Lower risk of decompression sickness after recommendation of conservative decompression practices in divers with and without vascular right-to-left shunt
Introduction: A vascular right-to-left shunt (r/l shunt) is a well-known risk factor for the development of decompression sickness (DCS). No studies to date have examined whether divers with a history of DCS with or without a r/l shunt have a reduced risk of suffering recurrent DCS when diving more...
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| Hauptverfasser: | , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2012 Sept.
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| In: |
Diving and hyperbaric medicine
Year: 2012, Jahrgang: 42, Heft: 3, Pages: 146-150 |
| Online-Zugang: | Verlag, Volltext: https://www.ncbi.nlm.nih.gov/pubmed/22987461
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| Verfasserangaben: | Christoph Klingmann, Nils Rathmann, Daniel Hausmann, Thomas Bruckner, Rolf Kern |
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| 245 | 1 | 0 | |a Lower risk of decompression sickness after recommendation of conservative decompression practices in divers with and without vascular right-to-left shunt |c Christoph Klingmann, Nils Rathmann, Daniel Hausmann, Thomas Bruckner, Rolf Kern |
| 264 | 1 | |c 2012 Sept. | |
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| 520 | |a Introduction: A vascular right-to-left shunt (r/l shunt) is a well-known risk factor for the development of decompression sickness (DCS). No studies to date have examined whether divers with a history of DCS with or without a r/l shunt have a reduced risk of suffering recurrent DCS when diving more conservative dive profiles (CDP). Methods: Twenty-seven divers with a history of DCS recommended previously to dive more conservatively were included in this study and retrospectively interviewed by phone to determine the incidence of DCS recurrence.RESULTS: Twenty-seven divers performed 17,851 dives before examination in our department and 9,236 after recommendations for conservative diving. Mean follow up was 5.3 years (range 0-11 years). Thirty-eight events of DCS occurred in total, 34 before and four after recommendation of CDP. Four divers had a closure of their patent foramen ovale (PFO). A highly significant reduction of DCS risk was observed after recommendation of CDP for the whole group as well as for the sub-groups with or without a r/l shunt. A significant reduction of DCS risk in respect to r/l shunt size was also observed.DISCUSSION: This study indicates that recommendations to reduce nitrogen load after DCS appear to reduce the risk of developing subsequent DCS. This finding is independent of whether the divers have a r/l shunt or of shunt size. The risk of suffering recurrent DCS after recommendation for CDP is less than or equal to an unselected cohort of divers.Conclusion: Recommendation for CDP seems to significantly reduce the risk of recurrent DCS. | ||
| 650 | 4 | |a Adult | |
| 650 | 4 | |a Aged | |
| 650 | 4 | |a Decompression | |
| 650 | 4 | |a Decompression Sickness | |
| 650 | 4 | |a Diving | |
| 650 | 4 | |a Female | |
| 650 | 4 | |a Follow-Up Studies | |
| 650 | 4 | |a Guideline Adherence | |
| 650 | 4 | |a Heart Septal Defects, Atrial | |
| 650 | 4 | |a Humans | |
| 650 | 4 | |a Male | |
| 650 | 4 | |a Middle Aged | |
| 650 | 4 | |a Nitrogen | |
| 650 | 4 | |a Retrospective Studies | |
| 650 | 4 | |a Risk | |
| 650 | 4 | |a Risk Management | |
| 650 | 4 | |a Secondary Prevention | |
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