Accidente disbárico. Persona asintomática con omisión de una fase descompresiva. A propósito de un caso
- Blanco-Fuentes, Urko 1
- Gil-Martin, Francisco-Javier 1
- 1 Servicio Vasco de Salud-Osakidetza. Servicio de Emergencias. Euskadi, España
ISSN: 0304-4858, 2173-2302
Year of publication: 2022
Volume: 119
Issue: 3
Pages: 156-161
Type: Article
More publications in: Gaceta médica de Bilbao: Revista oficial de la Academia de Ciencias Médicas de Bilbao. Información para profesionales sanitarios
Abstract
Diving has become enormously popular and it is not without its risks. Problems related to pressure changes are known as dysbarisms or decompression sickness. In type I, the symptoms are cutaneous or musculoskeletal.However, in type II, there are symptoms that suggest involvement of the central and peripheral nervous system, as well as pulmonary involvement. Symptoms appear in most patients within the first 12 hours.All patients with symptoms must be referred to a center that has a hyperbaric chamber. The hyperbaric therapy unit of the Red Cross Hospital of Barcelona has developed the DOLA index. This index is very useful to establish a line of action against the risk of developing dysbaric disease in cases of missed decompression or asymptomatic patients.
Bibliographic References
- J. Desola. Accidentes de buceo. Enfermedad descompresiva (1). Medicina Clínica. 95: 147-156. 1990.
- E. Subirats; X. López. Atención de las emergencias en situaciones especiales. Enfermo Critico y Emergencias. 3 270-279. Enero 2021.
- European Committee for Hyperbaric Medicine. A descriptive classification of Diving Accidentes. Proceedings of the II Consensus Congress on Treatment of Diving Accidents. Marsella: mayo 1996.
- L. Eichhorn. Diving medicine in clinical practice. Dtsch Arztebl Int 2015; 112:147-57.
- E. Blatteau; M. Coulange. Oxigenoterapia hiperbárica, principios e indicaciones. EMC Anestesia y Reanimación. 2020E. 45: 4-14.
- J. Desola. Estimación del riesgo de enfermedad disbárica en caso de descompresión omitida. Índice DOLA (Omitted Decómpression Score Index). Medicina del Deporte. 2001. 135: 25-31.