The risk of decompression illness in breath-hold divers: a systematic review.

IF 0.8 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Diving and hyperbaric medicine Pub Date : 2023-03-31 DOI:10.28920/dhm53.1.31-41

S Lesley Blogg, Frauke Tillmans, Peter Lindholm

{"title":"The risk of decompression illness in breath-hold divers: a systematic review.","authors":"S Lesley Blogg, Frauke Tillmans, Peter Lindholm","doi":"10.28920/dhm53.1.31-41","DOIUrl":null,"url":null,"abstract":"Introduction: Breath-hold (BH) diving has known risks, for example drowning, pulmonary oedema of immersion and barotrauma. There is also the risk of decompression illness (DCI) from decompression sickness (DCS) and/or arterial gas embolism (AGE). The first report on DCS in repetitive freediving was published in 1958 and from then there have been multiple case reports and a few studies but no prior systematic review or meta-analysis.Methods: We undertook a systematic literature review to identify articles available from PubMed and Google Scholar concerning breath-hold diving and DCI up to August 2021.Results: The present study identified 17 articles (14 case reports, three experimental studies) covering 44 incidences of DCI following BH diving.Conclusions: This review found that the literature supports both DCS and AGE as potential mechanisms for DCI in BH divers; both should be considered a risk for this cohort of divers, just as for those breathing compressed gas while underwater.","PeriodicalId":11296,"journal":{"name":"Diving and hyperbaric medicine","volume":"53 1","pages":"31-41"},"PeriodicalIF":0.8000,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106275/pdf/DHM-53-31.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Diving and hyperbaric medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.28920/dhm53.1.31-41","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Breath-hold (BH) diving has known risks, for example drowning, pulmonary oedema of immersion and barotrauma. There is also the risk of decompression illness (DCI) from decompression sickness (DCS) and/or arterial gas embolism (AGE). The first report on DCS in repetitive freediving was published in 1958 and from then there have been multiple case reports and a few studies but no prior systematic review or meta-analysis.

Methods: We undertook a systematic literature review to identify articles available from PubMed and Google Scholar concerning breath-hold diving and DCI up to August 2021.

Results: The present study identified 17 articles (14 case reports, three experimental studies) covering 44 incidences of DCI following BH diving.

Conclusions: This review found that the literature supports both DCS and AGE as potential mechanisms for DCI in BH divers; both should be considered a risk for this cohort of divers, just as for those breathing compressed gas while underwater.

查看原文本刊更多论文

屏气潜水员患减压病的风险:一项系统综述。

简介:屏气(BH)潜水有已知的风险，例如溺水，浸泡肺水肿和气压损伤。减压病(DCS)和/或动脉气体栓塞(AGE)也有减压病(DCI)的风险。第一份关于重复自由潜水中DCS的报告发表于1958年，从那时起，有多个病例报告和一些研究，但没有先前的系统回顾或荟萃分析。方法:我们进行了系统的文献综述，以确定截至2021年8月在PubMed和Google Scholar上可获得的有关屏气潜水和DCI的文章。结果:本研究确定了17篇文章(14例病例报告，3项实验研究)，涵盖了BH潜水后DCI的44例发生率。结论:本综述发现，文献支持DCS和AGE作为深水潜水员DCI的潜在机制;对于这群潜水员来说，这两种情况都是有风险的，就像那些在水下呼吸压缩气体的人一样。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Diving and hyperbaric medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

1.70

自引率

22.20%

发文量

审稿时长

>12 weeks

期刊介绍： Diving and Hyperbaric Medicine (DHM) is the combined journal of the South Pacific Underwater Medicine Society (SPUMS) and the European Underwater and Baromedical Society (EUBS). It seeks to publish papers of high quality on all aspects of diving and hyperbaric medicine of interest to diving medical professionals, physicians of all specialties, scientists, members of the diving and hyperbaric industries, and divers. Manuscripts must be offered exclusively to Diving and Hyperbaric Medicine, unless clearly authenticated copyright exemption accompaniesthe manuscript. All manuscripts will be subject to peer review. Accepted contributions will also be subject to editing.