Pathophysiology of bends and decompression sickness. An overview with emphasis on treatment
| Autor: | Donald N. Zehl, Abraham T.K. Cockett, Stephen M. Pauley, Willia S. Cockett, Andrew A. Pilmanis |
|---|---|
| Rok vydání: | 1979 |
| Předmět: |
medicine.medical_specialty
Decompression Saturation diving Poison control Embolism Fat Hematocrit Air embolism Decompression sickness medicine Paralysis Embolism Air Humans medicine.diagnostic_test business.industry Dextrans medicine.disease Decompression Sickness Lipid Metabolism Blood Coagulation Factors Surgery Embolism Spinal Cord Anesthesia medicine.symptom business Pulmonary Embolism |
| Zdroj: | Archives of surgery (Chicago, Ill. : 1960). 114(3) |
| ISSN: | 0004-0010 |
| Popis: | • Current concepts in the pathophysiology of decompression sickness are reviewed. Mild, moderate, and severe forms of this syndrome resulting from gaseous and lipid emboli are described. Therapy is aimed at restoring or specifically treating each alteration. Plasma volume deficit is restored by colloidal re-expansion. Decompression sickness is partially treated when recompression alone is used. Blood lipid alterations are managed by use of antilipemic agents. Dextran is mentioned. Divers at depths of 61 m display changes in hematocrit, platelet, and blood lipid profiles. Cord paralysis may occur from bubbles in the vena cava. Retrograde migration blocks the venous circulation of the spinal cord. Ultrasonic devices can detect "silent" bubbles during decompression. Recompression, when available, is a lifesaving treatment for diving accidents involving saturation diving. Air embolism is discussed. Monitoring emboli by EEG and fundoscopy are reported. ( Arch Surg 114:296-301, 1979) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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