Document Detail


Proposing short-term observation units for the management of decompression illness.
MedLine Citation:
PMID:  16716058     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Decompression illness (DCI) is a potentially life-threatening disease, often requiring hyperbaric oxygen therapy (HBO2) for symptom resolution. Once treated, current guidelines recommend an observation period of at least six hours for patients with neurological symptoms in case of relapse. Surveys have shown a symptom relapse rate as high as 38.5%, with half of those occurring in the first twenty-four hours. We propose that a short-term observation unit (OU) would be an ideal setting for these patients to be monitored. To evaluate this, we did a retrospective study of patients presenting with DCI at a major hyperbaric facility. One hundred and two consecutive patients were evaluated with DCI diagnosis and receiving HBO2. Forty-two (41.2%) patients had neurological sequelae; ten required more than one treatment for refractory symptoms or relapse. Thirty-eight of the forty-two patients received up to three treatments, which can be done within the time requirements of short-term observation. We conclude that OUs would provide a safe and efficient disposition for patients after receiving HBO2.
Authors:
R Tempel; H W Severance
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc     Volume:  33     ISSN:  1066-2936     ISO Abbreviation:  Undersea Hyperb Med     Publication Date:    2006 Mar-Apr
Date Detail:
Created Date:  2006-05-23     Completed Date:  2006-06-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9312954     Medline TA:  Undersea Hyperb Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  89-94     Citation Subset:  IM; S    
Affiliation:
Duke University Medical Center, Department of Surgery, Division of Emergency Medicine, Durham, NC, USA.
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MeSH Terms
Descriptor/Qualifier:
Decompression Sickness / epidemiology,  therapy*
Documentation
High Pressure Neurological Syndrome / epidemiology,  therapy*
Hospital Units / organization & administration
Humans
Hyperbaric Oxygenation*
Monitoring, Physiologic / methods*,  standards
Patient Discharge*
Pilot Projects
Recurrence
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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