Post-decompression shock due to extravasation of plasma.

Barnard, E. E. P.; Hanson, John M.; Rowton-Lee, M. A.; Morgan, A. G.; Polak, Anna; Tidy, D. R.

doi:10.1136/bmj.2.5506.154

Cited by 13 publications

(3 citation statements)

References 2 publications

(3 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Generally, post‐DCI shock is caused by loss of i.v. fluid, and DCI accompanied by haemoconcentration usually signifies a poor prognosis . Because most of the crystalloid administered was likely to shift into the pleural and abdominal cavities, that was switched to i.v.…”

Section: Discussionmentioning

confidence: 99%

Vascular hyperpermeability in pulmonary decompression illness: ‘The chokes’

Kondo

Shiohira

Kamizato

et al. 2012

Emerg Medicine Australasia

View full text Add to dashboard Cite

Decompression illness (DCI) develops during or after diving. Pulmonary decompression illness ('Chokes') is rarely seen because the affected individual usually dies in the water. We encountered a rare and interesting case. A 60-year-old man complained of leg pain after diving. Despite rapid transfer to a nearby hospital, advanced respiratory failure and shock had set in. He was then transferred to our hospital for hyperbaric oxygen therapy (HBOT). On account of his poor general condition, we initially treated him in the intensive care unit without HBOT, where he showed extreme hyperpermeability and a high level of serum procalcitonin (PCT; 20.24 ng/mL). Despite large-volume fluid therapy, severe intravascular dehydration and shock status remained. We assume that the injured endothelial cells induced vascular hyperpermeability and increased levels of inflammatory cytokines leading to the high serum PCT level. PCT might be a useful stress marker of endothelial damage and severity in DCI, including Chokes.

show abstract

Section: Discussionmentioning

confidence: 99%

Vascular hyperpermeability in pulmonary decompression illness: ‘The chokes’

Kondo

Shiohira

Kamizato

et al. 2012

Emerg Medicine Australasia

View full text Add to dashboard Cite

show abstract

“…2,3 This has been reported for many years; however, there is insufficient evidence to identify the ideal resuscitation fluid. In 1966, Barnard et al 8 described resuscitation of post decompression shock with plasma. Gempp et al advised treatment with plasma expanders such as albumin.…”

Section: Discussionmentioning

confidence: 99%

“…In 1966, Barnard et al. 8 described resuscitation of post decompression shock with plasma. Gempp et al.…”

Section: Discussionmentioning

confidence: 99%

Case report: Physiological changes due to a rapid ascent from 55 metres underwater

Homsy¹,

Bounds²,

Glover

et al. 2019

Journal of the Intensive Care Society

View full text Add to dashboard Cite

We present the case of a diver who experienced an uncontrolled ascent from 55 m and presented with a severe decompression illness. She was clinically shocked and in multi organ failure due to massive fluid shifts. She demonstrated bilateral lower limb loss of power and sensation and required multiple hyperbaric therapy sessions. With joint critical care, hyperbaric and physical therapy involvement, she was discharged some five weeks after her presentation with an independent level of function.

show abstract

Hyperbaric Medicine

Persons

Collins

Lineaweaver

2006

Encyclopedia of Medical Devices and Instrumentation

View full text Add to dashboard Cite

Hyperbaric medicine involves using monoplace or multiplace hyperbaric chambers to deliver systemic oxygen under pressure to treat a number of medical conditions. The Undersea and Hyperbaric Medical Society approves the use of hyperbaric oxygen (HBO) for the following medical conditions: acute decompression illness, gas embolism, carbon monoxide poisioning, cyanide poisioning, clostridial gas gangrene and necrotizing soft tissue infections, compromised skin grafts and skin flaps, crush injury compartment syndrome and other acute traumatic ischemias, radiation tissue damage, refractory osteomyelitis, and selected problem wounds, acute exceptional blood loss anemia, acute thermal burns, and intracranial abscess. HBO use in treating these conditions is supported by controlled medical trials published in major peer‐reviewed journals and, as such, is evidence‐based. Numerous other experimental uses exist for HBO, such as for cardiac ischemia and for stroke, but these other uses have not yet been sufficiently proven to be beneficial. The effect of HBO is a result of the manifold increase in solubolized oxygen under pressure and its complex physiologic effects and, as such, is completely different from administering 100% oxygen at 1 Atmosphere. These affects include improving immune cell functioning and angiogenesis. More specific details of the history, physics, physiology, and function of HBO will be discussed as well as details of hyperbaric chamber facility design and safety.

show abstract

Post-decompression shock due to extravasation of plasma.

Cited by 13 publications

References 2 publications

Vascular hyperpermeability in pulmonary decompression illness: ‘The chokes’

Vascular hyperpermeability in pulmonary decompression illness: ‘The chokes’

Case report: Physiological changes due to a rapid ascent from 55 metres underwater

Hyperbaric Medicine

Contact Info

Product

Resources

About