Decompression Sickness Management

Aka: Decompression Sickness Management, DCS Management, Recompression Chamber, Recompression Management, Recompression Therapy

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II. Management

  1. Air transport no higher than 1000 feet
  2. Urinary Catheter for spinal DCS
  3. Decompression chamber (see below)

III. Management: Recompression (USN Table 6 Algorithm)

  1. Recompression mechanism
    1. Reduces bubble size
    2. Increases off-gassing of nitrogen
  2. Outcomes with Recompression
    1. Majority of DCS patients have good recovery
  3. Protocol Summary
    1. Initial recompression
      1. Depth: 60 feet salt water at 100% Oxygen
      2. Duration: 60 Minutes
    2. Next Recompression on Oxygen
      1. Depth: 30 feet salt water at 100% Oxygen
      2. Duration: 60 Minutes
    3. Next Recompression on Room Air
      1. Depth: 30 feet salt water at room air
      2. Duration: 60 Minutes

IV. Resources

  1. Divers Alert Network (DAN) at Duke UMC
    1. Emergency Phone: 919-684-8111 (24 hours)
    2. Nonemergency Phone: 919-684-2948 (weekdays 8-5)

V. References

  1. Clenney (1996) Am Fam Physician 53(5):1761-6 [PubMed]
  2. Moon (1999) Crit Care Clin 15:429-56 [PubMed]
  3. Newton (2001) Am Fam Physician 63(11): 2211-2226 [PubMed]

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Related Studies

Ontology: Decompression chamber therapy (C0199472)

Concepts Therapeutic or Preventive Procedure (T061)
ICD9 93.97
SnomedCT 243139009, 182720001, 44387004
English hyperbaric chamber therapy, decompression chamber, Recompression therapy (procedure), Decompression chamber therapy, Hyperbaric chamber therapy, Recompression therapy, Control of atmospheric pressure and composition in decompression chamber procedure, Decompression chamber therapy (procedure), Decompression chamber therapy, NOS, Control of atmospheric pressure and composition in decompression chamber procedure, NOS, Decompression chamber
Spanish control de la presión y composición atmosférica en procedimiento por cámara de descompresión, terapia por cámara de descompresión (procedimiento), terapia por cámara de descompresión
Derived from the NIH UMLS (Unified Medical Language System)

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