Diving after SARS-CoV-2 (COVID-19) infection: Fitness to dive assessment and medical guidance
| Autor: | Karen Van Hoesen, Tom S. Neuman, Charlotte Sadler, Peter Lindholm, Ian Grover, Miguel Alvarez Villela, Michael Lang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Diving Pneumonia Viral Guidelines as Topic 030204 cardiovascular system & hematology Guideline Occupational safety and health 03 medical and health sciences Work of breathing Betacoronavirus 0302 clinical medicine Return to Work medicine Humans Intensive care medicine Pandemics Fitness to dive business.industry SARS-CoV-2 Public Health Environmental and Occupational Health COVID-19 Medical evaluation Exercise capacity Scuba diving 030228 respiratory system business Coronavirus Infections human activities |
| Zdroj: | Diving Hyperb Med |
| Popis: | Scuba diving is a critical activity for commercial industry, military activities, research, and public safety, as well as a passion for many recreational divers. Physicians are expected to provide return-to-diving recommendations after SARS-CoV-2 (COVID-19) infection based upon the best available evidence, often drawn from experience with other, similar diseases. Scuba diving presents unique physiologic challenges to the body secondary to immersion, increased pressure and increased work of breathing. The long-term sequelae of COVID-19 are still unknown, but if they are proven to be similar to other coronaviruses (such as Middle East respiratory syndrome or SARS-CoV-1) they may result in long-term pulmonary and cardiac sequelae that impact divers' ability to safely return to scuba diving. This review considers available literature and the pathophysiology of COVID-19 as it relates to diving fitness, including current recommendations for similar illnesses, and proposes guidelines for evaluation of divers after COVID-19. The guidelines are based upon best available evidence about COVID-19, as well as past experience with determination of diving fitness. It is likely that all divers who have contracted COVID-19 will require a medical evaluation prior to return to diving with emphasis upon pulmonary and cardiac function as well as exercise capacity. |
| Databáze: | OpenAIRE |
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