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Decompression Sickness
Alternate Names : Decompression Illness, Caisson Disease, The Bends
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What are the treatments for the disease?
Treatment of decompression sickness involves recompression in a high-pressure chamber. This device gradually increases the pressure around the person, forcing the bubbles to dissolve again. The pressure is then slowly reduced, allowing time for the person to breathe out the extra gases. In more severe cases, medications called corticosteroids, such as prednisone, may be to reduce inflammation or brain swelling.
It may take time to get a person to a facility with a high-pressure chamber. In these cases, 100% oxygen should be given with a close-fitting mask. The person should also be asked to drink large amounts of fluids.
What are the side effects of the treatments?
The high-pressure chamber has few side effects when used correctly. Decompression that is too rapid can cause a return of symptoms. Corticosteroids can cause mood swings, high blood pressure, and high blood sugar levels.
What happens after treatment for the disease?
After proper treatment, decompression sickness goes away. However, permanent damage may occur when treatment is delayed or after repeated or severe episodes. These complications may need further treatment.
How is the disease monitored?
After treatment, no further monitoring is needed unless permanent body damage occurs.
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Author: John Riddle Reviewer: Adam Brochert, MD Date Reviewed: 09/04/01
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