| The distribution of limb pain in decompression sickness. | |
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MedLine Citation:
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PMID: 8929209 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: For many years there has been a widely held but largely unsubstantiated belief that pain in the upper limb in decompression sickness (DCS) is associated with bounce diving, whereas compressed air workers, saturation divers and high altitude aviators are more susceptible to involvement of the lower limbs. HYPOTHESIS: The hypothesis of counter current exchange of inert gas, modulated by changes in tissue temperature, has been evaluated as a possible mechanism to explain the reported distribution of limb pain in DCS. METHODS: An extensive review of over 19,000 cases of limb pain decompression illness has been undertaken from case reports stored in the diving accident database at the Institute of Naval Medicine, in the published literature, and from unpublished clinical and experimental reports. RESULTS: There was a predominance of upper limb involvement in bounce divers and, in contrast to traditional teaching, in aviators. By contrast, the lower limbs were more commonly involved in compressed air workers and saturation divers. CONCLUSION: Each of the occupational exposures has been discussed individually with reference to counter-current exchange and other factors as potential influences on the distribution of disease. We conclude that counter-current exchange of inert gas may be implicated in the distribution of limb pain in DCS. |
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Authors:
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L M Sowden; E P Kindwall; T J Francis |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Aviation, space, and environmental medicine Volume: 67 ISSN: 0095-6562 ISO Abbreviation: Aviat Space Environ Med Publication Date: 1996 Jan |
Date Detail:
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Created Date: 1996-11-08 Completed Date: 1996-11-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7501714 Medline TA: Aviat Space Environ Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 74-80 Citation Subset: IM; S |
Affiliation:
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Institute of Naval Medicine, Hants, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acid-Base Equilibrium Arm* / blood supply Aviation* Decompression Sickness / complications, physiopathology* Diving / adverse effects* Humans Leg* / blood supply Noble Gases Occupational Diseases / complications, physiopathology* Pain / etiology* Partial Pressure Retrospective Studies Temperature |
| Chemical | |
Reg. No./Substance:
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0/Noble Gases |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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