Evaluation and management of decompression illness—an intensivist’s perspective
| Autor: | Claus M. Muth, Kay Tetzlaff, Erik S. Shank |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Hyperbaric Oxygenation
medicine.medical_specialty Critical Care business.industry Pain medicine Perspective (graphical) MEDLINE Intensivist Decompression illness Decompression Sickness Critical Care and Intensive Care Medicine medicine.disease Severity of Illness Index Decompression sickness Anesthesiology Severity of illness medicine Animals Humans Intensive care medicine business |
| Zdroj: | Intensive Care Medicine. 29:2128-2136 |
| ISSN: | 1432-1238 0342-4642 |
| DOI: | 10.1007/s00134-003-1999-1 |
| Popis: | Decompression illness (DCI) is becoming more prevalent as more people engage in activities involving extreme pressure environments such as recreational scuba-diving. Rapid diagnosis and treatment offer these patients the best chance of survival with minimal sequelae. It is thus important that critical care physicians are able to evaluate and diagnose the signs and symptoms of DCI. The cornerstones of current treatment include the administration of hyperbaric oxygen and adjunctive therapies such as hydration and medications. However, managing patients in a hyperbaric environment does present additional challenges with respect to the particular demands of critical care medicine in an altered pressure environment. This article reviews the underlying pathophysiology, clinical presentation and therapeutic options available to treat DCI, from the intensivist's perspective. |
| Databáze: | OpenAIRE |
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