recommendations not to do so. As pa...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2011-03-01 00:00:00
abstract::Cerebral arterial gas embolism (CAGE) is a feared complication of ambient depressurisation and can also be a complication of hydrogen peroxide ingestion. We present an unusual case of CAGE in a 57-year-old woman exposed to both of these risk factors. We describe her subsequent successful treatment with hyperbaric oxyg...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND AND AIMS:Severe decompression sickness (DCS) is a multi-organ injury. This study investigated the preventive effects of rosiglitazone on liver injury following rapid decompression in mice and examined the underlying mechanisms. METHODS:Mice were randomly divided into four groups: a control group, vehicle gr...
journal_title:Diving and hyperbaric medicine
pub_type: 杂志文章
doi:10.28920/dhm47.1.17-23
更新日期:2017-03-01 00:00:00