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J Korean Soc Emerg Med > Volume 33(6); 2022 > Article
Journal of The Korean Society of Emergency Medicine 2022;33(6): 589-598.
단일 고압산소치료센터에서의 감압병 환자에 대한 치료 경험
이정현 , 정상구 , 이유진 , 오세현 , 강희동
울산대학교 의과대학 강릉아산병원 응급의학과
Hyperbaric oxygen therapy for decompression sickness: five-year experience in a single center
Joyng Hyun Lee , Sang Ku Jung , You Jin Lee , Se Hyun Oh , Hui Dong Kang
Department of Emergency Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
Correspondence  Sang Ku Jung ,Tel: 033-610-5493, Fax: 033-610-4960, Email: jsangku@naver.com,
Received: October 19, 2021; Revised: November 3, 2021   Accepted: November 4, 2021.  Published online: December 31, 2022.
ABSTRACT
Objective:
Hyperbaric oxygen therapy (HBOT) is the most crucial treatment for decompression sickness (DCS), which needs to be administered as swiftly as possible. This study evaluates the therapeutic responses of DCS patients and analyzes the major factors for clinical outcomes.
Method:
This is a retrospective cohort single-center study on patients who arrived at our hospital’s emergency department for diving-related symptoms and were diagnosed with DCS and administered HBOT.
Results:
Totally, 337 patients were enrolled from June 2015 to May 2020. The proportion of SCUBA diving, rapid ascent, and inter-facility transport cases was higher in the recreational group, with a longer lag time from symptom onset to HBOT. The professional group had a higher proportion of cases with previous DCS history, total diving time, bottom time, in-water decompression, and repetitive diving. Examination of treatment outcomes revealed more type I cases and a shorter lag time from symptom onset to HBOT in the complete recovery group. Conversely, the incomplete recovery group had a higher proportion of type II cases and aggravation of symptoms before HBOT was administered.
Conclusion:
DCS can occur regardless of professional or recreational divers. Both groups showed a similar level of severity. It is recommended that recreational divers should be cautious of accidents related to safety (such as rapid ascent) and receive swift treatment in case of the onset of symptoms. Occupational divers need more active efforts to get HBOT rather than just performing in-water recompression or home O2 therapy.
Key words: Hyperbaric oxygen therapy; Decompression sickness; Diving
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