Aspects of neurological decompression illness: A view from Bethesda

Autor:	J R Broome
Rok vydání:	1995
Předmět:	Spinal Cord Trauma business.industry medicine.medical_treatment Decompression illness Context (language use) General Medicine Spinal cord medicine.disease medicine.anatomical_structure Pharmacotherapy Oxygen therapy Anesthesia Ischaemia reperfusion medicine business Spinal cord injury
Zdroj:	Journal of The Royal Naval Medical Service. 81:120-126
ISSN:	2634-4920 0035-9033
DOI:	10.1136/jrnms-81-120
Popis:	A minority of divers with neurological decompression illness (DCI) fail to improve with recompression treatment. This is particularly seen in cases where features of severe spinal cord injury develop soon after surfacing. Haemorrhage into the spinal cord is implicated in the pathogenesis of these cases, and evidence is presented that supports the view that the bleeding coincides with shrinkage of autochthonous bubbles. The role of hyperbaric oxygen therapy in the treatment of spinal cord DCI is discussed with reference to posssible benefit in ischaemia-reperfusion (I-R) injury. Similarities and differences between the tissue injury of dysbaric and conventional spinal cord injury are outlined. The implications of advances in drug therapy for conventional spinal cord trauma are considered in the context of their potential application to treat neurological DCI.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::2b47e0c0184bcf56efd5af2bea8fe731 https://doi.org/10.1136/jrnms-81-120 Zobrazit plný text záznamu